JP2021517850A - 患者から物質を除去するための装置及び方法 - Google Patents
患者から物質を除去するための装置及び方法 Download PDFInfo
- Publication number
- JP2021517850A JP2021517850A JP2021500017A JP2021500017A JP2021517850A JP 2021517850 A JP2021517850 A JP 2021517850A JP 2021500017 A JP2021500017 A JP 2021500017A JP 2021500017 A JP2021500017 A JP 2021500017A JP 2021517850 A JP2021517850 A JP 2021517850A
- Authority
- JP
- Japan
- Prior art keywords
- filament
- distal opening
- catheter
- concave portion
- open position
- 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
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00358—Snares for grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2215—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862641948P | 2018-03-12 | 2018-03-12 | |
| US62/641,948 | 2018-03-12 | ||
| US201962793498P | 2019-01-17 | 2019-01-17 | |
| US62/793,498 | 2019-01-17 | ||
| PCT/US2019/021943 WO2019178165A1 (en) | 2018-03-12 | 2019-03-12 | Devices and methods for removing material from a patient |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2021517850A true JP2021517850A (ja) | 2021-07-29 |
| JP2021517850A5 JP2021517850A5 (https=) | 2022-03-23 |
| JPWO2019178165A5 JPWO2019178165A5 (https=) | 2022-03-23 |
Family
ID=67908099
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2021500017A Pending JP2021517850A (ja) | 2018-03-12 | 2019-03-12 | 患者から物質を除去するための装置及び方法 |
Country Status (6)
| Country | Link |
|---|---|
| US (3) | US10624659B2 (https=) |
| EP (1) | EP3764922A4 (https=) |
| JP (1) | JP2021517850A (https=) |
| CN (1) | CN112384152A (https=) |
| IL (1) | IL277002A (https=) |
| WO (1) | WO2019178165A1 (https=) |
Families Citing this family (64)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10285720B2 (en) | 2014-03-11 | 2019-05-14 | Neuravi Limited | Clot retrieval system for removing occlusive clot from a blood vessel |
| JP6595513B2 (ja) | 2014-06-13 | 2019-10-23 | ニューラヴィ・リミテッド | 血管からの急性閉塞物の除去のための装置 |
| US10265086B2 (en) | 2014-06-30 | 2019-04-23 | Neuravi Limited | System for removing a clot from a blood vessel |
| ES2577288B8 (es) | 2015-01-13 | 2019-01-10 | Anaconda Biomed S L | Dispositivo para trombectomía |
| EP3383326B1 (en) * | 2015-09-30 | 2022-10-26 | Neurvana Medical, LLC | Treatment systems processes and devices addressing cerebral vasospasm/vasoconstriction |
| US12575845B2 (en) | 2015-12-11 | 2026-03-17 | Anaconda Biomed, S.L. | Thrombectomy device, system and method for extraction of vascular thrombi from a blood vessel |
| US11771446B2 (en) | 2020-10-19 | 2023-10-03 | Anaconda Biomed, S.L. | Thrombectomy system and method of use |
| CN113350656A (zh) | 2016-02-24 | 2021-09-07 | 禾木(中国)生物工程有限公司 | 柔性增强的神经血管导管 |
| EP3565511B1 (en) | 2017-01-06 | 2023-10-18 | Incept, LLC | Thromboresistant coatings for aneurysm treatment devices |
| IL273642B2 (en) | 2017-09-30 | 2025-01-01 | Ceretrieve Ltd | Retrieval system |
| WO2019178165A1 (en) * | 2018-03-12 | 2019-09-19 | Xtract Medical | Devices and methods for removing material from a patient |
| JP2021522885A (ja) | 2018-05-01 | 2021-09-02 | インセプト・リミテッド・ライアビリティ・カンパニーIncept,Llc | 血管内部位から閉塞性物質を除去する装置および方法 |
| US11395665B2 (en) | 2018-05-01 | 2022-07-26 | Incept, Llc | Devices and methods for removing obstructive material, from an intravascular site |
