JP4901872B2 - 胸部大動脈瘤を治療する方法およびその装置 - Google Patents

胸部大動脈瘤を治療する方法およびその装置 Download PDF

Info

Publication number
JP4901872B2
JP4901872B2 JP2008529338A JP2008529338A JP4901872B2 JP 4901872 B2 JP4901872 B2 JP 4901872B2 JP 2008529338 A JP2008529338 A JP 2008529338A JP 2008529338 A JP2008529338 A JP 2008529338A JP 4901872 B2 JP4901872 B2 JP 4901872B2
Authority
JP
Japan
Prior art keywords
stent
graft
hoop
window
aneurysm
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.)
Expired - Fee Related
Application number
JP2008529338A
Other languages
English (en)
Japanese (ja)
Other versions
JP2009506842A (ja
JP2009506842A5 (enExample
Inventor
フンベルト ベラ
トレヴァー グリーナン
Original Assignee
メドトロニック ヴァスキュラー インコーポレイテッド
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 メドトロニック ヴァスキュラー インコーポレイテッド filed Critical メドトロニック ヴァスキュラー インコーポレイテッド
Publication of JP2009506842A publication Critical patent/JP2009506842A/ja
Publication of JP2009506842A5 publication Critical patent/JP2009506842A5/ja
Application granted granted Critical
Publication of JP4901872B2 publication Critical patent/JP4901872B2/ja
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/856—Single tubular stent with a side portal passage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Prostheses (AREA)
JP2008529338A 2005-09-01 2006-09-01 胸部大動脈瘤を治療する方法およびその装置 Expired - Fee Related JP4901872B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US71359505P 2005-09-01 2005-09-01
US60/713,595 2005-09-01
PCT/US2006/034340 WO2007028086A2 (en) 2005-09-01 2006-09-01 Methods and apparatus for treatment of thoracic aortic aneurysms

Publications (3)

Publication Number Publication Date
JP2009506842A JP2009506842A (ja) 2009-02-19
JP2009506842A5 JP2009506842A5 (enExample) 2009-10-15
JP4901872B2 true JP4901872B2 (ja) 2012-03-21

Family

ID=37638030

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2008529338A Expired - Fee Related JP4901872B2 (ja) 2005-09-01 2006-09-01 胸部大動脈瘤を治療する方法およびその装置

Country Status (6)

Country Link
US (1) US8292949B2 (enExample)
EP (1) EP1933763B1 (enExample)
JP (1) JP4901872B2 (enExample)
DE (1) DE602006019753D1 (enExample)
ES (1) ES2360185T3 (enExample)
WO (1) WO2007028086A2 (enExample)

