EP3194004A1 - Device for retaining healthcare apparatus relative to a patient's body - Google Patents
Device for retaining healthcare apparatus relative to a patient's bodyInfo
- Publication number
- EP3194004A1 EP3194004A1 EP15770598.9A EP15770598A EP3194004A1 EP 3194004 A1 EP3194004 A1 EP 3194004A1 EP 15770598 A EP15770598 A EP 15770598A EP 3194004 A1 EP3194004 A1 EP 3194004A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- user
- adhesive
- end portions
- equipment
- healthcare
- 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.)
- Withdrawn
Links
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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/683—Means for maintaining contact with the body
- A61B5/6831—Straps, bands or harnesses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/683—Means for maintaining contact with the body
- A61B5/6832—Means for maintaining contact with the body using adhesives
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
- A61B5/02411—Detecting, measuring or recording pulse rate or heart rate of foetuses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/43—Detecting, measuring or recording for evaluating the reproductive systems
- A61B5/4306—Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
- A61B5/4343—Pregnancy and labour monitoring, e.g. for labour onset detection
- A61B5/4362—Assessing foetal parameters
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0253—Holding devices, e.g. on the body where the catheter is attached by straps, bands or the like secured by adhesives
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0266—Holding devices, e.g. on the body using pads, patches, tapes or the like
Definitions
- This invention relates generally to healthcare devices, and more particularly to a solution for retaining a healthcare device at a desired location relative to a patient's body.
- the invention is particularly suited for, but not limited to, use in retaining a monitor against a woman's stomach so as to monitor foetal condition or contraction patterns during pregnancy and child birth.
- the invention may also be used for holding other healthcare related apparatus in situ relative to the body, such as cannula, wound dressings and the like.
- a belt or strap is wound around the patient's body.
- the strap engages with loops, clips or other engaging means provided on the healthcare device.
- loops, clips or other engaging means provided on the healthcare device.
- these can be uncomfortable for the patient to wear and difficult to put into place.
- it can be problematic trying to wrap a strap around the torso of a pregnant woman to hold a foetal monitoring transducer in place, and in an emergency situation time may be of the essence.
- PCT/DK2010/000005 discloses a device for positioning and securing foetal monitoring transducers and the like against the stomach of a pregnant woman.
- the device comprises two separate straps each having two ends, one end of each strap having an adhesive provided thereon for adhering to the skin of the patient.
- the separate straps engage the monitoring device to hold it in place.
- this arrangement comprises separate straps which have to be manipulated independently and then combined and adjusted as required, the arrangement can be time consuming and difficult to use. This can be a disadvantage in an emergency.
- a device for retaining at least one item of healthcare equipment in a desired position relative to a user's body comprising a device body having:
- the device holds the healthcare equipment in the desired position on or against the user's body.
- the user may be referred to as a 'patient' .
- the device body may comprise a nylon and polyurethane fabric strap.
- the device may be hypoallergenic.
- the end portions and the intermediary portion are integrally formed. This results in a device which is simpler in construction than prior art arrangements comprising multiple straps, and is easier to use.
- the intermediary portion is elongate and at least one, some or all of the end portions are enlarged relative to the width of the intermediary portion.
- the end portions may be referred to as 'paddles' or 'pads'.
- the device may be substantially dumb-bell shaped.
- At least one of the end portions may be at least partially curved or rounded.
- the invention is not intended to be limited with regard to the shape or contour of the end portion(s).
- the adhesive may be a silicone adhesive. At least one recess, aperture or gap may be provided in the adhesive. A pattern of recesses, apertures or gaps may be provided in the adhesive. It may be a repeating pattern.
- the adhesive may be provided with a 'dimpled' effect. Perspiration or other fluids may be able to pool in the recesses, gaps or apertures, thus enhancing the effectiveness of the adhesive.
- the plurality of gaps, apertures or indents may extended across the entire area of adhesive on one or more end portions, or only part of the area.
- An adhesive-free margin is provided at or towards the edge of at least one end portion. It may extend around the entire edge of an end portion or only part of it.
- the adhesive free margin facilitates gripping of the end portion when removing the device from the user's skin and/or when removing a protective layer from the adhesive.
- the at least one of the end portion may be provided with a removable layer.
- the removable layer may be a film or sheet which serves to protect the adhesive when not in use on a user's body.
- the intermediary portion may be provided with equipment attaching means for attaching the at least one item of healthcare equipment to the device.
- the equipment attaching means may be an aperture. However, other forms of attachment means may be provided for securing the healthcare equipment to the device.
- the equipment attaching means may be provided at or towards the middle of the intermediary portion.