| US11471582B2 (en) | 2018-07-06 | 2022-10-18 | Incept, Llc | Vacuum transfer tool for extendable catheter |
| US11517335B2 (en) | 2018-07-06 | 2022-12-06 | Incept, Llc | Sealed neurovascular extendable catheter |
| EP3639768A1 (en) | 2018-10-16 | 2020-04-22 | Anaconda Biomed, S.L. | A device for extraction of thrombus from a blood vessel and a thrombectomy apparatus |
| US11172946B2 (en) | 2018-10-26 | 2021-11-16 | Progressive NEURO, Inc. | Apparatus, system, and method for vasculature obstruction removal |
| US11197685B2 (en) | 2018-11-15 | 2021-12-14 | Progressive NEURO, Inc. | Apparatus, system, and method for vasculature obstruction removal |
| US11253279B2 (en) | 2018-11-15 | 2022-02-22 | Progressive NEURO, Inc. | Apparatus, system, and method for vasculature obstruction removal |
| JP7636329B2 (ja) | 2019-01-08 | 2025-02-26 | プログレッシブ ニューロ アイエヌシー | 脈管系閉塞物を除去するための装置、システム及び方法 |
| ES2910600T3 (es) | 2019-03-04 | 2022-05-12 | Neuravi Ltd | Catéter de recuperación de coágulos accionado |
| US10555802B1 (en) * | 2019-03-07 | 2020-02-11 | John H. Shadduck | Urologic stents and methods of use |
| US11766539B2 (en) | 2019-03-29 | 2023-09-26 | Incept, Llc | Enhanced flexibility neurovascular catheter |
| US11724069B2 (en) | 2019-04-30 | 2023-08-15 | Covidien Lp | Catheter including contractible electroactive elements |
| WO2021016241A1 (en) * | 2019-07-22 | 2021-01-28 | Boston Scientific Scimed, Inc. | System, device and method for treatment of hemorrhoids |
| US11529495B2 (en) | 2019-09-11 | 2022-12-20 | Neuravi Limited | Expandable mouth catheter |
| EP4044906B1 (en) | 2019-10-15 | 2025-03-12 | Kandu Health, Inc. | Systems and methods for multivariate stroke detection |
| EP4044938A4 (en) * | 2019-10-16 | 2023-11-15 | Inari Medical, Inc. | Systems, devices, and methods for treating vascular occlusions |
| US12539130B2 (en) | 2019-11-27 | 2026-02-03 | Neuravi Limited | Aspiration catheter, systems, and methods thereof |
| US11779364B2 (en) | 2019-11-27 | 2023-10-10 | Neuravi Limited | Actuated expandable mouth thrombectomy catheter |
| US11839725B2 (en) | 2019-11-27 | 2023-12-12 | Neuravi Limited | Clot retrieval device with outer sheath and inner catheter |
| US20230248498A1 (en) | 2019-12-18 | 2023-08-10 | Imperative Care, Inc. | Manually rotatable thrombus engagement tool |
| JP2023507553A (ja) | 2019-12-18 | 2023-02-24 | インパラティブ、ケア、インク. | 静脈血栓塞栓症を治療するための方法及びシステム |
| US20210315598A1 (en) | 2019-12-18 | 2021-10-14 | Imperative Care, Inc. | Methods of placing large bore aspiration catheters |
| US11638637B2 (en) | 2019-12-18 | 2023-05-02 | Imperative Care, Inc. | Method of removing embolic material with thrombus engagement tool |
| US11944327B2 (en) | 2020-03-05 | 2024-04-02 | Neuravi Limited | Expandable mouth aspirating clot retrieval catheter |
| WO2021183444A1 (en) | 2020-03-10 | 2021-09-16 | Imperative Care, Inc. | Enhanced flexibility neurovascular catheter |
| US11883043B2 (en) | 2020-03-31 | 2024-01-30 | DePuy Synthes Products, Inc. | Catheter funnel extension |
| US11759217B2 (en) | 2020-04-07 | 2023-09-19 | Neuravi Limited | Catheter tubular support |
| WO2021242963A1 (en) * | 2020-05-27 | 2021-12-02 | Xtract Medical, Inc. | Devices and methods for removing material from a patient |
| US11207497B1 (en) | 2020-08-11 | 2021-12-28 | Imperative Care, Inc. | Catheter with enhanced tensile strength |