Families Citing this family (61)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7147661B2 (en) 2001-12-20 2006-12-12 Boston Scientific Santa Rosa Corp. Radially expandable stent
US20070198078A1 (en) 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US11259945B2 (en) 2003-09-03 2022-03-01 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
US11596537B2 (en) 2003-09-03 2023-03-07 Bolton Medical, Inc. Delivery system and method for self-centering a proximal end of a stent graft
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
CN101715329B (zh) 2007-03-05 2012-11-14 恩多斯潘有限公司 多组件可膨胀式支持性分叉腔内移植物和用于使用该移植物的方法
WO2008143243A1 (ja) * 2007-05-21 2008-11-27 Kawasumi Loboratories, Inc. ステントグラフト留置装置、ステントグラフト及び固定チップ
CN101965162B (zh) 2007-12-15 2014-12-10 恩多斯潘有限公司 用于与血管内支架-移植物联用治疗主动脉瘤的血管外包套及其方法
JP5484458B2 (ja) 2008-06-30 2014-05-07 ボルトン メディカル インコーポレイテッド 腹部大動脈瘤システム
US20100049307A1 (en) * 2008-08-25 2010-02-25 Aga Medical Corporation Stent graft having extended landing area and method for using the same
EP2358302B1 (en) * 2008-12-18 2012-12-05 Cook Medical Technologies LLC Stents and stent grafts
KR20110138350A (ko) * 2009-03-13 2011-12-27 볼턴 메디컬 인코퍼레이티드 외과적 수술 위치에서 관내 인공 삽입물을 전개하기 위한 시스템 및 방법
US8945202B2 (en) * 2009-04-28 2015-02-03 Endologix, Inc. Fenestrated prosthesis
EP2445444B1 (en) 2009-06-23 2018-09-26 Endospan Ltd. Vascular prostheses for treating aneurysms
WO2011004374A1 (en) 2009-07-09 2011-01-13 Endospan Ltd. Apparatus for closure of a lumen and methods of using the same
EP3735937A1 (en) 2009-11-30 2020-11-11 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
EP2509535B1 (en) 2009-12-08 2016-12-07 Endospan Ltd Endovascular stent-graft system with fenestrated and crossing stent-grafts
CA2785953C (en) 2009-12-31 2016-02-16 Endospan Ltd. Endovascular flow direction indicator
US9468517B2 (en) 2010-02-08 2016-10-18 Endospan Ltd. Thermal energy application for prevention and management of endoleaks in stent-grafts
EP2544623B1 (en) * 2010-03-09 2018-01-10 Solinas Medical Inc. Self-closing devices
AU2010201067B1 (en) 2010-03-19 2011-06-09 Cook Incorporated Thoracic stent graft
EP2525742B1 (en) * 2010-10-29 2015-03-18 Cook Medical Technologies LLC Medical device delivery system and deployment method
FR2970410B1 (fr) 2011-01-13 2013-02-08 Ct Hospitalier Universitaire Nimes Endoprothese thoracique en t
US9526638B2 (en) 2011-02-03 2016-12-27 Endospan Ltd. Implantable medical devices constructed of shape memory material
WO2012111006A1 (en) 2011-02-17 2012-08-23 Endospan Ltd. Vascular bands and delivery systems therefor
WO2012117395A1 (en) 2011-03-02 2012-09-07 Endospan Ltd. Reduced-strain extra- vascular ring for treating aortic aneurysm
US8574287B2 (en) 2011-06-14 2013-11-05 Endospan Ltd. Stents incorporating a plurality of strain-distribution locations
WO2012176187A1 (en) 2011-06-21 2012-12-27 Endospan Ltd. Endovascular system with circumferentially-overlapping stent-grafts
EP2729095B1 (en) 2011-07-07 2016-10-26 Endospan Ltd. Stent fixation with reduced plastic deformation
US9314328B2 (en) 2011-08-16 2016-04-19 W. L. Gore & Associates, Inc. Branched stent graft device and deployment
FR2979229A1 (fr) 2011-08-22 2013-03-01 Ct Hospitalier Universitaire Nimes Dispositif de fenestration d'endoprothese
FR2979228B1 (fr) 2011-08-22 2014-08-29 Ct Hospitalier Universitaire Nimes Endoprothese aortique universelle
WO2013030818A2 (en) 2011-08-28 2013-03-07 Endospan Ltd. Stent-grafts with post-deployment variable axial and radial displacement
US9662196B2 (en) * 2011-09-27 2017-05-30 Cook Medical Technologies Llc Endoluminal prosthesis with steerable branch
US9427339B2 (en) 2011-10-30 2016-08-30 Endospan Ltd. Triple-collar stent-graft
WO2013084235A2 (en) * 2011-12-04 2013-06-13 Endospan Ltd. Branched stent-graft system
DE102012100839A1 (de) 2012-02-01 2013-08-01 Jotec Gmbh Intraluminale Gefäßprothese
ES2658237T3 (es) * 2012-02-27 2018-03-08 Hiroshima University Injerto de endoprótesis
WO2013154749A1 (en) 2012-04-12 2013-10-17 Bolton Medical, Inc. Vascular prosthetic delivery device and method of use
US8968384B2 (en) * 2012-04-27 2015-03-03 Medtronic Vascular, Inc. Circumferentially constraining sutures for a stent-graft
US9770350B2 (en) 2012-05-15 2017-09-26 Endospan Ltd. Stent-graft with fixation elements that are radially confined for delivery
WO2014059005A1 (en) * 2012-10-09 2014-04-17 Boston Scientific Scimed, Inc. Special opening aortic embolic protection device for structural heart procedures
CN107456297A (zh) 2013-01-08 2017-12-12 恩多斯潘有限公司 在植入期间支架移植物迁移的最小化
CN105208969B (zh) 2013-03-11 2017-10-20 恩多斯潘有限公司 用于主动脉夹层的多组件支架移植物系统
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
WO2015075708A1 (en) 2013-11-19 2015-05-28 Endospan Ltd. Stent system with radial-expansion locking
US10478290B2 (en) * 2013-11-26 2019-11-19 Children's Medical Center Corporation Expandable stent valve
FR3021208B1 (fr) * 2014-05-23 2021-03-12 Thomas Modine Prothese de valve cardiaque mitrale ou tricuspide
DE102014114747A1 (de) * 2014-10-10 2016-04-14 Jotec Gmbh Gefäßprothesen-System
WO2016098113A1 (en) 2014-12-18 2016-06-23 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
PL3242640T3 (pl) 2015-01-11 2020-07-27 Ascyrus Medical, Llc Urządzenie hybrydowe do chirurgicznej naprawy aorty
US10517711B2 (en) 2016-04-25 2019-12-31 Medtronic Vascular, Inc. Dissection prosthesis system and method
CN111093561A (zh) 2017-07-07 2020-05-01 恩朵罗杰克斯股份有限公司 血管内移植物系统和用于部署在主要动脉和分支动脉中的方法
FR3087113B1 (fr) * 2018-10-12 2022-04-08 Ludovic Canaud Implant aortique de type stent, et ensemble forme de deux tels implants
JP7609796B2 (ja) 2019-03-20 2025-01-07 インキュベート メディカル テクノロジーズ、 エルエルシー 大動脈解離インプラント
WO2021262264A1 (en) 2020-06-24 2021-12-30 Bolton Medical, Inc. Anti-backspin component for vascular prosthesis delivery device
FR3123798B1 (fr) 2021-06-10 2023-12-22 Univ Claude Bernard Lyon Endoprothese fenetree de l’aorte thoracique

