JP2015507992A - 神経外科的装置 - Google Patents

神経外科的装置 Download PDF

Info

Publication number
JP2015507992A
JP2015507992A JP2014558157A JP2014558157A JP2015507992A JP 2015507992 A JP2015507992 A JP 2015507992A JP 2014558157 A JP2014558157 A JP 2014558157A JP 2014558157 A JP2014558157 A JP 2014558157A JP 2015507992 A JP2015507992 A JP 2015507992A
Authority
JP
Japan
Prior art keywords
guide device
tube
head
brain
neurosurgical
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.)
Pending
Application number
JP2014558157A
Other languages
English (en)
Japanese (ja)
Inventor
ジル,スティーブン
アンタルフィー,アッティラ
Original Assignee
レニショー ピーエルシー
レニショー ピーエルシー
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by レニショー ピーエルシー, レニショー ピーエルシー filed Critical レニショー ピーエルシー
Publication of JP2015507992A publication Critical patent/JP2015507992A/ja
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M2005/1401Functional features
    • A61M2005/1406Minimizing backflow along the delivery catheter track
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0286Holding devices, e.g. on the body anchored in the skin by suture or other skin penetrating devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M2039/0036Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use characterised by a septum having particular features, e.g. having venting channels or being made from antimicrobial or self-lubricating elastomer
    • A61M2039/0072Means for increasing tightness of the septum, e.g. compression rings, special materials, special constructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M2039/0205Access sites for injecting media
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/025Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body through bones or teeth, e.g. through the skull
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0261Means for anchoring port to the body, or ports having a special shape or being made of a specific material to allow easy implantation/integration in the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/027Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body having a particular valve, seal or septum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0273Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing catheters into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0276Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing or removing fluids into or out of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0279Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing medical instruments into the body, e.g. endoscope, surgical tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0687Skull, cranium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0693Brain, cerebrum

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
JP2014558157A 2012-02-28 2013-02-27 神経外科的装置 Pending JP2015507992A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1203426.0 2012-02-28
GBGB1203426.0A GB201203426D0 (en) 2012-02-28 2012-02-28 Neurosurgical apparatus
PCT/EP2013/053972 WO2013127884A1 (en) 2012-02-28 2013-02-27 Neurosurgical apparatus

Publications (1)

Publication Number Publication Date
JP2015507992A true JP2015507992A (ja) 2015-03-16

Family

ID=45991837

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2014558157A Pending JP2015507992A (ja) 2012-02-28 2013-02-27 神経外科的装置

Country Status (8)

Country Link
US (1) US11129643B2 (https=)
EP (1) EP2819739B1 (https=)
JP (1) JP2015507992A (https=)
CN (1) CN104144727A (https=)
CA (1) CA2864624C (https=)
GB (1) GB201203426D0 (https=)
IN (1) IN2014DN06987A (https=)
WO (1) WO2013127884A1 (https=)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
PL2558154T3 (pl) 2010-04-16 2020-11-30 Clearpoint Neuro, Inc. Systemy chirurgiczne MRI zawierające kaniule chirurgiczne kompatybilne z MRI do transferu substancji do i/lub od pacjenta
GB201404978D0 (en) * 2014-03-20 2014-05-07 Renishaw Plc Neurosurgical apparatus
WO2017142698A1 (en) 2016-02-17 2017-08-24 MRI Interventions, Inc. Intrabody surgical fluid transfer assemblies with adjustable exposed cannula to needle tip length, related systems and methods
WO2018044933A1 (en) 2016-08-30 2018-03-08 The Regents Of The University Of California Methods for biomedical targeting and delivery and devices and systems for practicing the same
CA3070087A1 (en) 2017-07-17 2019-01-24 Voyager Therapeutics, Inc. Trajectory array guide system
KR102223085B1 (ko) * 2017-11-01 2021-03-04 사회복지법인 삼성생명공익재단 뇌내 약물 주입 장치 및 뇌내 약물 주입 방법
US11191605B2 (en) * 2018-03-13 2021-12-07 Board Of Trustees Of Michigan State University Ingress-egress apparatus for protection of surgical field during removal of surgical implants, and related methods
US11684750B2 (en) 2019-10-08 2023-06-27 Clearpoint Neuro, Inc. Extension tube assembly and related medical fluid transfer systems and methods
GB202106224D0 (en) 2021-04-30 2021-06-16 Neurochase Tech Ltd Neurosurgical device
JP2024516427A (ja) 2021-04-30 2024-04-15 ニューロチェイス テクノロジーズ リミテッド 神経外科用装置
WO2023282994A1 (en) * 2021-07-08 2023-01-12 Incube Labs, Llc Implantable drug delivery systems, assemblies, and methods
WO2023191989A1 (en) * 2022-03-29 2023-10-05 Clearpoint Neuro, Inc. Surgical systems including flexible mri-compatible surgical catheters for transferring a substance to and/or from a brain of a patient
GB202215760D0 (en) 2022-10-25 2022-12-07 Neurochase Tech Ltd Neurosurgical device
WO2026016581A1 (zh) * 2025-04-28 2026-01-22 中南大学湘雅医院 一种颅外实现的对流增强型递送装置、方法及应用

