JP4772309B2 - 内視鏡補助器具 - Google Patents
内視鏡補助器具 Download PDFInfo
- Publication number
- JP4772309B2 JP4772309B2 JP2004282328A JP2004282328A JP4772309B2 JP 4772309 B2 JP4772309 B2 JP 4772309B2 JP 2004282328 A JP2004282328 A JP 2004282328A JP 2004282328 A JP2004282328 A JP 2004282328A JP 4772309 B2 JP4772309 B2 JP 4772309B2
- Authority
- JP
- Japan
- Prior art keywords
- handle
- endoscope
- end effector
- lever
- housing
- 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.)
- Active
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0052—Constructional details of control elements, e.g. handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0057—Constructional details of force transmission elements, e.g. control wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/06—Biopsy forceps, e.g. with cup-shaped jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2911—Handles rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Description
(A)
片手で使用するように適合された内視鏡装置に使用するハンドルであって、
使用者の手の平で保持できるように適合されたハウジングと、
前記内視鏡装置に結合されたエンドエフェクタを作動させるためのアクチュエータとを含み、
前記アクチュエータを前記同じ手の1または複数の指で操作することができ、前記同じ手の親指及び人差し指の何れも用いないで前記アクチュエータを操作できることを特徴とするハンドル。
(B)
前記アクチュエータが、そのアクチュエータを押圧することで作動することを特徴とする請求項1に記載のハンドル。
(C)
前記アクチュエータがレバーを含むことを特徴とする請求項1に記載のハンドル。
(D)
前記ハンドルが、シリンジプランジャー、ピストルグリップ、及び鋏グリップからなる構成要素の群から選択される何れの構成要素も含まないことを特徴とする請求項1に記載のハンドル。
(E)
更に、前記手の指で積極的に保持しなくても前記ハンドルを前記手で保持できる装置を含むことを特徴とする請求項1に記載のハンドル。
(F)
前記装置が、前記ハウジングの基端部から延出した指用リングを含み、前記指用リングが前記ハウジングに対して旋回できるように支持されていることを特徴とする請求項5に記載のハンドル。
(G)
親指及び人差し指を用いないで前記アクチュエータを操作するための取扱い説明セットを更に含むことを特徴とする請求項1に記載のハンドル。
(H)
前記取扱い説明セットが、前記ハンドルが取り付けられた医療装置に直接付属していることを特徴とする請求項7に記載のハンドル。
(I)
前記アクチュエータが、前記ハウジングに向かって押圧するように適合されたレバーを含むことを特徴とする請求項1に記載のハンドル。
(1)医療装置であって、可撓性部材と、前記可撓性部材の先端部に機能的に結合されたエンドエフェクタと、前記可撓性部材の基端部に機能的に結合されたハンドルとを含み、前記ハンドルが前記可撓性部材を介して前記エンドエフェクタを動作させるためのアクチュエータを含み、前記ハンドルが片手で保持できるように適合されており、前記アクチュエータが前記ハンドルを保持している前記同じ手で操作できるように適合されており、前記同じ手の親指及び人差し指が自由で前記可撓性部材を保持できることを特徴とする医療装置。
(2)前記エンドエフェクタが、生検鉗子、把持鉗子、外科用鋏、エクストラクター、洗浄用パイプ、針状注入器、非電動スネア、及び電気外科用スネアからなる群から選択されることを特徴とする実施態様(1)に記載の装置。
(3)前記可撓性部材が少なくとも0.5mの長さを有することを特徴とする実施態様(1)に記載の装置。
(4)前記可撓性部材が、少なくとも1.0mの長さを有する可撓性シャフトを含むことを特徴とする実施態様(1)に記載の装置。
(5)親指及び人差し指を用いないで前記アクチュエータを操作するための取扱い説明セットを更に含むことを特徴とする実施態様(1)に記載の装置。
(7)片手で可撓性内視鏡装置を操作するためのシステムであって、ハンドルと、前記ハンドルを片手で操作するための取扱い説明セットを含み、前記ハンドルが、片手で把持できるように適合されたハウジングと、前記ハウジングを保持する手で前記内視鏡装置の先端部に結合されたエンドエフェクタを操作できる、前記ハウジングに接続されたアクチュエータとを含み、前記ハウジングを保持する前記同じ手の少なくとも親指及び人差し指が自由で、前記装置の可撓性シャフトを保持したり放したりできることを特徴とするシステム。
(8)前記取扱い説明セットが、前記人差し指と前記親指ではなく少なくとも1つの他の指と手の平とで前記ハンドルを保持する指示を含むことを特徴とする実施態様(7)に記載のシステム。
(9)前記取扱い説明セットが、前記ハンドルを保持している前記同じ手の前記親指と前記人差し指を用いて前記ハンドルから延出した可撓性部材を保持する指示を含むことを特徴とする実施態様(7)に記載のシステム。
(10)前記取扱い説明セットが、前記ハンドルを保持している前記同じ手の前記親指及び前記人差し指を用いて可撓性部材を前進させる指示を含むことを特徴とする実施態様(7)に記載のシステム。
(12)片手で可撓性内視鏡装置を操作するためのハンドルであって、ハウジングと、親指を用いないで押圧できるように適合されたアクチュエータと、少なくとも部分的に前記ハウジング内に配置された、前記アクチュエータに機能的に結合された作動機構とを含み、前記アクチュエータを押圧することで、前記可撓性内視鏡装置の先端部に結合されたエンドエフェクタを作動させることができることを特徴とするハンドル。
30 外側スリーブ
32 ばね
34 柔軟フック
36 爪
40 医療装置ハンドル
42 肩
44 レリーズ
47 ハウジング
49 レリーズアーム
50 アクチュエータ
55 スイベルリング
57 アタッチメント
59 スイベル継手
62 アクチュエータピン
64 リンクピン
65 可撓性シャフト
67 ブーツ
69 ストラップ
70 先端側戻しばね
74 ブロックピン
75 ループストラップ
77 ねじりばね
79 基端側ブロックピン
82 スロット
85 板ばね
87 戻しばね
89 リンク
91 ばね圧縮スロット
92 ばねブロック
95 ワイヤスリーブ
97 歯
99 プルケーブル
102 ラック
104 突起
105 人差し指
108 第3の指
110 ラチェット機構
112 手の平
115 第4の指
118 第5の指
120 親指
128 内視鏡
124 内視鏡補助器具
133 処置用通路
151 生検ジョー
135 閉止アーム
137 固定アーム
Claims (10)
- 片手で使用するように適合された内視鏡補助器具であって、
可撓性部材と、
前記可撓性部材の先端部に操作可能に結合されたエンドエフェクタと、
ハンドル基端部分からハンドル先端部分にかけて長手方向に延出する細長いハンドルであって、前記ハンドル先端部分において、前記可撓性部材の基端部と操作可能に結合されたハンドルと、
を有し、
前記ハンドルは、前記可撓性部材を通じて前記エンドエフェクタを操作するためのアクチュエータを有し、
