JP6383780B2 - 手術用器具の駆動要素及び関連する装置、システム、及び方法 - Google Patents

手術用器具の駆動要素及び関連する装置、システム、及び方法 Download PDF

Info

Publication number
JP6383780B2
JP6383780B2 JP2016504313A JP2016504313A JP6383780B2 JP 6383780 B2 JP6383780 B2 JP 6383780B2 JP 2016504313 A JP2016504313 A JP 2016504313A JP 2016504313 A JP2016504313 A JP 2016504313A JP 6383780 B2 JP6383780 B2 JP 6383780B2
Authority
JP
Japan
Prior art keywords
drive element
surgical instrument
exemplary embodiment
push
clevis
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
Application number
JP2016504313A
Other languages
English (en)
Japanese (ja)
Other versions
JP2016518171A (ja
JP2016518171A5 (enExample
Inventor
クルーズ,サミュエル
ライアン ステガー,ジョン
ライアン ステガー,ジョン
Original Assignee
インテュイティブ サージカル オペレーションズ, インコーポレイテッド
インテュイティブ サージカル オペレーションズ, 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 インテュイティブ サージカル オペレーションズ, インコーポレイテッド, インテュイティブ サージカル オペレーションズ, インコーポレイテッド filed Critical インテュイティブ サージカル オペレーションズ, インコーポレイテッド
Publication of JP2016518171A publication Critical patent/JP2016518171A/ja
Publication of JP2016518171A5 publication Critical patent/JP2016518171A5/ja
Application granted granted Critical
Publication of JP6383780B2 publication Critical patent/JP6383780B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A61B18/1447Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B34/35Surgical robots for telesurgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936Pins in guiding slots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2947Pivots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00077Electrical conductivity high, i.e. electrically conducting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00172Connectors and adapters therefor
    • A61B2018/00178Electrical connectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
  • Manipulator (AREA)
JP2016504313A 2013-03-18 2014-03-13 手術用器具の駆動要素及び関連する装置、システム、及び方法 Active JP6383780B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361803046P 2013-03-18 2013-03-18
US61/803,046 2013-03-18
PCT/US2014/026137 WO2014151633A1 (en) 2013-03-18 2014-03-13 Surgical instrument drive element, and related devices, systems, and methods

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2018147890A Division JP6708710B2 (ja) 2013-03-18 2018-08-06 手術用器具の駆動要素及び関連する装置、システム、及び方法

Publications (3)

Publication Number Publication Date
JP2016518171A JP2016518171A (ja) 2016-06-23
JP2016518171A5 JP2016518171A5 (enExample) 2017-04-06
JP6383780B2 true JP6383780B2 (ja) 2018-08-29

Family

ID=51531098

Family Applications (4)

Application Number Title Priority Date Filing Date
JP2016504313A Active JP6383780B2 (ja) 2013-03-18 2014-03-13 手術用器具の駆動要素及び関連する装置、システム、及び方法
JP2018147890A Active JP6708710B2 (ja) 2013-03-18 2018-08-06 手術用器具の駆動要素及び関連する装置、システム、及び方法
JP2020088721A Active JP7019747B2 (ja) 2013-03-18 2020-05-21 手術用器具の駆動要素及び関連する装置、システム、及び方法
JP2022014842A Active JP7286818B2 (ja) 2013-03-18 2022-02-02 手術用器具の駆動要素及び関連する装置、システム、及び方法

Family Applications After (3)

Application Number Title Priority Date Filing Date
JP2018147890A Active JP6708710B2 (ja) 2013-03-18 2018-08-06 手術用器具の駆動要素及び関連する装置、システム、及び方法
JP2020088721A Active JP7019747B2 (ja) 2013-03-18 2020-05-21 手術用器具の駆動要素及び関連する装置、システム、及び方法
JP2022014842A Active JP7286818B2 (ja) 2013-03-18 2022-02-02 手術用器具の駆動要素及び関連する装置、システム、及び方法

Country Status (6)

