JP6336754B2 - 自動ｃｐｒ装置のための胸部追跡アルゴリズム - Google Patents

自動ｃｐｒ装置のための胸部追跡アルゴリズム Download PDF

Info

Publication number
JP6336754B2
JP6336754B2 JP2013538303A JP2013538303A JP6336754B2 JP 6336754 B2 JP6336754 B2 JP 6336754B2 JP 2013538303 A JP2013538303 A JP 2013538303A JP 2013538303 A JP2013538303 A JP 2013538303A JP 6336754 B2 JP6336754 B2 JP 6336754B2
Authority
JP
Japan
Prior art keywords
compression
chest
controlling
start position
depth
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
JP2013538303A
Other languages
English (en)
Japanese (ja)
Other versions
JP2013545541A5 (cg-RX-API-DMAC7.html
JP2013545541A (ja
Inventor
パウル アーレン
パウル アーレン
ピエール ヘルマヌス ウールリー
ピエール ヘルマヌス ウールリー
イゴール ウィルヘルムス フランシスクス ポールッセン
イゴール ウィルヘルムス フランシスクス ポールッセン
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
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 Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of JP2013545541A publication Critical patent/JP2013545541A/ja
Publication of JP2013545541A5 publication Critical patent/JP2013545541A5/ja
Application granted granted Critical
Publication of JP6336754B2 publication Critical patent/JP6336754B2/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
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage
    • A61H31/004—Heart stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage
    • A61H31/004—Heart stimulation
    • A61H31/006—Power driven
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0173—Means for preventing injuries
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0173—Means for preventing injuries
    • A61H2201/018—By limiting the applied torque or force
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5007—Control means thereof computer controlled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5007—Control means thereof computer controlled
    • A61H2201/501—Control means thereof computer controlled connected to external computer devices or networks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5007—Control means thereof computer controlled
    • A61H2201/501—Control means thereof computer controlled connected to external computer devices or networks
    • A61H2201/5012—Control means thereof computer controlled connected to external computer devices or networks using the internet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5051—Control means thereof hydraulically controlled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5056—Control means thereof pneumatically controlled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5058—Sensors or detectors
    • A61H2201/5061—Force sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5058—Sensors or detectors
    • A61H2201/5064—Position sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/08—Trunk
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/08—Trunk
    • A61H2205/084—Chest

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Output Control And Ontrol Of Special Type Engine (AREA)
JP2013538303A 2010-11-11 2011-11-02 自動ｃｐｒ装置のための胸部追跡アルゴリズム Expired - Fee Related JP6336754B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP10190850 2010-11-11
EP10190850.7 2010-11-11
PCT/IB2011/054861 WO2012063163A1 (en) 2010-11-11 2011-11-02 Chest following algorithm for automated cpr device

Publications (3)

Publication Number Publication Date
JP2013545541A JP2013545541A (ja) 2013-12-26
JP2013545541A5 JP2013545541A5 (cg-RX-API-DMAC7.html) 2014-12-18
JP6336754B2 true JP6336754B2 (ja) 2018-06-06

Family

ID=44999835

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2013538303A Expired - Fee Related JP6336754B2 (ja) 2010-11-11 2011-11-02 自動ｃｐｒ装置のための胸部追跡アルゴリズム

Country Status (7)

Country Link
US (1) US9566210B2 (cg-RX-API-DMAC7.html)
EP (1) EP2637626B1 (cg-RX-API-DMAC7.html)
JP (1) JP6336754B2 (cg-RX-API-DMAC7.html)
CN (1) CN103200920B (cg-RX-API-DMAC7.html)
BR (1) BR112013011544A2 (cg-RX-API-DMAC7.html)
RU (1) RU2597944C2 (cg-RX-API-DMAC7.html)
WO (1) WO2012063163A1 (cg-RX-API-DMAC7.html)