前記ハンドルは外表面を有し、前記ハンドル外表面は前記ハンドル基端部分から前記ハンドル先端部分にかけて延出しており、前記ハンドル外表面は前記ハンドル基端部分と前記ハンドル先端部分の間に最大幅部分を有し、前記ハンドル外表面は、前記最大幅部分の幅よりも長い、前記ハンドルの長軸方向に沿った長さを有し、前記アクチュエータはレバーを有し、前記レバーは少なくとも前記ハンドル外表面の一部に沿って配置されており、
前記内視鏡補助器具はさらに、エンドエフェクタを操作するための、前記レバーによって作動するラチェット機構を有し、
前記内視鏡補助器具はさらに前記ハンドル基端部分に配置されたエンドエフェクタを操作するためのレリーズを有しており、
前記ラチェット機構を開放するために、前記レリーズは操作可能である、内視鏡補助器具。 - 前記エンドエフェクタは、生検鉗子、把持鉗子、および外科用鋏からなる群から選択される、請求項1に記載の内視鏡補助器具。
- 前記可撓性部材は、少なくとも0.5メートルの長さを有する、請求項1または2に記載の内視鏡補助器具。
- 前記可撓性部材は、少なくとも1.0メートルの長さを有する可撓性シャフトを有する、請求項1から3のいずれか1つに記載の内視鏡補助器具。
- 前記レバーは、少なくとも前記ハンドルの半分の長さを有する、請求項1から4のいずれか1つに記載の内視鏡補助器具。
- さらに前記ハンドル基端部分から延出した指用リングを含み、前記指用リングが前記ハンドルに対して旋回するように支持されていることを特徴とする請求項1から5のいずれか1つに記載の内視鏡補助器具。
- 片手で使用するように適合された内視鏡補助器具であって、
第1の形態と第2の形態を有するエンドエフェクタと、
ハンドルと、
前記エンドエフェクタと前記ハンドルの間に延在する可撓性シャフトと、
を有し、
前記ハンドルは、
ハウジングであって、前記可撓性シャフトが前記ハウジングの先端部分から延出しているハウジングと、
前記ハウジングに沿って配置されており、前記エンドエフェクタを作動し前記第1の形態から前記第2の形態とするように操作可能なレバーを有するアクチュエータと、
前記エンドエフェクタを前記第1の形態に戻すために操作可能なレリーズと
を有し、
前記ハンドルは更にそのハンドルの端部に第1の端部を有し、およびそのハンドルの前記第1の端部の反対側の端部に第2の端部を有し、前記レリーズは前記ハンドルの前記第1の端部に配置され、前記可撓性シャフトは前記ハンドルの前記第2の端部より延出している、内視鏡補助器具。 - 前記レバーは、前記ハンドルの長さの少なくとも半分の長さを有する、請求項7に記載の内視鏡補助器具。
- さらに前記レバーによって操作可能なラチェットを有する、請求項7または8に記載の内視鏡補助器具。
- さらに前記ハンドルの基端部分から延出した指用リングを含み、前記指用リングが前記ハウジングに対して旋回するように支持されていることを特徴とする請求項7から9のいずれか1つに記載の内視鏡補助器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US674186 | 2003-09-29 | ||
US10/674,186 US7789825B2 (en) | 2003-09-29 | 2003-09-29 | Handle for endoscopic device |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005131373A JP2005131373A (ja) | 2005-05-26 |
JP4772309B2 true JP4772309B2 (ja) | 2011-09-14 |
Family
ID=34194903
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004282328A Active JP4772309B2 (ja) | 2003-09-29 | 2004-09-28 | 内視鏡補助器具 |
Country Status (7)
Country | Link |
---|---|
US (1) | US7789825B2 (ja) |
EP (1) | EP1518492B1 (ja) |
JP (1) | JP4772309B2 (ja) |
KR (1) | KR101054660B1 (ja) |
CN (1) | CN100473323C (ja) |
AU (2) | AU2004216568A1 (ja) |
CA (1) | CA2482733C (ja) |
Families Citing this family (139)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7960935B2 (en) | 2003-07-08 | 2011-06-14 | The Board Of Regents Of The University Of Nebraska | Robotic devices with agent delivery components and related methods |
US7094202B2 (en) * | 2003-09-29 | 2006-08-22 | Ethicon Endo-Surgery, Inc. | Method of operating an endoscopic device with one hand |
US7708756B2 (en) * | 2003-09-29 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Actuation mechanism for flexible endoscopic device |
US7658757B2 (en) * | 2004-10-08 | 2010-02-09 | Boston Scientific Scimed, Inc. | Endoprosthesis delivery system |
ITMI20042079A1 (it) * | 2004-10-29 | 2005-01-29 | Ethicon Endo Surgery Inc | Dispositivo di diagnosi |
US7758495B2 (en) * | 2005-01-10 | 2010-07-20 | Perceptron, Inc. | Remote inspection device |
US8197396B2 (en) * | 2006-04-26 | 2012-06-12 | Olympus Medical Systems Corp. | Treatment tool for endoscope and medical procedure |
WO2007149559A2 (en) | 2006-06-22 | 2007-12-27 | Board Of Regents Of The University Of Nebraska | Magnetically coupleable robotic devices and related methods |
US8679096B2 (en) | 2007-06-21 | 2014-03-25 | Board Of Regents Of The University Of Nebraska | Multifunctional operational component for robotic devices |
US9579088B2 (en) | 2007-02-20 | 2017-02-28 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices for surgical visualization and device manipulation |
JP4702216B2 (ja) * | 2006-08-03 | 2011-06-15 | オムロンヘルスケア株式会社 | 電子血圧計およびその制御方法 |