- the at least one item of healthcare equipment may be a monitoring device, wound care equipment, a cannula or any other type of device used for clinical, medical, surgical or other healthcare related tasks.
- the invention is not intended to be limited with regard to the type of device which it retains.
- the at least one item of healthcare equipment may be attached to the device in a removable or non-removable manner.
- the healthcare equipment may be formed integrally with the device body.
- a kit of parts comprising: at least one device according to any preceding claim; and
- the container may be a pouch or bag.
- the container may have a transparent portion such that the at least once device can be observed through the container.
- the container may be re-sealable.
- a method of retaining at least one item of healthcare equipment in a desired position relative to a user's body comprising the steps:
- the method may further comprise the step of:
- the method may further comprise the step of:
- the method may further comprise the step of:
- the method may further comprise the step of:
- the method may further comprise the step of:
- a device for retaining at least one item of healthcare equipment in a desired position relative to a user's body comprising a device body provided with adhesive for securing the respective end portions to the user's body; wherein a pattern of recesses, apertures or gaps is formed in the adhesive.
- the invention provides a solution which can be used to hold an item of healthcare equipment against a patient's body in a secure and comfortable manner.
- the invention is simple, quick and easy to use. It is simple and inexpensive to manufacture. It is re-usable. It is adaptable for use with patients of various sizes, for example obese patients. It is hygienic. It is able to maintain the position of the healthcare device relative to the patient's body even when the patient moves or is mobile.
- Figure 1 illustrates an embodiment of the invention showing adhesive covering the pads at the end of the retention device.
- Figure 2 illustrates two devices according to the invention with healthcare devices attached to the device body.
- Figure 3 illustrates two devices according to the invention being used to hold two healthcare devices against a patient's body.
- the invention provides a solution which enables a piece of healthcare equipment such as a monitoring device, cannula, wound care apparatus, dressing, needle etc to be held in a particular position relative to a patient (user) body.
- the invention is not intended to be limited with regard to the type of healthcare device or equipment with which it is used.
- the equipment will be referred to hereafter as a 'monitor' .
- the invention comprises a device body 1 which may be referred to as a 'strap'.
- the strap is formed as a unitary (integrally formed) item. This distinguishes it from prior art arrangements which are made up of multiple straps or elements which are then connected or assembled during use. As a result, the invention provides an arrangement which is simpler to use. It is also simpler and less costly to manufacture.
- the strap has an elongate middle 2 or intermediary part 2 provided between two enlarged, bulbous end portions 3a, 3b.
- the device is dumb-bell shaped. This has been found to provide an ergonomically and aesthetically advantageous form.
- other shaped profiles may be used instead of rounded end portions.
- the shape and size of the intermediary part which bridges the end portions may vary. For example, the edges of the intermediary part 2 may not be straight or parallel.
- the device is provided with a hole 4 to enable the healthcare equipment eg monitor to be attached to the device, as shown in the lower device of figure 2.
- the hole is provided in the middle of the intermediary portion.
- Some monitoring devices are provided with a button or projection on the back of the monitor. This button can be pushed through the hole in the strap to secure the monitor to the strap in a releasable fashion.
- Other monitors a provided with a hinged clip in place of the button. The clip is biased against the back of the monitoring device. This allows the hinged clip to be lifted so that the intermediary portion can be inserted between the clip and the back of the monitor housing. When the clip is moved back to its starting position the strap is clamped between the clip and the monitor 5.
- One side of the end rounded portions 3 a, 3b are provided with an adhesive to enable the ends of the strap 1 to be secured to the patient's body 6.
- the adhesive is provided on the same side of the strap at both ends, as shown in figure 1.
- the adhesive may cover all or most of the ends, or just a portion thereof.
- the adhesive covers most of the end with an adhesive-free margin 7a, 7b provided at the tip of the pad to facilitate removal of a protective film or layer during use.
- the intermediary portion between the ends is free of adhesive.
- the amount and exact location of the adhesive portion(s) may vary in other embodiments.
- figure 1 shows perforations 8 provided in the adhesive 9. This enables perspiration or other moisture to pool within the holes, indentations or gaps, thus enhancing the device's ability to remain adhered to the patient's body during use.
- Recesses or indentations may be formed in the adhesive instead of (or in addition to) holes, thus providing a dimpled effect.
- the invention is not limited in regard to the number or size of the holes or dimples.
- the perforations and/or indentations may be provided such that they form a pattern across the area of adhesive on the pad.
- the strap may have content such as text, images etc printed on it.
- the content may comprise branding such as a company logo, or may comprise instructions for using the device.
- the strap is flexible and may be formed using a nylon material which is washable. While some degree of elasticity may be present, it is preferred that this is avoided because a stretchable strap may pose difficulties when applying the adhesive.