Country Link
US (4) US9498242B2 (enExample)
EP (2) EP3488807B1 (enExample)
JP (4) JP6383780B2 (enExample)
KR (1) KR102256358B1 (enExample)
CN (4) CN113331951B (enExample)
WO (1) WO2014151633A1 (enExample)

Families Citing this family (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3488807B1 (en) 2013-03-18 2020-09-09 Intuitive Surgical Operations Inc. Surgical instrument drive element, related devices and systems
ITUB20154977A1 (it) 2015-10-16 2017-04-16 Medical Microinstruments S R L Strumento medicale e metodo di fabbricazione di detto strumento medicale
CN108289691B (zh) * 2015-11-13 2021-04-09 直观外科手术操作公司 具有二自由度腕部的推拉式缝合器
US10973517B2 (en) 2015-11-13 2021-04-13 Intuitive Surgical Operations, Inc. Stapler with composite cardan and screw drive
NL2017630B1 (en) * 2016-10-17 2018-04-24 Surge On Medical B V A surgical device
US11364067B2 (en) * 2017-10-06 2022-06-21 Cilag Gmbh International Electrical isolation of electrosurgical instruments
EP3727140B1 (en) 2017-12-22 2023-11-01 Briteseed, LLC A compact system used to determine tissue or artifact characteristics
EP3578118B1 (de) 2018-06-05 2022-08-31 Erbe Elektromedizin GmbH Chirurgisches instrument
KR20210032998A (ko) * 2018-07-17 2021-03-25 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 감소된 커패시턴스를 갖는 수술 기구, 관련 디바이스, 및 관련 방법
USD904611S1 (en) 2018-10-10 2020-12-08 Bolder Surgical, Llc Jaw design for a surgical instrument
JP7066875B2 (ja) * 2018-11-30 2022-05-13 オリンパス株式会社 把持機構
WO2020131685A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments with switches for deactivating and/or identifying stapler cartridges
CN113194847A (zh) * 2018-12-21 2021-07-30 直观外科手术操作公司 用于外科手术器械的致动机构
WO2020214258A1 (en) 2019-04-15 2020-10-22 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
EP3975875B1 (en) 2019-05-31 2025-09-24 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
CA3165884A1 (en) * 2019-12-30 2021-07-08 Beijing Surgerii Technology Co., Ltd. Surgical effector, surgical tool and surgical robot
WO2021141971A1 (en) 2020-01-07 2021-07-15 Intuitive Surgical Operations, Inc. Surgical instruments for applying multiple clips
WO2022150212A1 (en) 2021-01-08 2022-07-14 Intuitive Surgical Operations, Inc. Surgical instrument with linear and purse string suture staples
DE102021201311A1 (de) * 2021-02-11 2022-08-11 Aesculap Ag Chirurgisches Instrument, Werkzeugeinrichtung für ein solches chirurgisches Instrument und Verfahren zur Herstellung einer solchen Werkzeugeinrichtung
US12433664B2 (en) 2021-05-03 2025-10-07 Covidien Lp Motor position control and methods for robotic assisted sealing instrument
US12257014B2 (en) * 2021-06-22 2025-03-25 Intuitive Surgical Operations, Inc. Devices and methods for crimp interface for cable tension sensor
US12065076B2 (en) * 2021-06-28 2024-08-20 Dana Automotive Systems Group, Llc High efficiency electrical conduit
GB2611346B (en) * 2021-10-01 2024-08-07 Cmr Surgical Ltd A robotic surgical instrument
WO2023101968A1 (en) 2021-11-30 2023-06-08 Endoquest Robotics, Inc. Steerable overtube assemblies for robotic surgical systems
KR20240153547A (ko) 2021-11-30 2024-10-23 엔도퀘스트 로보틱스 인코포레이티드 로봇 수술 시스템용 배리어 드레이프 어댑터
TWI838986B (zh) 2021-11-30 2024-04-11 美商安督奎斯特機器人公司 患者控制台、具有該患者控制台的機器人手術系統及其執行方法
KR20240134850A (ko) 2021-11-30 2024-09-10 엔도퀘스트 로보틱스 인코포레이티드 로봇 수술 시스템용 마스터 제어 시스템
WO2023101974A1 (en) 2021-11-30 2023-06-08 Endoquest Robotics, Inc. Force transmission systems for robotically controlled medical devices
KR20240144086A (ko) 2021-11-30 2024-10-02 엔도퀘스트 로보틱스 인코포레이티드 일회용 엔드 이펙터
IT202300012834A1 (it) 2023-06-21 2024-12-21 Medical Microinstruments Inc Strumento attivo elettrochirurgico e cuffia di protezione, particolarmente per teleoperazione medico-chirurgica, e relativo sistema robotizzato
IT202300017115A1 (it) 2023-08-10 2025-02-10 Medical Microinstruments Inc Strumento elettrochirurgico bipolare per teleoperazione medico-chirurgica e metodo di fabbricazione
IT202300025815A1 (it) 2023-12-04 2025-06-04 Medical Microinstruments Inc Strumento chirurgico o microchirurgico per teleoperazione robotizzata comprendente un manicotto flessibile munito di almeno una pista elettricamente conduttiva
CN119632663B (zh) * 2025-02-14 2025-12-02 温州医科大学附属第一医院 手术执行器、手术工具及手术机器人