US8337424B2 (en) * | 2006-11-03 | 2012-12-25 | Syntheon, Llc | Device for guiding or exchanging medical implements and medical exchange wire system |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US20080200934A1 (en) * | 2007-02-15 | 2008-08-21 | Fox William D | Surgical devices and methods using magnetic force to form an anastomosis |
US20080200762A1 (en) * | 2007-02-16 | 2008-08-21 | Stokes Michael J | Flexible endoscope shapelock |
US7815662B2 (en) * | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US8075572B2 (en) | 2007-04-26 | 2011-12-13 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
US8100922B2 (en) | 2007-04-27 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Curved needle suturing tool |
WO2008144630A2 (en) * | 2007-05-18 | 2008-11-27 | Syntheon, Llc | Torque-transmitting, locking and releasing instrument holders and methods for operating the instrument holders |
US9707376B2 (en) | 2007-05-18 | 2017-07-18 | Syntheon, Llc | Torque-transmitting, locking instrument holder and method for operating the instrument holder |
CA2690808C (en) | 2007-07-12 | 2016-09-27 | Board Of Regents Of The University Of Nebraska | Methods and systems of actuation in robotic devices |
EP2178431A4 (en) | 2007-08-15 | 2017-01-18 | Board of Regents of the University of Nebraska | Medical inflation, attachment, and delivery devices and related methods |
CA2695619C (en) | 2007-08-15 | 2015-11-24 | Board Of Regents Of The University Of Nebraska | Modular and cooperative medical devices and related systems and methods |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8568410B2 (en) | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US20090112059A1 (en) | 2007-10-31 | 2009-04-30 | Nobis Rudolph H | Apparatus and methods for closing a gastrotomy |
US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
US20090137872A1 (en) * | 2007-11-27 | 2009-05-28 | Tyco Healthcare Group Lp | Method and Apparatus for Controlling Endoscopic Instruments |
US20090198098A1 (en) * | 2008-02-01 | 2009-08-06 | Olympus Medical Systems Corp. | Endoscope treatment instrument |
US8262680B2 (en) | 2008-03-10 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Anastomotic device |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
US8070759B2 (en) | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8652150B2 (en) | 2008-05-30 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Multifunction surgical device |
US8679003B2 (en) | 2008-05-30 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Surgical device and endoscope including same |
US8114072B2 (en) | 2008-05-30 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Electrical ablation device |
US8317806B2 (en) | 2008-05-30 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Endoscopic suturing tension controlling and indication devices |
US8906035B2 (en) | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US8361112B2 (en) | 2008-06-27 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical suture arrangement |
US20100010294A1 (en) * | 2008-07-10 | 2010-01-14 | Ethicon Endo-Surgery, Inc. | Temporarily positionable medical devices |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US8529563B2 (en) | 2008-08-25 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8241204B2 (en) | 2008-08-29 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Articulating end cap |
US8480689B2 (en) | 2008-09-02 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Suturing device |
US8409200B2 (en) | 2008-09-03 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8114119B2 (en) | 2008-09-09 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8337394B2 (en) | 2008-10-01 | 2012-12-25 | Ethicon Endo-Surgery, Inc. | Overtube with expandable tip |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