| US11872359B2 (en) | 2020-11-12 | 2024-01-16 | Covidien Lp | Expandable-tip aspiration guide catheter |
| CN116916833B (zh) * | 2020-12-09 | 2026-02-24 | 赛瑞特锐弗有限公司 | 取回系统和方法 |
| US11872354B2 (en) | 2021-02-24 | 2024-01-16 | Neuravi Limited | Flexible catheter shaft frame with seam |
| EP4322874A4 (en) * | 2021-04-17 | 2025-03-05 | Inquis Medical, Inc. | DEVICES, SYSTEMS AND METHODS FOR REMOVING OBSTRUCTIVE SUBSTANCE FROM BODY LUMENS |
| US12582426B2 (en) | 2021-04-17 | 2026-03-24 | Inquis Medical, Inc. | Apparatuses for removing obstructive material from body lumens |
| US11679195B2 (en) | 2021-04-27 | 2023-06-20 | Contego Medical, Inc. | Thrombus aspiration system and methods for controlling blood loss |
| CN117241748A (zh) * | 2021-05-03 | 2023-12-15 | 瓦斯科尔勒治疗股份有限公司 | 轴向伸长的血栓捕获系统、张紧系统和可扩展漏斗导管 |
| US12290279B2 (en) | 2021-06-07 | 2025-05-06 | Avantec Vascular Corporation | Hybrid atherectomy devices |
| JP2024524386A (ja) | 2021-06-28 | 2024-07-05 | インクイス メディカル,インコーポレーテッド | 閉塞性物質の除去を制御するための装置および方法 |
| US20230048388A1 (en) | 2021-08-12 | 2023-02-16 | Imperative Care, Inc. | Robotically driven interventional device |
| US11937839B2 (en) | 2021-09-28 | 2024-03-26 | Neuravi Limited | Catheter with electrically actuated expandable mouth |
| USD1077996S1 (en) | 2021-10-18 | 2025-06-03 | Imperative Care, Inc. | Inline fluid filter |
| US12011186B2 (en) * | 2021-10-28 | 2024-06-18 | Neuravi Limited | Bevel tip expandable mouth catheter with reinforcing ring |
| US20230140794A1 (en) * | 2021-11-03 | 2023-05-04 | Neuravi Limited | Catheter with low-shear tip |
| US20230137418A1 (en) * | 2021-11-03 | 2023-05-04 | Neuravi Limited | Super-bore catheter with braid supported flared tip |
| EP4468973A1 (en) | 2022-01-27 | 2024-12-04 | Contego Medical, Inc. | Thrombectomy and aspiration system and methods of use |
| US20230240696A1 (en) * | 2022-02-02 | 2023-08-03 | Hesham Morsi | Clot removal device and method of using same |
| EP4489830A1 (en) * | 2022-03-07 | 2025-01-15 | Edwards Lifesciences Corporation | Introducer with dilation feature and expandable access sheaths |
| JP2025513542A (ja) | 2022-04-22 | 2025-04-24 | インクイス メディカル,インコーポレーテッド | 血餅除去のための吸引装置 |
| WO2024145533A2 (en) | 2022-12-28 | 2024-07-04 | Inquis Medical, Inc. | Clot sensing methods and apparatuses |
| EP4637587A4 (en) | 2023-08-16 | 2026-04-22 | Avantec Vascular Corp | LATERAL AND VERTICAL THROMBECTOMY DEVICES |
| US12171917B1 (en) | 2024-01-08 | 2024-12-24 | Imperative Care, Inc. | Devices for blood capture and reintroduction during aspiration procedure |
| US12414785B1 (en) | 2025-03-17 | 2025-09-16 | Avantec Vascular Corporation | Cutters with pulsating vacuum control |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20010051810A1 (en) * | 1998-02-10 | 2001-12-13 | Dubrul William Richard | Tissue separation medical device and method |
| JP2002502626A (ja) * | 1998-02-10 | 2002-01-29 | アーテミス・メディカル・インコーポレイテッド | 補足装置およびその使用方法 |
| US20060047286A1 (en) * | 2004-08-31 | 2006-03-02 | Stephen West | Clot retrieval device |
| US20060195137A1 (en) * | 2000-06-29 | 2006-08-31 | Concentric Medical, Inc. A Delaware Corporation | Systems, methods and devices for removing obstructions from a blood vessel |
| WO2007110864A2 (en) * | 2006-03-27 | 2007-10-04 | Tel Hashomer Medical Research Infrastructure And Services Ltd. | Intraluminal mass collector |