- the adhesive 9 is a silicon adhesive.
- An acrylic backing is provided to enable the adhesive to bond to the nylon strap.
- the adhesive is selected such that its adhesive properties are sufficient to hold the device and healthcare equipment in situ during use, but not to cause harm to the user's skin upon removal of the device.
- the device is provided in a paper and/or polyethylene pouch or bag (not shown in figures) which has at least one clear window or face. This enables the user to view the device while it is in the bag.
- the bag can be provided with content such as text or images. This can be useful for providing instructions for correct use.
- the bag is re-sealable so that it may be used more than once after the strap has been removed from the patient's body.
- the ends of the strap are provided with protective layers (not shown) which shield the adhesive from damage and dirt when the device is not in use. Therefore, the device may be a 'single patient' device rather than 'single use' device. The patient or practitioner may retain the strap and use it multiple times.
- the device and/or the bag may be provided with an identifier, code or label which can be recorded in the patient's medical notes so that the device can be associated with the patient. This ensures that the same strap is used with the same patient each time. Using the same strap with different patients would be undesirable and may cause hygiene concerns.
- a practitioner such as a nurse or healthcare worker removes a strap from its bag.
- An identifier printed on the bag and/or strap may be recorded in the patient's notes.
- the user's name or other identifier may be written on the bag and/or pouch so that the strap now 'belongs' to the patient.
- the patient' s body may be prepared by cleaning and drying the area where the strap is to be secured. This may help the adhesive to adhere to the skin.
- a monitoring device 5 is attached to the strap 1 either by pushing a portion of the monitor through the aperture or by clipping the monitor to the intermediate portion, depending on the type of monitor being used as described above (see figure 2).
- the monitor is attached to the side of the strap which will face the patient's body in use - ie the same side as the adhesive.
- the protective shields are peeled back and removed to reveal the adhesive at each end of the device.
- the device is positioned against the patient's body at the desired location, and the adhesive brought into contact with the skin. Gentle pressure is applied to the ends of the strap so that a secure connection is formed. When the monitor is to be removed, each end of the strap is removed from the patient's skin.
- the adhesive-free tips of the strap ends are gripped so that the end can be peeled off the skin.
- the adhesive free margin 7a, 7b at the edge of the strap end facilitates this process because it provides a flap which is not attached to the skin and can be easily gripped.
- the protective shields are placed back onto the adhesive areas at the ends of the strap.
- the monitor is then removed from the strap and the strap is replaced into its bag for storage until next use.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biophysics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB1416597.1A GB2530315A (en) | 2014-09-19 | 2014-09-19 | Device for retaining healthcare apparatus relative to a patient's body |
PCT/GB2015/052677 WO2016042322A1 (en) | 2014-09-19 | 2015-09-16 | Device for retaining healthcare apparatus relative to a patient's body |
Publications (1)
Publication Number | Publication Date |
---|---|
EP3194004A1 true EP3194004A1 (en) | 2017-07-26 |
Family
ID=51869180
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP15770598.9A Withdrawn EP3194004A1 (en) | 2014-09-19 | 2015-09-16 | Device for retaining healthcare apparatus relative to a patient's body |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP3194004A1 (en) |
AU (1) | AU2015316601A1 (en) |
GB (1) | GB2530315A (en) |
WO (1) | WO2016042322A1 (en) |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4974593A (en) * | 1989-11-24 | 1990-12-04 | Ng Raymond C | Holder apparatus for transducer applicable to human body |
US6048323A (en) * | 1995-10-02 | 2000-04-11 | Hon; Edward H. | Transducer support plate and tocodynamometer attachment system |
US20090306602A1 (en) * | 2008-06-04 | 2009-12-10 | Elwell David G | Stabilization of a catheter or cannula |
WO2010083832A1 (en) * | 2009-01-21 | 2010-07-29 | Andersen Betina Korshoej | Adhesive strap for foetal monitoring transducers and the like |
US20130150791A1 (en) * | 2011-12-07 | 2013-06-13 | Becton, Dickinson And Company | Adhesive backed iv catheter with auto release liner |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2643269A1 (en) * | 1989-02-17 | 1990-08-24 | Renaud Alain | Device for fixing a tracheal probe |