US8172772B2 (en) | 2008-12-11 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Specimen retrieval device |
US8808345B2 (en) * | 2008-12-31 | 2014-08-19 | Medtronic Ardian Luxembourg S.A.R.L. | Handle assemblies for intravascular treatment devices and associated systems and methods |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8828031B2 (en) | 2009-01-12 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Apparatus for forming an anastomosis |
US9226772B2 (en) | 2009-01-30 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical device |
US8252057B2 (en) | 2009-01-30 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
US20110098704A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8608652B2 (en) | 2009-11-05 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Vaginal entry surgical devices, kit, system, and method |
US8353487B2 (en) | 2009-12-17 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | User interface support devices for endoscopic surgical instruments |
US8496574B2 (en) | 2009-12-17 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Selectively positionable camera for surgical guide tube assembly |
US8894633B2 (en) | 2009-12-17 | 2014-11-25 | Board Of Regents Of The University Of Nebraska | Modular and cooperative medical devices and related systems and methods |
US8506564B2 (en) | 2009-12-18 | 2013-08-13 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9005198B2 (en) | 2010-01-29 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US8460337B2 (en) * | 2010-06-09 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Selectable handle biasing |
US9486296B2 (en) * | 2010-07-08 | 2016-11-08 | Warsaw Orthopedic, Inc. | Surgical assembly with flexible arm |
GB201012278D0 (en) | 2010-07-22 | 2010-09-08 | Surgical Innovations Ltd | Handle and surgical instrument |
JP2014529414A (ja) | 2010-08-06 | 2014-11-13 | ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ | 自然開口部手術用材料の取扱または送達のための方法およびシステム |
US10092291B2 (en) | 2011-01-25 | 2018-10-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectively rigidizable features |
US9233241B2 (en) | 2011-02-28 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9254169B2 (en) | 2011-02-28 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9314620B2 (en) | 2011-02-28 | 2016-04-19 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9049987B2 (en) | 2011-03-17 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
CA2838637C (en) | 2011-06-10 | 2020-11-17 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices relating to surgical end effectors |
EP3588217A1 (en) | 2011-07-11 | 2020-01-01 | Board of Regents of the University of Nebraska | Robotic surgical devices, systems and related methods |
GB201119897D0 (en) * | 2011-11-18 | 2011-12-28 | Gyrus Medical Ltd | Electrosurgical instrument |
EP2806941B1 (en) | 2012-01-10 | 2021-10-27 | Board of Regents of the University of Nebraska | Systems and devices for surgical access and insertion |
CA2801744C (en) | 2012-01-17 | 2015-10-13 | Covidien Lp | Material removal device and method of use |
US8986199B2 (en) | 2012-02-17 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Apparatus and methods for cleaning the lens of an endoscope |
US9717518B2 (en) * | 2012-02-22 | 2017-08-01 | Boston Scientific Scimed, Inc. | Medical device for cutting |
EP3845190B1 (en) | 2012-05-01 | 2023-07-12 | Board of Regents of the University of Nebraska | Single site robotic device and related systems |