| US20110060212A1 (en) * | 2008-02-22 | 2011-03-10 | Micro Therapeutics, Inc. | Methods and apparatus for flow restoration |
| US20140025083A1 (en) * | 2005-02-28 | 2014-01-23 | Boston Scientific Scimed, Inc. | Distal release retrieval assembly and related methods of use |
| US20160220265A1 (en) * | 2007-10-12 | 2016-08-04 | NexGen Medical Systems Incorporated, | Thrombus removal system and process |
Family Cites Families (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5480404A (en) * | 1993-06-16 | 1996-01-02 | Ethicon, Inc. | Surgical tissue retrieval instrument |
| US5814064A (en) * | 1997-03-06 | 1998-09-29 | Scimed Life Systems, Inc. | Distal protection device |
| WO1998039053A1 (en) | 1997-03-06 | 1998-09-11 | Scimed Life Systems, Inc. | Distal protection device and method |
| US9498604B2 (en) | 1997-11-12 | 2016-11-22 | Genesis Technologies Llc | Medical device and method |
| US6824545B2 (en) * | 2000-06-29 | 2004-11-30 | Concentric Medical, Inc. | Systems, methods and devices for removing obstructions from a blood vessel |
| US6663650B2 (en) | 2000-06-29 | 2003-12-16 | Concentric Medical, Inc. | Systems, methods and devices for removing obstructions from a blood vessel |
| DE10242444A1 (de) * | 2002-09-11 | 2004-04-01 | pfm Produkte für die Medizin AG | Extraktionsvorrichtung |
| US7273469B1 (en) | 2003-12-31 | 2007-09-25 | Advanced Cardiovascular Systems, Inc. | Modified needle catheter for directional orientation delivery |
| US20050228417A1 (en) | 2004-03-26 | 2005-10-13 | Teitelbaum George P | Devices and methods for removing a matter from a body cavity of a patient |
| WO2010010545A1 (en) | 2008-07-22 | 2010-01-28 | Neuravi Limited | Clot capture systems and associated methods |
| US9402707B2 (en) * | 2008-07-22 | 2016-08-02 | Neuravi Limited | Clot capture systems and associated methods |
| EP3398539B1 (en) | 2011-05-23 | 2020-08-26 | Covidien LP | Retrieval systems |
| US20140257362A1 (en) | 2013-03-07 | 2014-09-11 | St. Jude Medical, Cardiology Division, Inc. | Filtering and removing particulates from bloodstream |
| CN113116459B (zh) * | 2015-08-06 | 2025-01-10 | 瓦斯科尔勒治疗股份有限公司 | 轴向伸长的血栓捕获系统 |
| WO2017040926A1 (en) * | 2015-09-04 | 2017-03-09 | The Trustees Of The University Of Pennsylvania | Systems and methods for percutaneous removal of objects from an internal body space |
| US10722256B2 (en) * | 2015-09-28 | 2020-07-28 | Gyrus Acmi, Inc. | Stone collection device |
| WO2017072663A1 (en) | 2015-10-26 | 2017-05-04 | Ronen Jaffe | A catheter and a retrieval system using the catheter |
| WO2019178165A1 (en) | 2018-03-12 | 2019-09-19 | Xtract Medical | Devices and methods for removing material from a patient |
| CN121818026A (zh) | 2018-11-13 | 2026-04-10 | 阿纳康达生物医学有限公司 | 血栓切除系统 |
-
2019
- 2019-03-12 WO PCT/US2019/021943 patent/WO2019178165A1/en not_active Ceased
- 2019-03-12 JP JP2021500017A patent/JP2021517850A/ja active Pending
- 2019-03-12 EP EP19767116.7A patent/EP3764922A4/en not_active Withdrawn
- 2019-03-12 CN CN201980031961.XA patent/CN112384152A/zh active Pending
- 2019-06-17 US US16/443,820 patent/US10624659B2/en active Active
-
2020
- 2020-02-13 US US16/790,268 patent/US11589882B2/en active Active
- 2020-08-30 IL IL277002A patent/IL277002A/en unknown
-
2023
- 2023-01-30 US US18/103,169 patent/US20230165600A1/en not_active Abandoned
