HK1071085A1 - Pulsed ultrasonic device - Google Patents
Pulsed ultrasonic deviceInfo
- Publication number
- HK1071085A1 HK1071085A1 HK05103391.4A HK05103391A HK1071085A1 HK 1071085 A1 HK1071085 A1 HK 1071085A1 HK 05103391 A HK05103391 A HK 05103391A HK 1071085 A1 HK1071085 A1 HK 1071085A1
- Authority
- HK
- Hong Kong
- Prior art keywords
- ultrasonic device
- pulsed ultrasonic
- pulsed
- ultrasonic
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
- A61B17/2202—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being inside patient's body at the distal end of the catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N7/02—Localised ultrasound hyperthermia
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
- B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
- B06B1/00—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
- B06B1/02—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy
- B06B1/0207—Driving circuits
- B06B1/0215—Driving circuits for generating pulses, e.g. bursts of oscillations, envelopes
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
- B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
- B06B1/00—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency
- B06B1/02—Methods or apparatus for generating mechanical vibrations of infrasonic, sonic, or ultrasonic frequency making use of electrical energy
- B06B1/0207—Driving circuits
- B06B1/0223—Driving circuits for generating signals continuous in time
- B06B1/0238—Driving circuits for generating signals continuous in time of a single frequency, e.g. a sine-wave
- B06B1/0246—Driving circuits for generating signals continuous in time of a single frequency, e.g. a sine-wave with a feedback signal
- B06B1/0253—Driving circuits for generating signals continuous in time of a single frequency, e.g. a sine-wave with a feedback signal taken directly from the generator circuit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
- A61B2017/00159—Pulse shapes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
- A61B2017/22014—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
- A61B2017/22015—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire with details of the transmission member
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320078—Tissue manipulating surface
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B06—GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS IN GENERAL
- B06B—METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, e.g. FOR PERFORMING MECHANICAL WORK IN GENERAL
- B06B2201/00—Indexing scheme associated with B06B1/0207 for details covered by B06B1/0207 but not provided for in any of its subgroups
- B06B2201/70—Specific application
- B06B2201/76—Medical, dental
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Mechanical Engineering (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Radiology & Medical Imaging (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Electromagnetism (AREA)
- Surgical Instruments (AREA)
- Apparatuses For Generation Of Mechanical Vibrations (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/027,855 US6726698B2 (en) | 1999-03-02 | 2001-12-21 | Pulsed ultrasonic device and method |
PCT/US2002/040544 WO2003059435A2 (fr) | 2001-12-21 | 2002-12-18 | Procede et dispositif ultrasonore pulse |
Publications (1)
Publication Number | Publication Date |
---|---|
HK1071085A1 true HK1071085A1 (en) | 2005-07-08 |
Family
ID=21840148
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