Family Cites Families (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60107291U (ja) * 1983-12-27 1985-07-22 株式会社 ニチベイ ロ−ルスクリ−ン
US5396900A (en) 1991-04-04 1995-03-14 Symbiosis Corporation Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery
WO1994024947A1 (en) * 1993-04-30 1994-11-10 Minnesota Mining And Manufacturing Company Surgical instrument having an articulated jaw structure and a detachable knife
US5395369A (en) * 1993-06-10 1995-03-07 Symbiosis Corporation Endoscopic bipolar electrocautery instruments
US5782749A (en) * 1994-05-10 1998-07-21 Riza; Erol D. Laparoscopic surgical instrument with adjustable grip
CA2194775A1 (en) * 1994-07-14 1996-02-01 Symbiosis Corporation Track guided end effector assembly
US5478350A (en) * 1994-07-14 1995-12-26 Symbiosis Corporation Rack and pinion actuator handle for endoscopic instruments
US5695511A (en) * 1994-11-29 1997-12-09 Metamorphic Surgical Devices Surgical instruments for minimally invasive procedures
US5904702A (en) * 1997-08-14 1999-05-18 University Of Massachusetts Instrument for thoracic surgical procedures
US6139563A (en) 1997-09-25 2000-10-31 Allegiance Corporation Surgical device with malleable shaft
US5919206A (en) * 1998-02-20 1999-07-06 C. M. Wright, Inc. Surgical tool
US6193718B1 (en) * 1998-06-10 2001-02-27 Scimed Life Systems, Inc. Endoscopic electrocautery instrument
US20040249374A1 (en) * 1998-10-23 2004-12-09 Tetzlaff Philip M. Vessel sealing instrument
CA2442960C (en) * 2001-04-06 2011-03-22 Sherwood Services Ag Vessel sealing instrument
US6733514B2 (en) 2001-10-05 2004-05-11 Pilling Weck Incorporated Jaw assembly for endoscopic instruments
DE202004010780U1 (de) * 2004-07-02 2004-09-09 Karl Storz Gmbh & Co. Kg Medizinisches Instrument für die Elektrochirurgie
US7918848B2 (en) * 2005-03-25 2011-04-05 Maquet Cardiovascular, Llc Tissue welding and cutting apparatus and method
US8197472B2 (en) * 2005-03-25 2012-06-12 Maquet Cardiovascular, Llc Tissue welding and cutting apparatus and method
US8771270B2 (en) 2008-07-16 2014-07-08 Intuitive Surgical Operations, Inc. Bipolar cautery instrument
US8968355B2 (en) * 2008-08-04 2015-03-03 Covidien Lp Articulating surgical device
US8409200B2 (en) * 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
CN102264307A (zh) * 2008-12-12 2011-11-30 伊顿株式会社 手术器械
US8333780B1 (en) * 2009-06-05 2012-12-18 Okay Industries, Inc. Surgical tool and method of operation
JP4841705B2 (ja) * 2009-09-15 2011-12-21 オリンパスメディカルシステムズ株式会社 内視鏡用処置具
US8545515B2 (en) 2009-09-23 2013-10-01 Intuitive Surgical Operations, Inc. Curved cannula surgical system
US9339341B2 (en) 2010-02-08 2016-05-17 Intuitive Surgical Operations, Inc. Direct pull surgical gripper
RO126740A2 (ro) * 2010-04-02 2011-10-28 Cătălin Eşanu Instrument chirurgical endoscopic cu clamp detaşabil, instrument extractor al clamp-ului şi metodă de utilizare
CN201752400U (zh) * 2010-06-25 2011-03-02 深圳市第二人民医院 宫腔检查电切镜
JP5704858B2 (ja) * 2010-08-24 2015-04-22 Hoya株式会社 内視鏡用鉗子
US9918731B2 (en) * 2012-07-06 2018-03-20 Intuitive Surgical Operations, Inc. Remotely actuated surgical gripper with seize resistance
KR101753504B1 (ko) * 2013-02-07 2017-07-03 텔리플렉스 메디컬 인코포레이티드 엔드 이펙터 연결 및 작동 시스템
EP3488807B1 (en) 2013-03-18 2020-09-09 Intuitive Surgical Operations Inc. Surgical instrument drive element, related devices and systems