US9427255B2 (en) | 2012-05-14 | 2016-08-30 | Ethicon Endo-Surgery, Inc. | Apparatus for introducing a steerable camera assembly into a patient |
US9010214B2 (en) | 2012-06-22 | 2015-04-21 | Board Of Regents Of The University Of Nebraska | Local control robotic surgical devices and related methods |
US9078662B2 (en) | 2012-07-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
US9545290B2 (en) | 2012-07-30 | 2017-01-17 | Ethicon Endo-Surgery, Inc. | Needle probe guide |
US10314649B2 (en) | 2012-08-02 | 2019-06-11 | Ethicon Endo-Surgery, Inc. | Flexible expandable electrode and method of intraluminal delivery of pulsed power |
US9572623B2 (en) | 2012-08-02 | 2017-02-21 | Ethicon Endo-Surgery, Inc. | Reusable electrode and disposable sheath |
US9770305B2 (en) | 2012-08-08 | 2017-09-26 | Board Of Regents Of The University Of Nebraska | Robotic surgical devices, systems, and related methods |
JP2015526171A (ja) | 2012-08-08 | 2015-09-10 | ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ | ロボット手術用デバイス、システム及び関連の方法 |
US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
CN102813498A (zh) * | 2012-09-10 | 2012-12-12 | 华东理工大学 | 一种单手控制的内窥镜弯角控制手柄 |
US10098527B2 (en) | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
US20140323802A1 (en) * | 2013-03-08 | 2014-10-30 | Stephen C. Lloyd | Methods and Systems for Improving the Prevention of Colorectal Cancer |
US9888966B2 (en) | 2013-03-14 | 2018-02-13 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices relating to force control surgical systems |
CA2905948C (en) | 2013-03-14 | 2022-01-11 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices relating to robotic surgical devices, end effectors, and controllers |
WO2014144220A1 (en) | 2013-03-15 | 2014-09-18 | Board Of Regents Of The University Of Nebraska | Robotic surgical devices, systems, and related methdos |
CA2918531A1 (en) | 2013-07-17 | 2015-01-22 | Board Of Regents Of The University Of Nebraska | Robotic surgical devices, systems and related methods |
JP6245877B2 (ja) * | 2013-07-26 | 2017-12-13 | オリンパス株式会社 | 内視鏡処置具用操作入力装置 |
US9717485B1 (en) | 2013-10-09 | 2017-08-01 | Daniel Glenn Doerr | Ergonomic multi-functional handle for use with a medical instrument |
US10058311B1 (en) | 2013-10-09 | 2018-08-28 | Rogelio A. Insignares | Ergonomic multi-functional handle for use with a medical instrument |
JP5797361B1 (ja) * | 2013-11-21 | 2015-10-21 | オリンパス株式会社 | 内視鏡処置具 |
EP3123966B1 (en) * | 2014-03-27 | 2019-04-24 | Fujifilm Corporation | Endoscope and endoscope operational tool |
EP3868322A1 (en) | 2014-09-12 | 2021-08-25 | Board of Regents of the University of Nebraska | Quick-release effectors and related systems |
EP3501435A1 (en) | 2014-09-30 | 2019-06-26 | Fujifilm Corporation | Surgical apparatus for endoscope |
US10376322B2 (en) | 2014-11-11 | 2019-08-13 | Board Of Regents Of The University Of Nebraska | Robotic device with compact joint design and related systems and methods |
WO2016149217A1 (en) | 2015-03-19 | 2016-09-22 | Neuroenterprises, Llc. | Tissue shaver and methods of use |
WO2016188537A1 (en) | 2015-05-27 | 2016-12-01 | Ambu A/S | An endoscope |
US10624617B2 (en) | 2015-05-27 | 2020-04-21 | Ambu A/S | Endoscope |
US10617284B2 (en) | 2015-05-27 | 2020-04-14 | Ambu A/S | Endoscope |
WO2016188543A1 (en) | 2015-05-27 | 2016-12-01 | Ambu A/S | An endoscope with a tool |
WO2016188538A1 (en) | 2015-05-27 | 2016-12-01 | Ambu A/S | An endoscope comprising a chassis having a shell structure |
EP3302217B1 (en) | 2015-05-27 | 2020-06-03 | Ambu A/S | An endoscope |
EP3302215B1 (en) | 2015-05-27 | 2022-11-23 | Ambu A/S | An endoscope |
