JP5308443B2 - 込心臓刺激システム用の患者スクリーニングキットおよび患者スクリーニング装置 - Google Patents
込心臓刺激システム用の患者スクリーニングキットおよび患者スクリーニング装置 Download PDFInfo
- Publication number
- JP5308443B2 JP5308443B2 JP2010522093A JP2010522093A JP5308443B2 JP 5308443 B2 JP5308443 B2 JP 5308443B2 JP 2010522093 A JP2010522093 A JP 2010522093A JP 2010522093 A JP2010522093 A JP 2010522093A JP 5308443 B2 JP5308443 B2 JP 5308443B2
- Authority
- JP
- Japan
- Prior art keywords
- patient
- screening
- shape
- implantable
- stimulator
- 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
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/321—Accessories or supplementary instruments therefor, e.g. cord hangers
- A61B5/322—Physical templates or devices for measuring ECG waveforms, e.g. electrocardiograph rulers or calipers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/333—Recording apparatus specially adapted therefor
- A61B5/338—Recording by printing on paper
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6823—Trunk, e.g., chest, back, abdomen, hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient; User input means
- A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US95745607P | 2007-08-23 | 2007-08-23 | |
| US60/957,456 | 2007-08-23 | ||
| US12/196,779 | 2008-08-22 | ||
| US12/196,779 US8079959B2 (en) | 2007-08-23 | 2008-08-22 | Patient screening tools for implantable cardiac stimulus systems |
| PCT/US2008/074118 WO2009026571A2 (en) | 2007-08-23 | 2008-08-22 | Patient screening tools for implantable cardiac stimulus systems |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2010536506A JP2010536506A (ja) | 2010-12-02 |
| JP2010536506A5 JP2010536506A5 (enExample) | 2011-05-19 |
| JP5308443B2 true JP5308443B2 (ja) | 2013-10-09 |
Family
ID=39855157
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010522093A Active JP5308443B2 (ja) | 2007-08-23 | 2008-08-22 | 込心臓刺激システム用の患者スクリーニングキットおよび患者スクリーニング装置 |
Country Status (9)
| Country | Link |
|---|---|
| US (3) | US8079959B2 (enExample) |
| EP (1) | EP2194857B1 (enExample) |
| JP (1) | JP5308443B2 (enExample) |
| CN (1) | CN101861122B (enExample) |
| AT (1) | ATE535187T1 (enExample) |
| AU (1) | AU2008288728B2 (enExample) |
| CA (1) | CA2695468C (enExample) |
| ES (1) | ES2377250T3 (enExample) |
| WO (1) | WO2009026571A2 (enExample) |
Families Citing this family (39)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2009026571A2 (en) | 2007-08-23 | 2009-02-26 | Cameron Health. Inc. | Patient screening tools for implantable cardiac stimulus systems |
| WO2009092055A1 (en) | 2008-01-18 | 2009-07-23 | Cameron Health, Inc. | Data manipulation following delivery of a cardiac stimulus in an implantable cardiac stimulus device |
| JP5457376B2 (ja) | 2008-03-07 | 2014-04-02 | キャメロン ヘルス、 インコーポレイテッド | 埋め込み型心臓刺激デバイスにおける的確な心臓事象検出 |
| ES2525691T3 (es) | 2008-03-07 | 2014-12-29 | Cameron Health, Inc. | Dispositivos para clasificar con precisión la actividad cardíaca |
| EP2313153B1 (en) | 2008-05-07 | 2012-04-25 | Cameron Health, Inc. | Devices for accurately classifying cardiac activity |
| US8483841B2 (en) | 2008-12-12 | 2013-07-09 | Cameron Health, Inc. | Electrode spacing in a subcutaneous implantable cardiac stimulus device |
| WO2011008550A1 (en) | 2009-06-29 | 2011-01-20 | Cameron Health, Inc. | Adaptive confirmation of treatable arrhythmia in implantable cardiac stimulus devices |
| US8265737B2 (en) | 2009-10-27 | 2012-09-11 | Cameron Health, Inc. | Methods and devices for identifying overdetection of cardiac signals |
| US8744555B2 (en) | 2009-10-27 | 2014-06-03 | Cameron Health, Inc. | Adaptive waveform appraisal in an implantable cardiac system |
| WO2011061968A1 (ja) * | 2009-11-19 | 2011-05-26 | オリンパスメディカルシステムズ株式会社 | 医療装置システム、カプセル型医療装置システム、及び被検体の姿勢項目の表示方法 |
| US8548573B2 (en) | 2010-01-18 | 2013-10-01 | Cameron Health, Inc. | Dynamically filtered beat detection in an implantable cardiac device |
| US8588895B2 (en) | 2011-04-22 | 2013-11-19 | Cameron Health, Inc. | Robust rate calculation in an implantable cardiac stimulus or monitoring device |