HK05103391.4A HK1071085A1 (en) | 2001-12-21 | 2005-04-20 | Pulsed ultrasonic device |
Country Status (11)
Country | Link |
---|---|
US (3) | US6726698B2 (fr) |
EP (1) | EP1467664B1 (fr) |
KR (1) | KR100879248B1 (fr) |
CN (1) | CN100518674C (fr) |
AU (1) | AU2002360657B2 (fr) |
BR (1) | BR0215283A (fr) |
CA (1) | CA2471296C (fr) |
HK (1) | HK1071085A1 (fr) |
MX (1) | MXPA04006148A (fr) |
WO (1) | WO2003059435A2 (fr) |
ZA (1) | ZA200405761B (fr) |
Families Citing this family (56)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6582392B1 (en) | 1998-05-01 | 2003-06-24 | Ekos Corporation | Ultrasound assembly for use with a catheter |
US6723063B1 (en) | 1998-06-29 | 2004-04-20 | Ekos Corporation | Sheath for use with an ultrasound element |
US20040097996A1 (en) | 1999-10-05 | 2004-05-20 | Omnisonics Medical Technologies, Inc. | Apparatus and method of removing occlusions using an ultrasonic medical device operating in a transverse mode |
ATE319378T1 (de) * | 2001-12-03 | 2006-03-15 | Ekos Corp | Katheter mit mehreren ultraschall-abstrahlenden teilen |
WO2003051208A1 (fr) * | 2001-12-14 | 2003-06-26 | Ekos Corporation | Determination du retablissement du flux sanguin |
US8226629B1 (en) | 2002-04-01 | 2012-07-24 | Ekos Corporation | Ultrasonic catheter power control |
US20050209578A1 (en) * | 2004-01-29 | 2005-09-22 | Christian Evans Edward A | Ultrasonic catheter with segmented fluid delivery |
US7201737B2 (en) * | 2004-01-29 | 2007-04-10 | Ekos Corporation | Treatment of vascular occlusions using elevated temperatures |
JP2007525263A (ja) * | 2004-01-29 | 2007-09-06 | イコス コーポレイション | カテーテルによる血管の状態の検出方法及び装置 |
US7794414B2 (en) | 2004-02-09 | 2010-09-14 | Emigrant Bank, N.A. | Apparatus and method for an ultrasonic medical device operating in torsional and transverse modes |
US20070085614A1 (en) * | 2005-09-06 | 2007-04-19 | Joseph Lockhart | Methods of enabling or disabling ultrasound vibration devices of ultrasound medical devices |
WO2007046224A1 (fr) * | 2005-10-18 | 2007-04-26 | Matsushita Electric Industrial Co., Ltd. | Porteuse de données sans contact |
US20070130771A1 (en) * | 2005-12-12 | 2007-06-14 | Kimberly-Clark Worldwide, Inc. | Methods for producing ultrasonic waveguides having improved amplification |
US8033173B2 (en) * | 2005-12-12 | 2011-10-11 | Kimberly-Clark Worldwide, Inc. | Amplifying ultrasonic waveguides |
JP2007275291A (ja) * | 2006-04-06 | 2007-10-25 | Olympus Medical Systems Corp | 超音波処置装置 |
US20070265560A1 (en) | 2006-04-24 | 2007-11-15 | Ekos Corporation | Ultrasound Therapy System |
US20080097251A1 (en) * | 2006-06-15 | 2008-04-24 | Eilaz Babaev | Method and apparatus for treating vascular obstructions |
US8192363B2 (en) * | 2006-10-27 | 2012-06-05 | Ekos Corporation | Catheter with multiple ultrasound radiating members |
PL2111261T3 (pl) * | 2007-01-08 | 2015-08-31 | Ekos Corp | Parametry mocy cewnika ultradźwiękowego |
US10182833B2 (en) | 2007-01-08 | 2019-01-22 | Ekos Corporation | Power parameters for ultrasonic catheter |
WO2008154338A1 (fr) * | 2007-06-07 | 2008-12-18 | Piezo Resonance Innovations, Inc. | Outil chirurgical pour les yeux |
EP2494932B1 (fr) | 2007-06-22 | 2020-05-20 | Ekos Corporation | Appareil pour le traitement des hémorragies intracrâniennes |
US9987468B2 (en) | 2007-06-29 | 2018-06-05 | Actuated Medical, Inc. | Reduced force device for intravascular access and guidewire placement |
US8328738B2 (en) | 2007-06-29 | 2012-12-11 | Actuated Medical, Inc. | Medical tool for reduced penetration force with feedback means |