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0299071A (ja) * 1988-08-29 1990-04-11 Shiley Inc 大腿動脈カニューレ
WO1992020400A1 (fr) * 1991-05-24 1992-11-26 Sumitomo Pharmaceuticals Company, Limited Instrument pour appliquer un produit pharmaceutique a l'interieur du cerveau
JP2004504119A (ja) * 2000-07-25 2004-02-12 セエスエフ・ダイナミクス・アクティーゼルスカブ 脳室排液管
JP2005519693A (ja) * 2002-03-12 2005-07-07 ジル,スティーブン,ストレトフィールド 大脳内適用用カテーテルおよびガイドチューブ
JP2010501233A (ja) * 2006-08-18 2010-01-21 レニショウ パブリック リミテッド カンパニー 神経外科用器具
JP2010531693A (ja) * 2007-07-02 2010-09-30 ヴィゴン 脈管内へのカテーテルガイドワイヤーの導入装置

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4798586A (en) * 1987-04-09 1989-01-17 Cordis Corporation Method and apparatus for aiding dilatation catheterization
US5250034A (en) 1990-09-17 1993-10-05 E-Z-Em, Inc. Pressure responsive valve catheter
GB9928248D0 (en) 1999-12-01 2000-01-26 Gill Steven S An implantable guide tube for neurosurgery
JP4472824B2 (ja) * 2000-02-16 2010-06-02 テルモ株式会社 血管内留置カテーテル
AU2001255382A1 (en) 2000-04-13 2001-10-30 James Peter Amis Stereotaxic detachable needle extension
US8979801B2 (en) * 2001-01-17 2015-03-17 Medtronic Vascular, Inc. Microcatheter devices and methods for targeted substance delivery
GB0205773D0 (en) 2002-03-12 2002-04-24 Gill Steven S Clamp
AU2003295963B2 (en) 2002-11-25 2009-09-03 Boston Scientific Limited Injection device for treating mammalian body
EP2207496A1 (en) 2007-10-08 2010-07-21 Renishaw (Ireland) Limited Apparatus for stereotactic neurosurgery
GB0719608D0 (en) 2007-10-08 2007-11-14 Renishaw Plc Medical Apparatus
GB0802634D0 (en) 2008-02-13 2008-03-19 Renishaw Plc Catheter
US8480626B2 (en) 2007-11-30 2013-07-09 Medtronic, Inc. Infusion catheter assembly with reduced backflow
JP6009943B2 (ja) * 2010-02-08 2016-10-19 アクセス サイエンティフィック、インク. アクセス装置
US8328759B2 (en) * 2010-08-13 2012-12-11 William Joseph Donawick Intraluminal cannula placement apparatus utilizing a specialized cannula for use with a previously inserted I.V. catheter
US8899235B2 (en) * 2011-03-09 2014-12-02 Covidien Lp Tracheal tube connector devices and methods
GB201117061D0 (en) 2011-10-04 2011-11-16 Renishaw Ireland Ltd Neurosurgical apparatus

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0299071A (ja) * 1988-08-29 1990-04-11 Shiley Inc 大腿動脈カニューレ
WO1992020400A1 (fr) * 1991-05-24 1992-11-26 Sumitomo Pharmaceuticals Company, Limited Instrument pour appliquer un produit pharmaceutique a l'interieur du cerveau
JP2004504119A (ja) * 2000-07-25 2004-02-12 セエスエフ・ダイナミクス・アクティーゼルスカブ 脳室排液管
JP2005519693A (ja) * 2002-03-12 2005-07-07 ジル,スティーブン,ストレトフィールド 大脳内適用用カテーテルおよびガイドチューブ
JP2010501233A (ja) * 2006-08-18 2010-01-21 レニショウ パブリック リミテッド カンパニー 神経外科用器具
JP2010531693A (ja) * 2007-07-02 2010-09-30 ヴィゴン 脈管内へのカテーテルガイドワイヤーの導入装置

Also Published As

Publication number Publication date
CA2864624C (en) 2020-09-15
CN104144727A (zh) 2014-11-12
GB201203426D0 (en) 2012-04-11
IN2014DN06987A (https=) 2015-04-10
US11129643B2 (en) 2021-09-28
EP2819739A1 (en) 2015-01-07
EP2819739B1 (en) 2018-06-27
US20150011938A1 (en) 2015-01-08
CA2864624A1 (en) 2013-09-06
WO2013127884A1 (en) 2013-09-06

Similar Documents

Publication Publication Date Title
US11129643B2 (en) Neurosurgical apparatus
CN103842019B (zh) 神经外科设备
US11559371B2 (en) Neurosurgical apparatus
JP4864102B2 (ja) 流体送出装置用の流体コネクタ
US9539382B2 (en) Stepped catheters with flow restrictors and infusion systems using the same
US20200101275A1 (en) Systems and methods for drug delivery, treatment, and monitoring
US20100217236A1 (en) Neurological apparatus
US20090030373A1 (en) Method and Apparatus for Fluid Delivery
US10898679B2 (en) Over-the-needle catheter insert

Legal Events

Date Code Title Description
A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20160114

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20161020

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20161021

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20170119

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20170316

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20170403