| US9849291B2 (en) | 2011-06-09 | 2017-12-26 | Cameron Health, Inc. | Antitachycardia pacing pulse from a subcutaneous defibrillator |
| CN105208928B (zh) | 2013-03-11 | 2018-10-19 | 卡梅伦保健公司 | 实施心律失常检测双重标准的设备 |
| US9486637B2 (en) | 2014-07-24 | 2016-11-08 | Medtronic, Inc. | Method and apparatus for accurate separation of supraventricular tachycardia from ventricular tachycardia during posture changes |
| US9924885B2 (en) | 2014-07-24 | 2018-03-27 | Medtronic, Inc. | Rhythm discriminator with immunity to body posture |
| US9554714B2 (en) | 2014-08-14 | 2017-01-31 | Cameron Health Inc. | Use of detection profiles in an implantable medical device |
| US10188867B2 (en) * | 2015-01-23 | 2019-01-29 | Medtronic, Inc. | Method and apparatus for beat acquisition during template generation in a medical device having dual sensing vectors |
| US9993171B2 (en) * | 2015-04-08 | 2018-06-12 | Cameron Health, Inc. | Automated screening methods and apparatuses for implantable medical devices |
| CN107454831B (zh) * | 2015-06-22 | 2020-11-13 | 数码心脏有限责任公司 | 控制心电图的获取的电子系统 |
| US10264989B2 (en) * | 2015-10-23 | 2019-04-23 | Cardiac Pacemakers, Inc. | Signal quality monitoring for multiple sense vectors in cardiac devices |
| US10391325B2 (en) | 2016-05-04 | 2019-08-27 | Cardiac Pacemakers, Inc. | Electrode designs in implantable defibrillator systems |
| WO2018005373A1 (en) | 2016-06-27 | 2018-01-04 | Cardiac Pacemakers, Inc. | Cardiac therapy system using subcutaneously sensed p-waves for resynchronization pacing management |
| WO2018009392A1 (en) | 2016-07-07 | 2018-01-11 | Cardiac Pacemakers, Inc. | Leadless pacemaker using pressure measurements for pacing capture verification |
| US10870008B2 (en) | 2016-08-24 | 2020-12-22 | Cardiac Pacemakers, Inc. | Cardiac resynchronization using fusion promotion for timing management |
| WO2018039335A1 (en) | 2016-08-24 | 2018-03-01 | Cardiac Pacemakers, Inc. | Integrated multi-device cardiac resynchronization therapy using p-wave to pace timing |
| US10758737B2 (en) | 2016-09-21 | 2020-09-01 | Cardiac Pacemakers, Inc. | Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter |
| EP3532161B1 (en) | 2016-10-27 | 2023-08-30 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
| US10463305B2 (en) | 2016-10-27 | 2019-11-05 | Cardiac Pacemakers, Inc. | Multi-device cardiac resynchronization therapy with timing enhancements |
| US11235145B2 (en) | 2016-11-17 | 2022-02-01 | Cardiac Pacemakers, Inc. | Directional subcutaneous implantable cardioverter defibrillator electrode |
| WO2018093605A1 (en) | 2016-11-21 | 2018-05-24 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker providing cardiac resynchronization therapy |
| WO2018118818A1 (en) | 2016-12-21 | 2018-06-28 | Cardiac Pacemakers, Inc. | Lead with integrated electrodes |
| US11207532B2 (en) | 2017-01-04 | 2021-12-28 | Cardiac Pacemakers, Inc. | Dynamic sensing updates using postural input in a multiple device cardiac rhythm management system |
| WO2019036600A1 (en) | 2017-08-18 | 2019-02-21 | Cardiac Pacemakers, Inc. | IMPLANTABLE MEDICAL DEVICE WITH PRESSURE SENSOR |
| CN110477906B (zh) * | 2019-08-26 | 2021-11-26 | 电子科技大学 | 一种心电信号qrs波起止点定位方法 |
| US20210169359A1 (en) * | 2019-12-06 | 2021-06-10 | Biosense Webster (Israel) Ltd. | Intra-cardiac pattern matching |
| US12076574B2 (en) | 2020-10-08 | 2024-09-03 | Cardiac Pacemakers, Inc. | Cardiac beat classification to avoid delivering shock during ventricular repolarization |
| CN114788702B (zh) * | 2022-05-23 | 2024-08-27 | 苏州无双医疗设备有限公司 | 一种植入式心脏监视器用标测工具及使用方法 |
| CN116392717B (zh) * | 2023-06-07 | 2023-08-25 | 苏州维伟思医疗科技有限公司 | 体外除颤系统、装置及其放电方法 |
Family Cites Families (32)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4030486A (en) * | 1969-06-10 | 1977-06-21 | George Eastman | Apparatus for measuring deflection and temporal values on electrocardiac tracings |
