DE3430095A1 - Vorrichtung zur enteralen dialyse mit intensiver spuelung - Google Patents
Vorrichtung zur enteralen dialyse mit intensiver spuelungInfo
- Publication number
- DE3430095A1 DE3430095A1 DE19843430095 DE3430095A DE3430095A1 DE 3430095 A1 DE3430095 A1 DE 3430095A1 DE 19843430095 DE19843430095 DE 19843430095 DE 3430095 A DE3430095 A DE 3430095A DE 3430095 A1 DE3430095 A1 DE 3430095A1
- Authority
- DE
- Germany
- Prior art keywords
- pressure hose
- dialysis
- irrigation
- nozzle head
- intensive
- 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.)
- Granted
Links
- 238000000502 dialysis Methods 0.000 title claims abstract description 41
- 230000002262 irrigation Effects 0.000 title claims abstract description 35
- 238000003973 irrigation Methods 0.000 title claims abstract description 35
- 239000000385 dialysis solution Substances 0.000 claims abstract description 17
- 210000000936 intestine Anatomy 0.000 claims abstract description 16
- 239000012530 fluid Substances 0.000 claims abstract description 11
- 239000007788 liquid Substances 0.000 claims abstract description 10
- 239000003814 drug Substances 0.000 claims abstract description 9
- 210000002429 large intestine Anatomy 0.000 claims abstract description 9
- 238000011282 treatment Methods 0.000 claims abstract description 5
- 238000002360 preparation method Methods 0.000 claims abstract 2
- 238000011010 flushing procedure Methods 0.000 claims description 16
- 210000001035 gastrointestinal tract Anatomy 0.000 claims description 13
- 210000000813 small intestine Anatomy 0.000 claims description 13
- 210000003238 esophagus Anatomy 0.000 claims description 11
- 210000002784 stomach Anatomy 0.000 claims description 9
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 claims description 7
- 229940079593 drug Drugs 0.000 claims description 6
- 210000000683 abdominal cavity Anatomy 0.000 claims description 4
- 210000003815 abdominal wall Anatomy 0.000 claims description 4
- 210000001072 colon Anatomy 0.000 claims description 4
- 239000000126 substance Substances 0.000 claims description 4
- 229910001385 heavy metal Inorganic materials 0.000 claims description 3
- 229910052697 platinum Inorganic materials 0.000 claims description 3
- 238000007789 sealing Methods 0.000 claims description 3
- 206010028980 Neoplasm Diseases 0.000 claims description 2
- 201000011510 cancer Diseases 0.000 claims description 2
- 238000003780 insertion Methods 0.000 claims description 2
- 230000037431 insertion Effects 0.000 claims description 2
- 210000004185 liver Anatomy 0.000 claims description 2
- 210000000115 thoracic cavity Anatomy 0.000 claims description 2
- 210000000613 ear canal Anatomy 0.000 claims 2
- 230000005484 gravity Effects 0.000 claims 2
- 206010023799 Large intestinal ulcer Diseases 0.000 claims 1
- 210000000621 bronchi Anatomy 0.000 claims 1
- 239000000969 carrier Substances 0.000 claims 1
- 239000000919 ceramic Substances 0.000 claims 1
- 230000002550 fecal effect Effects 0.000 claims 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 claims 1
- 229910052737 gold Inorganic materials 0.000 claims 1
- 239000010931 gold Substances 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 claims 1
- 210000001989 nasopharynx Anatomy 0.000 claims 1
- 238000002203 pretreatment Methods 0.000 claims 1
- 239000010453 quartz Substances 0.000 claims 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N silicon dioxide Inorganic materials O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims 1
- 210000003437 trachea Anatomy 0.000 claims 1
- 210000004291 uterus Anatomy 0.000 claims 1
- 230000000968 intestinal effect Effects 0.000 abstract description 9
- 230000000694 effects Effects 0.000 abstract description 5
- 208000001647 Renal Insufficiency Diseases 0.000 abstract description 4
- 201000006370 kidney failure Diseases 0.000 abstract description 4
- 206010021333 Ileus paralytic Diseases 0.000 abstract description 3
- 201000005081 Intestinal Pseudo-Obstruction Diseases 0.000 abstract description 3
- 201000007620 paralytic ileus Diseases 0.000 abstract description 3
- 208000000857 Hepatic Insufficiency Diseases 0.000 abstract description 2