Also Published As

Publication number Publication date
US20230210584A1 (en) 2023-07-06
EP2976026A1 (en) 2016-01-27
JP7286818B2 (ja) 2023-06-05
US20200397502A1 (en) 2020-12-24
KR20150127284A (ko) 2015-11-16
WO2014151633A1 (en) 2014-09-25
JP2018164829A (ja) 2018-10-25
JP7019747B2 (ja) 2022-02-15
KR102256358B1 (ko) 2021-05-27
JP2016518171A (ja) 2016-06-23
EP3488807A1 (en) 2019-05-29
CN108113756A (zh) 2018-06-05
US9498242B2 (en) 2016-11-22
JP6708710B2 (ja) 2020-06-10
CN105188572B (zh) 2017-12-26
CN113331951B (zh) 2024-08-06
US20170056098A1 (en) 2017-03-02
US20140277106A1 (en) 2014-09-18
CN113331951A (zh) 2021-09-03
CN108113756B (zh) 2021-07-30
EP2976026B1 (en) 2019-02-27
CN118892366A (zh) 2024-11-05
US11564734B2 (en) 2023-01-31
JP2022048308A (ja) 2022-03-25
EP2976026A4 (en) 2016-11-09
JP2020146477A (ja) 2020-09-17
EP3488807B1 (en) 2020-09-09
US10716617B2 (en) 2020-07-21
CN105188572A (zh) 2015-12-23

Similar Documents

Publication Publication Date Title
JP6383780B2 (ja) 手術用器具の駆動要素及び関連する装置、システム、及び方法
CN105188593B (zh) 远程操作的手术系统的力传递机构
JP6064100B1 (ja) マニピュレータ及びマニピュレータシステム
EP2532297B1 (en) Operation mechanism, endoscope apparatus, and guide catheter
CN107530134A (zh) 机电手术系统
EP3094271B1 (en) Steerable surgical device with joystick
JP2018114231A (ja) 内視鏡システム及び動力伝達機構
CN102670280B (zh) 具有改善的操作性能的手术器械

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20170306

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20170306

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20180118

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20180206

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20180502

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20180514

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: 20180710

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20180806

R150 Certificate of patent or registration of utility model

Ref document number: 6383780

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

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