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8512260B2 (en) 2008-10-29 2013-08-20 The Regents Of The University Of Colorado, A Body Corporate Statistical, noninvasive measurement of intracranial pressure
US11857293B2 (en) 2008-10-29 2024-01-02 Flashback Technologies, Inc. Rapid detection of bleeding before, during, and after fluid resuscitation
US12201405B2 (en) 2008-10-29 2025-01-21 Flashback Technologies, Inc. Assessing effectiveness of CPR
US11395634B2 (en) 2008-10-29 2022-07-26 Flashback Technologies, Inc. Estimating physiological states based on changes in CRI
US11395594B2 (en) 2008-10-29 2022-07-26 Flashback Technologies, Inc. Noninvasive monitoring for fluid resuscitation
US11478190B2 (en) 2008-10-29 2022-10-25 Flashback Technologies, Inc. Noninvasive hydration monitoring
US11406269B2 (en) 2008-10-29 2022-08-09 Flashback Technologies, Inc. Rapid detection of bleeding following injury
US11382571B2 (en) 2008-10-29 2022-07-12 Flashback Technologies, Inc. Noninvasive predictive and/or estimative blood pressure monitoring
CA2871608C (en) 2011-07-22 2020-07-07 Flashback Technologies, Inc. Hemodynamic reserve monitor and hemodialysis control
US9713568B2 (en) 2012-12-21 2017-07-25 Physio-Control, Inc. Mechanical CPR device with automatic suction cup attachment
US10143619B2 (en) 2013-05-10 2018-12-04 Physio-Control, Inc. CPR chest compression machine performing prolonged chest compression
US10292899B2 (en) 2014-05-09 2019-05-21 Physio-Control, Inc. CPR chest compression machine adjusting motion-time profile in view of detected force
EP3231409B1 (en) * 2014-06-06 2021-10-20 Physio-Control, Inc. Mechanical cpr device
WO2016061542A1 (en) * 2014-10-16 2016-04-21 Flashback Technologies, Inc. Rapid detection of bleeding before, during, and after fluid resuscitation
EP3220873B1 (en) 2014-11-17 2022-06-22 Physio-Control, Inc. Cpr chest compression machine adjusting motion-time profile in view of detected force
US11058602B2 (en) 2015-09-21 2021-07-13 Zoll Medical Corporation Chest compliance directed chest compressions
KR101956776B1 (ko) * 2016-01-29 2019-03-11 서울대학교산학협력단 자동 심폐소생 장치 및 제어 방법
EP3452933A1 (en) 2016-05-06 2019-03-13 Koninklijke Philips N.V. A cpr assistance device and a method for determining patient chest compression depth
EP3493782B1 (en) * 2016-08-03 2021-10-27 Jolife AB Mechanical cpr with selective zero-position & compression depth adjustment
EP3301681B1 (en) 2016-09-30 2019-11-06 Zoll Medical Corporation Active compression decompression cardiopulmonary resuscitation chest compression feedback
US10835450B2 (en) 2016-12-30 2020-11-17 Stryker Corporation CPR chest compression system periodically reminding attendant to check patient
US11523966B2 (en) * 2016-12-30 2022-12-13 Physio-Control, Inc. CPR chest compression system
US11179293B2 (en) 2017-07-28 2021-11-23 Stryker Corporation Patient support system with chest compression system and harness assembly with sensor system
US20190374430A1 (en) * 2018-06-08 2019-12-12 Defibtech, Llc Autonomous Mechanical CPR Device
US11918386B2 (en) 2018-12-26 2024-03-05 Flashback Technologies, Inc. Device-based maneuver and activity state-based physiologic status monitoring
CN118415870B (zh) * 2024-07-04 2024-09-13 浙江大学医学院附属第二医院 一种cpr按压深度调节方法、装置及cpr按压设备