US8043229B2 (en) * | 2007-06-29 | 2011-10-25 | Actuated Medical, Inc. | Medical tool for reduced penetration force |
US10219832B2 (en) | 2007-06-29 | 2019-03-05 | Actuated Medical, Inc. | Device and method for less forceful tissue puncture |
US8604709B2 (en) | 2007-07-31 | 2013-12-10 | Lsi Industries, Inc. | Methods and systems for controlling electrical power to DC loads |
US7598683B1 (en) | 2007-07-31 | 2009-10-06 | Lsi Industries, Inc. | Control of light intensity using pulses of a fixed duration and frequency |
US8903577B2 (en) | 2009-10-30 | 2014-12-02 | Lsi Industries, Inc. | Traction system for electrically powered vehicles |
WO2009079415A1 (fr) * | 2007-12-14 | 2009-06-25 | Ekos Corporation | Détermination d'impulsions ultrasonores |
US8784356B2 (en) * | 2007-12-21 | 2014-07-22 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Ultrasonic endovascular clearing device |
US8444579B2 (en) * | 2007-12-21 | 2013-05-21 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System for delivering acoustic energy in connection with therapeutic ultrasound systems and catheters |
US9089360B2 (en) * | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9554774B2 (en) * | 2008-12-08 | 2017-01-31 | Acist Medical Systems, Inc. | System and catheter for image guidance and methods thereof |
EP2448636B1 (fr) | 2009-07-03 | 2014-06-18 | Ekos Corporation | Paramètres d'énergie pour cathéter ultrasonore |
US8740835B2 (en) * | 2010-02-17 | 2014-06-03 | Ekos Corporation | Treatment of vascular occlusions using ultrasonic energy and microbubbles |
CN105361923B (zh) | 2010-08-27 | 2018-02-02 | Ekos公司 | 用于治疗颅内出血的方法和设备 |
US11458290B2 (en) | 2011-05-11 | 2022-10-04 | Ekos Corporation | Ultrasound system |
SG11201506154RA (en) | 2013-03-14 | 2015-09-29 | Ekos Corp | Method and apparatus for drug delivery to a target site |
US9504471B2 (en) | 2013-09-25 | 2016-11-29 | Cybersonics, Inc. | Ultrasonic generator systems and methods |
US9763688B2 (en) * | 2013-11-20 | 2017-09-19 | Ethicon Llc | Ultrasonic surgical instrument with features for forming bubbles to enhance cavitation |
US9713456B2 (en) | 2013-12-30 | 2017-07-25 | Acist Medical Systems, Inc. | Position sensing in intravascular imaging |
TWI523718B (zh) * | 2014-08-21 | 2016-03-01 | 周振嘉 | 應用於超音波加工的工具單元 |
US10092742B2 (en) | 2014-09-22 | 2018-10-09 | Ekos Corporation | Catheter system |
US20160136038A1 (en) * | 2014-11-19 | 2016-05-19 | Danzhi Cai | Massage device |
WO2016201136A1 (fr) | 2015-06-10 | 2016-12-15 | Ekos Corporation | Cathéter à ultrasons |
US10940292B2 (en) | 2015-07-08 | 2021-03-09 | Actuated Medical, Inc. | Reduced force device for intravascular access and guidewire placement |
US11793543B2 (en) | 2015-09-18 | 2023-10-24 | Obvius Robotics, Inc. | Device and method for automated insertion of penetrating member |
JP6963567B2 (ja) | 2016-05-19 | 2021-11-10 | アシスト・メディカル・システムズ,インコーポレイテッド | 血管内プロセスにおける位置検知 |
WO2017201288A1 (fr) | 2016-05-19 | 2017-11-23 | Acist Medical Systems, Inc. | Détection de position dans des processus intravasculaire |
DE102016211729A1 (de) * | 2016-06-29 | 2018-01-04 | Robert Bosch Gmbh | Verfahren zum Betrieb einer Ultraschallbohrmaschine |
DE102017106747A1 (de) * | 2017-03-29 | 2018-10-04 | Erbe Elektromedizin Gmbh | Generator zur Versorgung eines Koagulationsinstruments und Steuerungsverfahren für diesen |
CN108144183A (zh) * | 2017-12-15 | 2018-06-12 | 中国科学院电工研究所 | 一种无创脑深部电刺激装置 |
USD869855S1 (en) | 2018-07-24 | 2019-12-17 | Burst.USA Inc. | Toothbrush handle |