US10806538B2 (en) | 2015-08-03 | 2020-10-20 | Virtual Incision Corporation | Robotic surgical devices, systems, and related methods |
US20170215696A1 (en) * | 2016-01-29 | 2017-08-03 | Boston Scientific Scimed, Inc. | Endoscopy systems and related methods |
US9962180B2 (en) | 2016-04-27 | 2018-05-08 | Covidien Lp | Catheter including drive assembly for rotating and reciprocating tissue-removing element |
US10751136B2 (en) | 2016-05-18 | 2020-08-25 | Virtual Incision Corporation | Robotic surgical devices, systems and related methods |
CN116269696A (zh) | 2016-08-25 | 2023-06-23 | 内布拉斯加大学董事会 | 快速释放工具耦接器以及相关系统和方法 |
JP7090615B2 (ja) | 2016-08-30 | 2022-06-24 | ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ | ロボットデバイス |
WO2018098319A1 (en) | 2016-11-22 | 2018-05-31 | Board Of Regents Of The University Of Nebraska | Improved gross positioning device and related systems and methods |
WO2018102430A1 (en) | 2016-11-29 | 2018-06-07 | Virtual Incision Corporation | User controller with user presence detection and related systems and methods |
US10722319B2 (en) | 2016-12-14 | 2020-07-28 | Virtual Incision Corporation | Releasable attachment device for coupling to medical devices and related systems and methods |
DE102017103199A1 (de) * | 2017-02-16 | 2018-08-16 | avateramedical GmBH | Bediengerät für ein robotergestütztes Chirurgiesystem |
EP3654821A2 (en) | 2017-07-17 | 2020-05-27 | 3NT Medical Ltd. | Ear visualization system |
CA3076625A1 (en) | 2017-09-27 | 2019-04-04 | Virtual Incision Corporation | Robotic surgical devices with tracking camera technology and related systems and methods |
JP6860954B2 (ja) * | 2017-10-31 | 2021-04-21 | オリンパス株式会社 | 挿入装置 |
CA3087672A1 (en) | 2018-01-05 | 2019-07-11 | Board Of Regents Of The University Of Nebraska | Single-arm robotic device with compact joint design and related systems and methods |
EP3513706A1 (en) | 2018-01-19 | 2019-07-24 | Ambu A/S | A method for fixation of a wire portion of an endoscope, and an endoscope |
EP3517017B1 (en) | 2018-01-26 | 2023-01-18 | Ambu A/S | A method for fixation of a wire portion of an endoscope, and an endoscope |
EP3829462A1 (en) * | 2018-07-31 | 2021-06-09 | Boston Scientific Scimed Inc. | Medical handle |
JP7032273B2 (ja) * | 2018-09-20 | 2022-03-08 | 積水化学工業株式会社 | プラズマ照射装置 |
US10492670B1 (en) | 2018-12-18 | 2019-12-03 | 3Nt Medical Ltd. | Ear visualization and treatment system |
EP3908171A4 (en) | 2019-01-07 | 2022-09-14 | Virtual Incision Corporation | ROBOTIZED ASSISTED SURGICAL SYSTEM AND RELATED DEVICES AND PROCEDURES |
US20230104573A1 (en) * | 2020-02-26 | 2023-04-06 | Human Xtensions Ltd. | Control system for a colonoscope |
US11986159B2 (en) | 2021-01-11 | 2024-05-21 | 3Nt Medical Ltd. | Ear visualization and treatment system |
CN113951989B (zh) * | 2021-10-13 | 2023-06-20 | 上海汇禾医疗器械有限公司 | 一种柔性剪切装置及其使用方法 |
CN114668479A (zh) * | 2022-01-06 | 2022-06-28 | 深圳佰特微医疗科技有限公司 | 组织切割器械 |
Family Cites Families (44)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS4831554B1 (ja) * | 1968-12-24 | 1973-09-29 | ||
US4655219A (en) * | 1983-07-22 | 1987-04-07 | American Hospital Supply Corporation | Multicomponent flexible grasping device |
US4909789A (en) | 1986-03-28 | 1990-03-20 | Olympus Optical Co., Ltd. | Observation assisting forceps |
US5152278A (en) * | 1990-08-28 | 1992-10-06 | Applied Medical Resources, Inc. | Surgical endoscope apparatus |
CA2075319C (en) * | 1991-09-26 | 1998-06-30 | Ernie Aranyi | Handle for surgical instruments |
AU657364B2 (en) | 1991-10-18 | 1995-03-09 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5352235A (en) | 1992-03-16 | 1994-10-04 | Tibor Koros | Laparoscopic grasper and cutter |