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5399148A (en) * 1990-07-06 1995-03-21 Baswat Holdings Pty. Ltd. External cardiac massage device
US5327887A (en) * 1993-01-25 1994-07-12 Ludwik Nowakowski Cardiopulmonary resuscitation device
US5769800A (en) * 1995-03-15 1998-06-23 The Johns Hopkins University Inc. Vest design for a cardiopulmonary resuscitation system
US6066106A (en) 1998-05-29 2000-05-23 Emergency Medical Systems, Inc. Modular CPR assist device
AU1611200A (en) * 1998-11-09 2000-05-29 Johns Hopkins University, The Automated chest compression apparatus
US6171267B1 (en) 1999-01-07 2001-01-09 Michigan Instruments, Inc. High impulse cardiopulmonary resuscitator
US6616620B2 (en) * 2001-05-25 2003-09-09 Revivant Corporation CPR assist device with pressure bladder feedback
US7226427B2 (en) 2003-05-12 2007-06-05 Jolife Ab Systems and procedures for treating cardiac arrest
US8007451B2 (en) * 2006-05-11 2011-08-30 Laerdal Medical As Servo motor for CPR with decompression stroke faster than the compression stroke
RU2336859C2 (ru) * 2006-10-18 2008-10-27 Общество с ограниченной ответственностью Фирма "Тритон-ЭлектроникС" Способ искусственной вентиляции легких и устройство для его осуществления
EP2599468A1 (en) 2007-01-18 2013-06-05 Physio-Control, Inc. Driving control of a reciprocating CPR apparatus
US20090062701A1 (en) * 2007-06-29 2009-03-05 Advanced Circulatory Systems, Inc. Lower extremity compression devices, systems and methods to enhance circulation
CN101835447B (zh) 2007-09-21 2013-07-17 皇家飞利浦电子股份有限公司 Cpr监控和报告系统
JP5372011B2 (ja) * 2007-12-19 2013-12-18 コーニンクレッカ フィリップス エヌ ヴェ 自動ｃｐｒに対するシステム及び方法
AU2009244925B2 (en) * 2008-05-07 2014-03-27 Jolife Ab CPR apparatus and method
EP2303218B1 (en) * 2008-06-26 2015-09-30 Koninklijke Philips N.V. Smart servo for a mechanical cpr system
KR101556813B1 (ko) 2008-07-23 2015-10-01 아트리오 메디컬, 아이엔씨. 심폐소생술을 수행하는 동안, 압박 파라미터들을 측정하는 심폐소생술 보조 장치
US20100198118A1 (en) * 2009-02-05 2010-08-05 Michael Itai Itnati Augmenting force-delivery in belt-type ECM devices

Also Published As

Publication number Publication date
CN103200920B (zh) 2016-03-23
EP2637626B1 (en) 2019-10-30
US9566210B2 (en) 2017-02-14
RU2013126594A (ru) 2014-12-20
EP2637626A1 (en) 2013-09-18
WO2012063163A1 (en) 2012-05-18
JP2013545541A (ja) 2013-12-26
CN103200920A (zh) 2013-07-10
US20130218056A1 (en) 2013-08-22
RU2597944C2 (ru) 2016-09-20
BR112013011544A2 (pt) 2020-08-04

Similar Documents

Publication Publication Date Title
JP6336754B2 (ja) 自動ｃｐｒ装置のための胸部追跡アルゴリズム
US10143621B2 (en) CPR chest compression monitor with reference sensor
US12357534B2 (en) Chest compliance directed chest compressions
CN101917952B (zh) 用于自动cpr的系统
EP3613399B1 (en) Automated detection of cardiopulmonary resuscitation chest compressions
EP3437619B1 (en) System and method for distinguishing manual from automated cpr
US20190175443A1 (en) Mechanical cpr with selective zero-position & compression depth adjustment
JP2011161258A (ja) 心肺蘇生中の胸部圧迫深度を測定する装置
WO2003096953A3 (en) Reciprocating movement platform for the external addition of pulses to the fluid channels of a subject
CN105188635A (zh) 为cpr处理提供反馈
JP2017079807A (ja) 生体センサ、生体データ収集端末、生体データ収集システム、及び生体データ収集方法
US20210112995A1 (en) Intrauterine environment simulation system
BRPI0413304A (pt) plataforma móvel para prover aceleração periódica a um indivìduo, e, método para tratamento médico de um indivìduo
WO2020160448A1 (en) Systems and methods for determining compression depth and providing feedback during active compression decompressions
JP2016082536A (ja) 加速度発生装置および情報呈示方法
US20230381061A1 (en) Cpr feedback system progressively diminishing target compression depth to prevent over-compression
Halperin Mechanical devices for cardiopulmonary resuscitation
US20240350354A1 (en) Mechanical chest compression systems and methods with active compression and decompression
CN121083699A (zh) 一种基于人工智能的情感交互养老陪伴系统
JP2021182037A (ja) 胸骨圧迫手技判定装置、胸骨圧迫手技判定プログラム及び胸骨圧迫手技判定方法

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20141031

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20141031

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20150909

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20150924

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20151216

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20160314

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20160419

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20160715

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20160913

RD03 Notification of appointment of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7423

Effective date: 20161115

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20170110

A911 Transfer to examiner for re-examination before appeal (zenchi)

Free format text: JAPANESE INTERMEDIATE CODE: A911

Effective date: 20170119

A912 Re-examination (zenchi) completed and case transferred to appeal board

Free format text: JAPANESE INTERMEDIATE CODE: A912

Effective date: 20170210

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20180326

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20180507

R150 Certificate of patent or registration of utility model

Ref document number: 6336754

Country of ref document: JP

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

LAPS Cancellation because of no payment of annual fees