| US3980362A (en) * | 1974-08-28 | 1976-09-14 | Harter B Wayne | Position finding and course determining instrument |
| JPS5613928Y2 (enExample) * | 1974-12-28 | 1981-04-01 | ||
| US4550502A (en) * | 1983-04-15 | 1985-11-05 | Joseph Grayzel | Device for analysis of recorded electrocardiogram |
| US4884345A (en) * | 1988-05-12 | 1989-12-05 | Siemens-Pacesetter, Inc. | Adjustable template for pacemaker ECG analysis and method of use |
| US5137025A (en) * | 1990-12-17 | 1992-08-11 | Turner Ii Henry H | Nomogram for electrocardiographic interpretation and method of use |
| AU721854B2 (en) * | 1996-07-11 | 2000-07-13 | Medtronic, Inc. | Minimally invasive implantable device for monitoring physiologic events |
| US6496715B1 (en) * | 1996-07-11 | 2002-12-17 | Medtronic, Inc. | System and method for non-invasive determination of optimal orientation of an implantable sensing device |
| US6470893B1 (en) * | 2000-05-15 | 2002-10-29 | Peter V. Boesen | Wireless biopotential sensing device and method with capability of short-range radio frequency transmission and reception |
| US6647292B1 (en) * | 2000-09-18 | 2003-11-11 | Cameron Health | Unitary subcutaneous only implantable cardioverter-defibrillator and optional pacer |
| US7149575B2 (en) * | 2000-09-18 | 2006-12-12 | Cameron Health, Inc. | Subcutaneous cardiac stimulator device having an anteriorly positioned electrode |
| US6721597B1 (en) * | 2000-09-18 | 2004-04-13 | Cameron Health, Inc. | Subcutaneous only implantable cardioverter defibrillator and optional pacer |
| WO2002064205A2 (en) * | 2001-02-13 | 2002-08-22 | Quetzal Biomedical, Inc. | Multi-electrode apparatus and method for treatment of congestive heart failure |
| US6892092B2 (en) * | 2001-10-29 | 2005-05-10 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with noise detector utilizing a hysteresis providing threshold |
| US7248921B2 (en) * | 2003-06-02 | 2007-07-24 | Cameron Health, Inc. | Method and devices for performing cardiac waveform appraisal |
| US7330757B2 (en) * | 2001-11-21 | 2008-02-12 | Cameron Health, Inc. | Method for discriminating between ventricular and supraventricular arrhythmias |
| US7376458B2 (en) * | 2004-11-29 | 2008-05-20 | Cameron Health, Inc. | Method for defining signal templates in implantable cardiac devices |
| EP1745741A1 (en) * | 2005-07-19 | 2007-01-24 | Gabriele Moretti-Prucher | Ruler for evaluation of signals |
| US7293363B1 (en) * | 2005-10-05 | 2007-11-13 | Parker Emmett L | Dual line protractor for biometric measurements |
| US7421300B2 (en) * | 2005-10-31 | 2008-09-02 | Medtronic, Inc. | Implantation of medical device with measurement of body surface potential |
| US20070123947A1 (en) * | 2005-11-30 | 2007-05-31 | Wenger William K | Medical device packaging system |
| US20070179388A1 (en) | 2006-01-30 | 2007-08-02 | Vincent Larik | Methods and systems of implanting a medical implant for improved signal detection |
| US7496409B2 (en) * | 2006-03-29 | 2009-02-24 | Medtronic, Inc. | Implantable medical device system and method with signal quality monitoring and response |
| US8200341B2 (en) * | 2007-02-07 | 2012-06-12 | Cameron Health, Inc. | Sensing vector selection in a cardiac stimulus device with postural assessment |
| US8788023B2 (en) * | 2006-05-26 | 2014-07-22 | Cameron Health, Inc. | Systems and methods for sensing vector selection in an implantable medical device |
| US7783340B2 (en) * | 2007-01-16 | 2010-08-24 | Cameron Health, Inc. | Systems and methods for sensing vector selection in an implantable medical device using a polynomial approach |
| US7623909B2 (en) * | 2006-05-26 | 2009-11-24 | Cameron Health, Inc. | Implantable medical devices and programmers adapted for sensing vector selection |
| US20070276452A1 (en) * | 2006-05-26 | 2007-11-29 | Cameron Health, Inc. | Implantable medical device systems having initialization functions and methods of operation |
| US7904153B2 (en) * | 2007-04-27 | 2011-03-08 | Medtronic, Inc. | Method and apparatus for subcutaneous ECG vector acceptability and selection |