- 206010019663 Hepatic failure Diseases 0.000 abstract description 2
- 239000002504 physiological saline solution Substances 0.000 abstract description 2
- 238000004140 cleaning Methods 0.000 abstract 1
- 210000003734 kidney Anatomy 0.000 description 7
- 230000002503 metabolic effect Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 241000252983 Caecum Species 0.000 description 3
- 210000004534 cecum Anatomy 0.000 description 3
- 210000000664 rectum Anatomy 0.000 description 3
- 239000002699 waste material Substances 0.000 description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 3
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 2
- 208000037157 Azotemia Diseases 0.000 description 2
- 206010033799 Paralysis Diseases 0.000 description 2
- 208000025865 Ulcer Diseases 0.000 description 2
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 206010009887 colitis Diseases 0.000 description 2
- 238000002052 colonoscopy Methods 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 208000003243 intestinal obstruction Diseases 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 210000004303 peritoneum Anatomy 0.000 description 2
- 206010034674 peritonitis Diseases 0.000 description 2
- 239000000523 sample Substances 0.000 description 2
- 239000000021 stimulant Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000009852 uremia Diseases 0.000 description 2
- NLZUEZXRPGMBCV-UHFFFAOYSA-N Butylhydroxytoluene Chemical group CC1=CC(C(C)(C)C)=C(O)C(C(C)(C)C)=C1 NLZUEZXRPGMBCV-UHFFFAOYSA-N 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Chemical compound OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- LEHOTFFKMJEONL-UHFFFAOYSA-N Uric Acid Chemical compound N1C(=O)NC(=O)C2=C1NC(=O)N2 LEHOTFFKMJEONL-UHFFFAOYSA-N 0.000 description 1
- TVWHNULVHGKJHS-UHFFFAOYSA-N Uric acid Natural products N1C(=O)NC(=O)C2NC(=O)NC21 TVWHNULVHGKJHS-UHFFFAOYSA-N 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000000577 adipose tissue Anatomy 0.000 description 1
- 229910021529 ammonia Inorganic materials 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 239000004202 carbamide Substances 0.000 description 1
- 210000003679 cervix uteri Anatomy 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 230000000112 colonic effect Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000001079 digestive effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 230000035929 gnawing Effects 0.000 description 1
- 238000007455 ileostomy Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 208000017169 kidney disease Diseases 0.000 description 1
- 208000019423 liver disease Diseases 0.000 description 1
- 230000004060 metabolic process Effects 0.000 description 1
- 230000002906 microbiologic effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003097 mucus Anatomy 0.000 description 1
- 210000002151 serous membrane Anatomy 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 210000000779 thoracic wall Anatomy 0.000 description 1
- 229940116269 uric acid Drugs 0.000 description 1
- 210000003932 urinary bladder Anatomy 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
- A61M1/281—Instillation other than by gravity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
- A61M1/285—Catheters therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/77—Suction-irrigation systems
- A61M1/772—Suction-irrigation systems operating alternately
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/85—Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0625—Mouth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1064—Large intestine
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Urology & Nephrology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Emergency Medicine (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Vascular Medicine (AREA)
- Pulmonology (AREA)
- Epidemiology (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- External Artificial Organs (AREA)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19843430095 DE3430095A1 (de) | 1984-08-16 | 1984-08-16 | Vorrichtung zur enteralen dialyse mit intensiver spuelung |