DE4211417A1 (de) * | 1992-04-04 | 1993-10-07 | Rema Medizintechnik Gmbh | Chirurgisches Endoinstrument |
CA2103507C (en) * | 1992-09-23 | 1998-09-15 | David A. Nicholas | Locking mechanism for endoscopic or laparoscopic surgical instruments |
US20020062065A1 (en) * | 1993-02-22 | 2002-05-23 | Daniel S. Christopher | Endoscopic retraction system and method |
US5827323A (en) * | 1993-07-21 | 1998-10-27 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5562655A (en) * | 1994-08-12 | 1996-10-08 | United States Surgical Corporation | Surgical apparatus having a universal handle for actuating various attachments |
GB9502498D0 (en) * | 1995-02-09 | 1995-03-29 | Devlin Stuart L | Surgical instruments |
US5626597A (en) | 1995-02-21 | 1997-05-06 | United States Surgical Corporation | Percutaneous introducer |
JPH08224241A (ja) * | 1995-02-22 | 1996-09-03 | Olympus Optical Co Ltd | 医療用マニピュレータ |
US5810876A (en) * | 1995-10-03 | 1998-09-22 | Akos Biomedical, Inc. | Flexible forceps device |
US5624379A (en) * | 1995-10-13 | 1997-04-29 | G. I. Medical Technologies, Inc. | Endoscopic probe with discrete rotatable tip |
US5951575A (en) * | 1996-03-01 | 1999-09-14 | Heartport, Inc. | Apparatus and methods for rotationally deploying needles |
US5823066A (en) | 1996-05-13 | 1998-10-20 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5741286A (en) * | 1996-06-07 | 1998-04-21 | Symbiosis Corporation | Laparoscopic instrument kit including a plurality of rigid tubes |
CA2259474C (en) | 1996-07-01 | 2005-11-22 | University Of Massachusetts | Fingertip-mounted minimally invasive surgical instruments and methods of use |
DE29623113U1 (de) * | 1996-09-18 | 1997-10-30 | Winter & Ibe Olympus | Axialgriff für chirurgische, insbesondere endoskopische Instrumente |
DE19652792C2 (de) * | 1996-12-18 | 1999-05-27 | Storz Karl Gmbh & Co | Medizinisches Handhabungsgerät, insbesondere für endoskopische Anwendungen |
US5830231A (en) * | 1997-03-19 | 1998-11-03 | Geiges, Jr.; John J. | Handle and actuating mechanism for surgical instruments |
DE69813129T2 (de) | 1997-10-08 | 2004-02-26 | Ethicon Endo-Surgery, Inc., Cincinnati | Chirurgischer Nadelhalter als Hilfsvorrichtung beim Nähen |
DE19839188C2 (de) * | 1998-08-28 | 2003-08-21 | Storz Endoskop Gmbh Schaffhaus | Endoskop |
US6162209A (en) * | 1998-11-17 | 2000-12-19 | Scimed Life Systems, Inc. | Multi-function surgical instrument tool actuator assembly |
US6299624B1 (en) * | 1999-05-27 | 2001-10-09 | Karl Storz Gmbh & Co. Kg | Handle for a medical instrument |
DE19935042B4 (de) * | 1999-07-26 | 2004-02-05 | Aesculap Ag & Co. Kg | Chirurgisches Rohrschaftinstrument |
US6575919B1 (en) | 1999-10-19 | 2003-06-10 | Kyphon Inc. | Hand-held instruments that access interior body regions |
US6533797B1 (en) * | 1999-11-24 | 2003-03-18 | Nuvasive | Control grip assembly |
US6620184B2 (en) * | 2001-02-28 | 2003-09-16 | Microline Inc. | Release mechanism for grasping device |
US6443944B1 (en) * | 2000-05-19 | 2002-09-03 | Rajiv Doshi | Surgical devices comprising articulated members and methods for using the same |
EP1174502A1 (en) | 2000-07-18 | 2002-01-23 | Schering Corporation | Type 2 dendritic cell precursor derived coding nucleic acids and related compositions and methods |
EP1339331A2 (en) | 2000-11-14 | 2003-09-03 | ESD Medical, LLC | Device for laparoscopic tubal ligation |
US6533720B1 (en) * | 2001-01-17 | 2003-03-18 | Avtar S. Dhindsa | Modular endoscope valve assembly and method |