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1992006734A1 (en) * 1990-10-18 1992-04-30 Ho Young Song Self-expanding endovascular stent
US6030414A (en) * 1997-11-13 2000-02-29 Taheri; Syde A. Variable stent and method for treatment of arterial disease
AUPP083597A0 (en) 1997-12-10 1998-01-08 William A Cook Australia Pty Ltd Endoluminal aortic stents
US6398803B1 (en) * 1999-02-02 2002-06-04 Impra, Inc., A Subsidiary Of C.R. Bard, Inc. Partial encapsulation of stents
US6648913B1 (en) 1999-06-07 2003-11-18 Scimed Life Systems, Inc. Guidewire-access modular intraluminal prosthesis with connecting section
US6663667B2 (en) 1999-12-29 2003-12-16 Edwards Lifesciences Corporation Towel graft means for enhancing tissue ingrowth in vascular grafts
WO2002039924A2 (en) * 2000-11-17 2002-05-23 Evysio Medical Devices Ulc Endovascular prosthesis
DE60104647T2 (de) 2001-03-27 2005-08-11 William Cook Europe Aps Gefässtransplantat für die Aorta
US20040116998A1 (en) * 2001-11-19 2004-06-17 Raimund Erbel Endovascular prosthesis
JP4208075B2 (ja) * 2002-03-25 2009-01-14 クック インコーポレイティド 二股の／枝分かれした血管用プロテーゼ
JP4743889B2 (ja) * 2003-04-03 2011-08-10 ウイリアム エー クック オーストラリア ピィティワイ リミテッド 分岐ステントグラフの留置装置と方法
DE10337739B4 (de) * 2003-08-12 2009-11-26 Jotec Gmbh Stent zur Implantation in ein Blutgefäß, insbesondere im Bereich des Aortenbogens
US7144421B2 (en) * 2003-11-06 2006-12-05 Carpenter Judith T Endovascular prosthesis, system and method
US20050149168A1 (en) * 2003-12-30 2005-07-07 Daniel Gregorich Stent to be deployed on a bend
US8048140B2 (en) * 2004-03-31 2011-11-01 Cook Medical Technologies Llc Fenestrated intraluminal stent system

Also Published As

Publication number Publication date
EP1933763B1 (en) 2011-01-19
WO2007028086A2 (en) 2007-03-08
ES2360185T3 (es) 2011-06-01
JP2009506842A (ja) 2009-02-19
EP1933763A2 (en) 2008-06-25
DE602006019753D1 (de) 2011-03-03
US20070233229A1 (en) 2007-10-04
WO2007028086A3 (en) 2007-05-10
US8292949B2 (en) 2012-10-23
WO2007028086A8 (en) 2008-08-07

Similar Documents

Publication Publication Date Title
JP4901872B2 (ja) 胸部大動脈瘤を治療する方法およびその装置
KR101030945B1 (ko) 혈관 이상부를 강화하기 위한 혈관계내에 전달가능한스텐트
JP4394125B2 (ja) 多管腔補綴具システムおよび方法
KR100521671B1 (ko) 맥관내 보철장치 및 그 사용방법
US8900287B2 (en) Intravascular deliverable stent for reinforcement of abdominal aortic aneurysm
RU2179421C2 (ru) Способ размещения внутрипросветного трансплантата с использованием направляющей проволоки и катетера для него
JP4307086B2 (ja) 両側延伸用プロテーゼおよび配給方法
JP4354105B2 (ja) 前駆体ステントおよびこれを備えた大動脈移植片
JP4152072B2 (ja) プロテーゼ
US9149381B2 (en) Apparatus and method of placement of a graft or graft system
AU766582B2 (en) Implantable stroke preventing device
CA2565106C (en) Flexible vascular occluding device
JP4522258B2 (ja) 腹大動脈瘤を管理する装置
JP2022028723A (ja) 動脈瘤を治療するためのシステムおよび方法
JP4097897B2 (ja) 伸長性ステント装置
JP6290097B2 (ja) 腔内人工血管
JP5941583B2 (ja) 大動脈病変の血管内治療のための方法および装置
US20150005868A1 (en) Endovascular prosthesis
JP2023533277A (ja) 軸方向に圧縮可能且つ伸張可能なベアステント
CN113893071B (zh) 一种沿轴向可压缩的裸支架
US10849732B2 (en) Prosthesis for treating abdominal aortic aneurysm and method

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20090825

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20090825

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20110517

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20110523

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20110823

A602 Written permission of extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A602

Effective date: 20110830

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20111124

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: 20111219

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: 20111227

R150 Certificate of patent or registration of utility model

Ref document number: 4901872

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

Free format text: JAPANESE INTERMEDIATE CODE: R150

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20150113

Year of fee payment: 3

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

LAPS Cancellation because of no payment of annual fees