| DE19843448077 DE3448077A1 (de) | 1984-08-16 | 1984-08-16 | Spuelvorrichtung fuer stomatraeger |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19843430095 DE3430095A1 (de) | 1984-08-16 | 1984-08-16 | Vorrichtung zur enteralen dialyse mit intensiver spuelung |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE3430095A1 true DE3430095A1 (de) | 1986-02-27 |
| DE3430095C2 DE3430095C2 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) | 1987-10-15 |
Family
ID=6243160
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE19843430095 Granted DE3430095A1 (de) | 1984-08-16 | 1984-08-16 | Vorrichtung zur enteralen dialyse mit intensiver spuelung |
Country Status (1)
| Country | Link |
|---|---|
| DE (1) | DE3430095A1 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2004012792A1 (en) * | 2002-08-02 | 2004-02-12 | Zassi Medical Evolutions, Inc. | Nozzle for stoma cleansing system |
| US8308710B2 (en) | 2001-10-12 | 2012-11-13 | Applied Medical Resources Corporation | High flow-low pressure irrigation system |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4306478A1 (de) * | 1993-03-02 | 1994-09-08 | Wolfgang Dr Wagner | Drainagevorrichtung, insbesondere Pleuradrainagevorrichtung, und Drainageverfahren |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2356695A (en) * | 1940-01-11 | 1944-08-22 | Parker Mfg Company | Method of making rails for model railways |
| DE6751116U (de) * | 1968-07-24 | 1969-02-06 | Oskar Dr Friedl | - saug- und spuelgeraet, vorzugsweise fuer operationen am ohr. |
| US3870045A (en) * | 1971-07-08 | 1975-03-11 | Curtis M Vaughan | Multipurpose hygienic kit |
| DE2511815B2 (de) * | 1974-03-18 | 1978-12-14 | Hollister Inc., Chicago, Ill. (V.St.A.) | Vorrichtung zum Spülen des Darmes durch eine Bauchöffnung eines Ostomie-Patienten hindurch |
| US4182326A (en) * | 1977-08-26 | 1980-01-08 | Ims Limited | Laryngotracheal syringe |
| DE3143329A1 (de) * | 1980-11-05 | 1982-06-09 | Société de Materiels Annexes de Dialyse S.M.A.D., L'Arbresle, Rhône | "schutzvorrichtung fuer einen verbindungsstoepsel" |
| US4403985A (en) * | 1981-05-12 | 1983-09-13 | The United States Of America As Represented By The Department Of Health And Human Services | Jet controlled catheter |
| GB2125296A (en) * | 1982-08-17 | 1984-03-07 | Mackechnie Jarvis Andrew Charl | Wound irrigator |
-
1984
- 1984-08-16 DE DE19843430095 patent/DE3430095A1/de active Granted
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2356695A (en) * | 1940-01-11 | 1944-08-22 | Parker Mfg Company | Method of making rails for model railways |
| DE6751116U (de) * | 1968-07-24 | 1969-02-06 | Oskar Dr Friedl | - saug- und spuelgeraet, vorzugsweise fuer operationen am ohr. |
| US3870045A (en) * | 1971-07-08 | 1975-03-11 | Curtis M Vaughan | Multipurpose hygienic kit |
| DE2511815B2 (de) * | 1974-03-18 | 1978-12-14 | Hollister Inc., Chicago, Ill. (V.St.A.) | Vorrichtung zum Spülen des Darmes durch eine Bauchöffnung eines Ostomie-Patienten hindurch |
| US4182326A (en) * | 1977-08-26 | 1980-01-08 | Ims Limited | Laryngotracheal syringe |
| DE3143329A1 (de) * | 1980-11-05 | 1982-06-09 | Société de Materiels Annexes de Dialyse S.M.A.D., L'Arbresle, Rhône | "schutzvorrichtung fuer einen verbindungsstoepsel" |
| US4403985A (en) * | 1981-05-12 | 1983-09-13 | The United States Of America As Represented By The Department Of Health And Human Services | Jet controlled catheter |
| GB2125296A (en) * | 1982-08-17 | 1984-03-07 | Mackechnie Jarvis Andrew Charl | Wound irrigator |
Non-Patent Citations (1)
| Title |
|---|
| WINKLER,R.,Prof.Dr.: Irrigationsbehandlung des Stomaträgers, In: Irrigation-Darmspülung bei Colostomie, Hrsg.:Deutsche Ilco e.V., Freising, 1982 |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8308710B2 (en) | 2001-10-12 | 2012-11-13 | Applied Medical Resources Corporation | High flow-low pressure irrigation system |
| WO2004012792A1 (en) * | 2002-08-02 | 2004-02-12 | Zassi Medical Evolutions, Inc. | Nozzle for stoma cleansing system |
Also Published As
| Publication number | Publication date |
|---|---|
| DE3430095C2 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) | 1987-10-15 |
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| 8339 | Ceased/non-payment of the annual fee |