US5306233A (en) * | 1993-03-08 | 1994-04-26 | David F. Glover | Endotracheal tape and method of use |
US8280682B2 (en) * | 2000-12-15 | 2012-10-02 | Tvipr, Llc | Device for monitoring movement of shipped goods |
US5730721A (en) * | 1996-01-25 | 1998-03-24 | Vesture Corporation | Medical applicator and method |
DE19649431C2 (en) * | 1996-11-28 | 2000-01-05 | Tulafor Anstalt Vaduz | Medical instrument holder |
WO2006124623A2 (en) * | 2005-05-18 | 2006-11-23 | Rachelle Van Wyk | System, method, and kit for positioning a monitor transducer on a patient |
GB2435614A (en) * | 2006-03-01 | 2007-09-05 | Samuel George | Transducer holder for maintaining signal-receiving contact with a patient's body |
EP2838490B1 (en) * | 2012-04-17 | 2024-05-29 | Fisher & Paykel Healthcare Limited | A tube securement system |
-
2014
- 2014-09-19 GB GB1416597.1A patent/GB2530315A/en not_active Withdrawn
-
2015
- 2015-09-16 EP EP15770598.9A patent/EP3194004A1/en not_active Withdrawn
- 2015-09-16 WO PCT/GB2015/052677 patent/WO2016042322A1/en active Application Filing
- 2015-09-16 AU AU2015316601A patent/AU2015316601A1/en not_active Abandoned
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4974593A (en) * | 1989-11-24 | 1990-12-04 | Ng Raymond C | Holder apparatus for transducer applicable to human body |
US6048323A (en) * | 1995-10-02 | 2000-04-11 | Hon; Edward H. | Transducer support plate and tocodynamometer attachment system |
US20090306602A1 (en) * | 2008-06-04 | 2009-12-10 | Elwell David G | Stabilization of a catheter or cannula |
WO2010083832A1 (en) * | 2009-01-21 | 2010-07-29 | Andersen Betina Korshoej | Adhesive strap for foetal monitoring transducers and the like |
US20130150791A1 (en) * | 2011-12-07 | 2013-06-13 | Becton, Dickinson And Company | Adhesive backed iv catheter with auto release liner |
Non-Patent Citations (1)
Title |
---|
See also references of WO2016042322A1 * |
Also Published As
Publication number | Publication date |
---|---|
WO2016042322A1 (en) | 2016-03-24 |
AU2015316601A1 (en) | 2017-05-04 |
GB201416597D0 (en) | 2014-11-05 |
GB2530315A (en) | 2016-03-23 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US8123681B2 (en) | Medical appliance stabilization device and method for using same | |
US6875200B1 (en) | Bandage for protection of skin surrounding an umbilical cord stump | |
JPH10263007A (en) | Thin-filmy bandage for wound having releasing property and porous layer on the back side | |
CN107949416A (en) | Nose catheter fixed system and its application method | |
US20090292256A1 (en) | Nasogastric tube fastener | |
CN112334100A (en) | Adhesive cover | |
US11197783B2 (en) | Two-part bandage with replaceable wound covering portion | |
ES2885803T3 (en) | Dressing for fixation of a tube | |
US20150257939A1 (en) | Toe/finger bandage | |
WO2016042322A1 (en) | Device for retaining healthcare apparatus relative to a patient's body | |
EP2785289B1 (en) | Retention device | |
US20220257189A1 (en) | Adhesive bandages and methods for their use and manufacture | |
JP3877628B2 (en) | Treatment tape | |
US10130556B2 (en) | Skin stretching tape and method of alleviating pain | |
WO2014196867A1 (en) | Support and compression device for a hand and a forearm | |
JP7116864B2 (en) | tape products | |
CN211096901U (en) | Easy-to-observe reverse-folding drainage tube fixing band | |
CN220459425U (en) | Wrist position fixing and hemostatic tool | |
CN211327420U (en) | Wrist artery indwelling needle fixing support | |
JP3101774U (en) | Gloves with insole and insole | |
CN215653311U (en) | PICC fixed band | |
CN211434510U (en) | Reusable children remaining needle protective sleeve | |
CN209900301U (en) | Fixing bandage used outside indwelling needle sticking film | |
WO2022213187A1 (en) | Device and method for temporarily reducing neck wrinkles | |
KR200444430Y1 (en) | A disposable medical band |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE INTERNATIONAL PUBLICATION HAS BEEN MADE |
|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE |
|
17P | Request for examination filed |
Effective date: 20170412 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR |
|
AX | Request for extension of the european patent |
Extension state: BA ME |
|
DAV | Request for validation of the european patent (deleted) | ||
DAX | Request for extension of the european patent (deleted) | ||
RAP1 | Party data changed (applicant data changed or rights of an application transferred) |
Owner name: PELISPEC LIMITED |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: EXAMINATION IS IN PROGRESS |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: EXAMINATION IS IN PROGRESS |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: EXAMINATION IS IN PROGRESS |
|
17Q | First examination report despatched |
Effective date: 20200512 |
|
17Q | First examination report despatched |
Effective date: 20200526 |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
18D | Application deemed to be withdrawn |
Effective date: 20201006 |