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20010051810A1 (en) * | 1998-02-10 | 2001-12-13 | Dubrul William Richard | Tissue separation medical device and method |
| JP2002502626A (ja) * | 1998-02-10 | 2002-01-29 | アーテミス・メディカル・インコーポレイテッド | 補足装置およびその使用方法 |
| US20060195137A1 (en) * | 2000-06-29 | 2006-08-31 | Concentric Medical, Inc. A Delaware Corporation | Systems, methods and devices for removing obstructions from a blood vessel |
| US20060047286A1 (en) * | 2004-08-31 | 2006-03-02 | Stephen West | Clot retrieval device |
| JP2006068527A (ja) * | 2004-08-31 | 2006-03-16 | Cordis Neurovascular Inc | 凝塊回収装置 |
| US20140025083A1 (en) * | 2005-02-28 | 2014-01-23 | Boston Scientific Scimed, Inc. | Distal release retrieval assembly and related methods of use |
| WO2007110864A2 (en) * | 2006-03-27 | 2007-10-04 | Tel Hashomer Medical Research Infrastructure And Services Ltd. | Intraluminal mass collector |
| US20160220265A1 (en) * | 2007-10-12 | 2016-08-04 | NexGen Medical Systems Incorporated, | Thrombus removal system and process |
| US20110060212A1 (en) * | 2008-02-22 | 2011-03-10 | Micro Therapeutics, Inc. | Methods and apparatus for flow restoration |
| JP2011512900A (ja) * | 2008-02-22 | 2011-04-28 | マイクロ セラピューティクス, インコーポレイテッド | 血流回復のための方法及び装置 |
Also Published As
| Publication number | Publication date |
|---|---|
| US20190298396A1 (en) | 2019-10-03 |
| US20200253624A1 (en) | 2020-08-13 |
| IL277002A (en) | 2020-10-29 |
| US10624659B2 (en) | 2020-04-21 |
| WO2019178165A1 (en) | 2019-09-19 |
| US11589882B2 (en) | 2023-02-28 |
| EP3764922A1 (en) | 2021-01-20 |
| EP3764922A4 (en) | 2022-01-12 |
| US20230165600A1 (en) | 2023-06-01 |
| CN112384152A (zh) | 2021-02-19 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JP2021517850A (ja) | 患者から物質を除去するための装置及び方法 | |
| US12508042B2 (en) | Retrieval system | |
| JP7271614B2 (ja) | 予め組み込まれた反転トラクタの血栓除去装置および方法 | |
| JP6105078B2 (ja) | 経皮経管的血管形成装置 | |
| US10722257B2 (en) | Retrieval of material from vessel lumens | |
| JP6553761B2 (ja) | 人工器官のための反転送達デバイスおよび方法 | |
| US7537601B2 (en) | Apparatus for capturing objects beyond an operative site utilizing a capture device delivered on a medical guide wire | |
| JP2021069950A (ja) | 凝血塊を除去するための装置、システム、および方法 | |
| KR20190137007A (ko) | 동맥류 디바이스 및 전달 시스템 | |
| US20040087971A1 (en) | Apparatus for capturing objects beyond an operative site utilizing a capture device delivered on a medical guide wire | |
| US10258358B2 (en) | Clot retrieval system | |
| JP2006525082A (ja) | 遠位側保護装置 | |
| US11129630B2 (en) | Retrieval of material from vessel lumens | |
| US20200360033A1 (en) | Retrieval of material from vessel lumens | |
| JP2009517124A (ja) | 一体型塞栓フィルタを有する経皮経管的血管形成装置 | |
| US11298145B2 (en) | Retrieval of material from vessel lumens | |
| US11191555B2 (en) | Retrieval of material from vessel lumens | |
| HK40126570A (zh) | 用於与凝块处理系统一起使用的导管 |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20220314 |
|
| A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20220314 |
|
| A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20230131 |
|
| A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20230221 |
|
| A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20230518 |
|
| A02 | Decision of refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A02 Effective date: 20231010 |