| WO2009026571A2 (en) | 2007-08-23 | 2009-02-26 | Cameron Health. Inc. | Patient screening tools for implantable cardiac stimulus systems |
| JP5457376B2 (ja) | 2008-03-07 | 2014-04-02 | キャメロン ヘルス、 インコーポレイテッド | 埋め込み型心臓刺激デバイスにおける的確な心臓事象検出 |
| US8588895B2 (en) | 2011-04-22 | 2013-11-19 | Cameron Health, Inc. | Robust rate calculation in an implantable cardiac stimulus or monitoring device |
-
2008
- 2008-08-22 WO PCT/US2008/074118 patent/WO2009026571A2/en not_active Ceased
- 2008-08-22 CN CN200880104126.6A patent/CN101861122B/zh active Active
- 2008-08-22 CA CA2695468A patent/CA2695468C/en active Active
- 2008-08-22 EP EP08827799A patent/EP2194857B1/en active Active
- 2008-08-22 AU AU2008288728A patent/AU2008288728B2/en not_active Ceased
- 2008-08-22 AT AT08827799T patent/ATE535187T1/de active
- 2008-08-22 JP JP2010522093A patent/JP5308443B2/ja active Active
- 2008-08-22 ES ES08827799T patent/ES2377250T3/es active Active
- 2008-08-22 US US12/196,779 patent/US8079959B2/en active Active
-
2011
- 2011-11-30 US US13/308,281 patent/US20120071773A1/en not_active Abandoned
-
2015
- 2015-03-06 US US14/640,367 patent/US9380955B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| US9380955B2 (en) | 2016-07-05 |
| AU2008288728B2 (en) | 2013-05-02 |
| CA2695468A1 (en) | 2009-02-26 |
| AU2008288728A1 (en) | 2009-02-26 |
| US20150196211A1 (en) | 2015-07-16 |
| EP2194857A2 (en) | 2010-06-16 |
| US8079959B2 (en) | 2011-12-20 |
| WO2009026571A3 (en) | 2009-04-30 |
| JP2010536506A (ja) | 2010-12-02 |
| US20090054796A1 (en) | 2009-02-26 |
| ATE535187T1 (de) | 2011-12-15 |
| CA2695468C (en) | 2016-05-17 |
| WO2009026571A2 (en) | 2009-02-26 |
| ES2377250T3 (es) | 2012-03-23 |
| CN101861122A (zh) | 2010-10-13 |
| CN101861122B (zh) | 2014-11-26 |
| EP2194857B1 (en) | 2011-11-30 |
| US20120071773A1 (en) | 2012-03-22 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JP5308443B2 (ja) | 込心臓刺激システム用の患者スクリーニングキットおよび患者スクリーニング装置 | |
| CN105578955B (zh) | 确定心脏去极化和复极化波的起始和终止 | |
| EP3595522B1 (en) | Qrs offset and onset determination | |
| ES2691249T3 (es) | Selección de vectores de detección en un dispositivo de estimulación cardiaca con evaluación postural | |
| US8019409B2 (en) | Cardiac resynchronization therapy optimization using electromechanical delay from realtime electrode motion tracking | |
| US9993171B2 (en) | Automated screening methods and apparatuses for implantable medical devices | |
| US9254094B2 (en) | Detection and monitoring using high frequency electrogram analysis | |
| CN116782818A (zh) | 分析和监测各种生理状况下的高频电描记图和心电图的装置和方法 | |
| US20160113533A1 (en) | Detection and monitoring using high frequency electrogram analysis | |
| CN110996776A (zh) | 心脏标测和模型合并的方法 | |
| Uddin et al. | ECG Arryhthmia Classifier | |
| KR102848795B1 (ko) | 심장 활동 동역학의 다차원적 분석을 위한 방법 및 장치 | |
| EP2954841A1 (en) | Detection and monitoring using high frequency electrogram analysis |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20110330 |
|
| A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20110330 |
|
| RD04 | Notification of resignation of power of attorney |
Free format text: JAPANESE INTERMEDIATE CODE: A7424 Effective date: 20120206 |
|
| A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20130402 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20130531 |
|
| 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: 20130625 |
|
| A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20130628 |
|
| R150 | Certificate of patent or registration of utility model |
Free format text: JAPANESE INTERMEDIATE CODE: R150 Ref document number: 5308443 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
| S531 | Written request for registration of change of domicile |
Free format text: JAPANESE INTERMEDIATE CODE: R313531 |
|
| R350 | Written notification of registration of transfer |
Free format text: JAPANESE INTERMEDIATE CODE: R350 |
|
| 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 |