CN109528271B (zh) * | 2018-10-22 | 2020-04-07 | 珠海维尔康生物科技有限公司 | 一种具有双水平脉冲输出模式的超声刀 |
US20220288425A1 (en) * | 2021-03-15 | 2022-09-15 | Guided Therapy Systems, Llc | Method for mid-intensity, non-ablative acoustic treatment of injured tissue |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3673475A (en) | 1970-09-15 | 1972-06-27 | Fred M Hufnagel | Pulse drive circuit for coils of dental impact tools and the like |
US3980906A (en) | 1972-12-26 | 1976-09-14 | Xygiene, Inc. | Ultrasonic motor-converter systems |
JPS5935743B2 (ja) | 1979-01-24 | 1984-08-30 | 株式会社井上ジャパックス研究所 | 超音波研削加工装置 |
US4614178A (en) | 1981-05-06 | 1986-09-30 | Orvosi Muszerszovetkezet | Automatic dose meter and control circuit arrangement |
US4827911A (en) | 1986-04-02 | 1989-05-09 | Cooper Lasersonics, Inc. | Method and apparatus for ultrasonic surgical fragmentation and removal of tissue |
US5728130A (en) * | 1996-03-22 | 1998-03-17 | Olympus Optical Co., Ltd. | Ultrasonic trocar system |
US5735868A (en) * | 1996-05-01 | 1998-04-07 | Lee; Young H. | Intramuscular stimulator |
US5808396A (en) | 1996-12-18 | 1998-09-15 | Alcon Laboratories, Inc. | System and method for tuning and controlling an ultrasonic handpiece |
US5938677A (en) * | 1997-10-15 | 1999-08-17 | Alcon Laboratories, Inc. | Control system for a phacoemulsification handpiece |
US6027515A (en) * | 1999-03-02 | 2000-02-22 | Sound Surgical Technologies Llc | Pulsed ultrasonic device and method |
-
2001
- 2001-12-21 US US10/027,855 patent/US6726698B2/en not_active Expired - Lifetime
-
2002
- 2002-12-18 WO PCT/US2002/040544 patent/WO2003059435A2/fr not_active Application Discontinuation
- 2002-12-18 CN CNB028280547A patent/CN100518674C/zh not_active Expired - Lifetime
- 2002-12-18 CA CA2471296A patent/CA2471296C/fr not_active Expired - Lifetime
- 2002-12-18 EP EP02795931A patent/EP1467664B1/fr not_active Expired - Lifetime
- 2002-12-18 KR KR1020047009901A patent/KR100879248B1/ko not_active IP Right Cessation
- 2002-12-18 AU AU2002360657A patent/AU2002360657B2/en not_active Expired
- 2002-12-18 BR BR0215283-5A patent/BR0215283A/pt not_active Application Discontinuation
- 2002-12-18 MX MXPA04006148A patent/MXPA04006148A/es active IP Right Grant
-
2004
- 2004-04-26 US US10/832,641 patent/US20040204729A1/en not_active Abandoned
- 2004-07-20 ZA ZA2004/05761A patent/ZA200405761B/en unknown
-
2005
- 2005-04-20 HK HK05103391.4A patent/HK1071085A1/xx not_active IP Right Cessation
-
2006
- 2006-08-25 US US11/510,356 patent/US20060287599A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
CN1620269A (zh) | 2005-05-25 |
BR0215283A (pt) | 2004-12-14 |
KR20040080443A (ko) | 2004-09-18 |
CN100518674C (zh) | 2009-07-29 |
ZA200405761B (en) | 2005-10-26 |
KR100879248B1 (ko) | 2009-01-16 |
AU2002360657A1 (en) | 2003-07-30 |
EP1467664B1 (fr) | 2012-11-21 |
EP1467664A4 (fr) | 2006-04-26 |
WO2003059435A2 (fr) | 2003-07-24 |
CA2471296A1 (fr) | 2003-07-24 |
AU2002360657B2 (en) | 2007-09-06 |
EP1467664A2 (fr) | 2004-10-20 |
US20060287599A1 (en) | 2006-12-21 |
MXPA04006148A (es) | 2005-03-31 |
US20040204729A1 (en) | 2004-10-14 |
CA2471296C (fr) | 2011-07-05 |
WO2003059435A3 (fr) | 2003-10-30 |
US20030093102A1 (en) | 2003-05-15 |
US6726698B2 (en) | 2004-04-27 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
ARF | Application filed for restoration |
Effective date: 20111216 |
|
PC | Patent ceased (i.e. patent has lapsed due to the failure to pay the renewal fee) |
Effective date: 20161218 |