US6786865B2 (en) * | 2001-01-17 | 2004-09-07 | Innon Holdings, Llc | Endoscope valve assembly and method |
JP4046981B2 (ja) | 2001-11-13 | 2008-02-13 | ペンタックス株式会社 | 内視鏡用クリップ装置 |
JP2003001580A (ja) | 2001-06-22 | 2003-01-08 | Sony Corp | 脚式移動ロボットのための多関節湾曲機構、並びに脚式移動ロボット |
US6830545B2 (en) * | 2002-05-13 | 2004-12-14 | Everest Vit | Tube gripper integral with controller for endoscope of borescope |
JP4657718B2 (ja) * | 2002-09-06 | 2011-03-23 | シー・アール・バード・インク | 内視鏡の外部にある内視鏡付属品制御システム |
DE20311293U1 (de) | 2003-07-23 | 2003-09-18 | Aesculap Ag & Co Kg | Chirurgisches Rohrschaftinstrument |
US7708756B2 (en) * | 2003-09-29 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Actuation mechanism for flexible endoscopic device |
US7094202B2 (en) * | 2003-09-29 | 2006-08-22 | Ethicon Endo-Surgery, Inc. | Method of operating an endoscopic device with one hand |
-
2003
- 2003-09-29 US US10/674,186 patent/US7789825B2/en not_active Expired - Lifetime
-
2004
- 2004-09-28 JP JP2004282328A patent/JP4772309B2/ja active Active
- 2004-09-28 AU AU2004216568A patent/AU2004216568A1/en not_active Abandoned
- 2004-09-28 CA CA2482733A patent/CA2482733C/en not_active Expired - Fee Related
- 2004-09-28 CN CNB2004100905081A patent/CN100473323C/zh not_active Expired - Fee Related
- 2004-09-29 EP EP04256001.1A patent/EP1518492B1/en not_active Expired - Fee Related
- 2004-09-30 KR KR1020040078116A patent/KR101054660B1/ko active IP Right Grant
-
2011
- 2011-03-25 AU AU2011201399A patent/AU2011201399B2/en not_active Ceased
Also Published As
Publication number | Publication date |
---|---|
KR101054660B1 (ko) | 2011-08-08 |
CN1602796A (zh) | 2005-04-06 |
EP1518492A1 (en) | 2005-03-30 |
US7789825B2 (en) | 2010-09-07 |
AU2011201399B2 (en) | 2012-12-13 |
CA2482733A1 (en) | 2005-03-29 |
JP2005131373A (ja) | 2005-05-26 |
AU2004216568A1 (en) | 2005-04-14 |
AU2011201399A1 (en) | 2011-04-14 |
CA2482733C (en) | 2017-01-31 |
CN100473323C (zh) | 2009-04-01 |
EP1518492B1 (en) | 2017-05-03 |
US20050070764A1 (en) | 2005-03-31 |
KR20050031449A (ko) | 2005-04-06 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP4772309B2 (ja) | 内視鏡補助器具 | |
JP4652005B2 (ja) | 可撓性内視鏡装置の作動機構 | |
US7094202B2 (en) | Method of operating an endoscopic device with one hand | |
US9289112B2 (en) | Medical treatment endoscope having an operation stick formed to allow a procedure instrument to pass | |
US8545395B2 (en) | Endoscopically inserting surgical tool | |
US9173550B2 (en) | Medical apparatus | |
KR20100110801A (ko) | 수술 기구 | |
US11185215B2 (en) | Medical systems, devices, and related methods | |
EP2083715B1 (en) | Removable handle for medical device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20070927 |
|
RD04 | Notification of resignation of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7424 Effective date: 20071128 |
|
RD04 | Notification of resignation of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7424 Effective date: 20080911 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20100105 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20100310 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20100914 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20101214 |
|
A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20101217 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20110105 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20110614 |
|
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20110622 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20140701 Year of fee payment: 3 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 4772309 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |