JP6384965B2 - 呼気流を増加させるための方法及び装置 - Google Patents

呼気流を増加させるための方法及び装置 Download PDF

Info

Publication number
JP6384965B2
JP6384965B2 JP2015542386A JP2015542386A JP6384965B2 JP 6384965 B2 JP6384965 B2 JP 6384965B2 JP 2015542386 A JP2015542386 A JP 2015542386A JP 2015542386 A JP2015542386 A JP 2015542386A JP 6384965 B2 JP6384965 B2 JP 6384965B2
Authority
JP
Japan
Prior art keywords
subject
breathable gas
pressure level
negative pressure
forced breathing
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
JP2015542386A
Other languages
English (en)
Japanese (ja)
Other versions
JP2016501063A (ja
JP2016501063A5 (cg-RX-API-DMAC7.html
Inventor
マールテン レオナルドス クリスティアン ブラント
マールテン レオナルドス クリスティアン ブラント
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 JP2016501063A publication Critical patent/JP2016501063A/ja
Publication of JP2016501063A5 publication Critical patent/JP2016501063A5/ja
Application granted granted Critical
Publication of JP6384965B2 publication Critical patent/JP6384965B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M16/0009—Accessories therefor, e.g. sensors, vibrators, negative pressure with sub-atmospheric pressure, e.g. during expiration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0066—Blowers or centrifugal pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0072—Tidal volume piston pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0075—Bellows-type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022—Control means therefor
    • A61M16/024—Control means therefor including calculation means, e.g. using a processor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0666—Nasal cannulas or tubing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0875—Connecting tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16—Devices to humidify the respiration air
    • A61M16/161—Devices to humidify the respiration air with means for measuring the humidity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0036—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
    • A61M2016/102—Measuring a parameter of the content of the delivered gas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3365—Rotational speed
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3368—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/40—Respiratory characteristics
    • A61M2230/42—Rate

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)
JP2015542386A 2012-11-19 2013-11-08 呼気流を増加させるための方法及び装置 Active JP6384965B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261727779P 2012-11-19 2012-11-19
US61/727,779 2012-11-19
PCT/IB2013/060006 WO2014076618A1 (en) 2012-11-19 2013-11-08 Method and apparatus for increasing expiratory flow cross-reference to related applications

Publications (3)

Publication Number Publication Date
JP2016501063A JP2016501063A (ja) 2016-01-18
JP2016501063A5 JP2016501063A5 (cg-RX-API-DMAC7.html) 2016-12-28
JP6384965B2 true JP6384965B2 (ja) 2018-09-05

Family

ID=49713432

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2015542386A Active JP6384965B2 (ja) 2012-11-19 2013-11-08 呼気流を増加させるための方法及び装置

Country Status (5)

Country Link
US (1) US10485941B2 (cg-RX-API-DMAC7.html)
EP (1) EP2919839B1 (cg-RX-API-DMAC7.html)
JP (1) JP6384965B2 (cg-RX-API-DMAC7.html)
CN (1) CN104797284B (cg-RX-API-DMAC7.html)
WO (1) WO2014076618A1 (cg-RX-API-DMAC7.html)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB201412600D0 (en) * 2014-07-16 2014-08-27 Strutt Benjamin J And Bititsios Stergios And Cane Michael R Inhalation device with a touch or proximity sensitive user interface which controls the device functionality when specific gestures are performed by the user
US12501942B2 (en) 2019-03-22 2025-12-23 Imperial Tobacco Limited Smoking substitute system
CN110101945B (zh) * 2019-05-07 2022-09-02 濡新（北京）科技发展有限公司 一种同步自动咳痰方法和系统
US20230077086A1 (en) * 2020-02-13 2023-03-09 Physio-Assist System and method for controlling a tracheobronchial-air stimulation device
US12296094B1 (en) 2020-04-26 2025-05-13 Tel Hashomer Medical Research Infrastructure And Services Ltd. Devices and methods for treating lung diseases
DE102023111541A1 (de) * 2022-06-01 2023-12-07 Löwenstein Medical Technology S.A. Verfahren zum betreiben eines beatmungsgerätes

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6158432A (en) 1995-12-08 2000-12-12 Cardiopulmonary Corporation Ventilator control system and method
IL145461A (en) * 2001-09-16 2006-09-05 Alyn Woldenberg Family Hospita Breathing and coughing device
JP3652356B2 (ja) * 2003-03-20 2005-05-25 株式会社徳永装器研究所 人工呼吸システムおよび気管カニューレ
US6929007B2 (en) * 2003-09-08 2005-08-16 J.H. Emerson Company Insufflation-exsufflation system with percussive assist for removal of broncho-pulmonary secretions
WO2007054829A2 (en) * 2005-09-26 2007-05-18 Innovent Medical Solutions, Inc. Combined ventilator inexsufflator
US8051854B2 (en) 2006-09-15 2011-11-08 Comedica Incorporated Continuous high-frequency oscillation breathing treatment apparatus
CN200960346Y (zh) * 2006-10-13 2007-10-17 赵子文 无创正负压呼吸辅助装置
WO2010046874A2 (en) 2008-10-24 2010-04-29 Hospitech Respiration Ltd. Method and system for ventilation
WO2010058308A2 (en) 2008-11-19 2010-05-27 Koninklijke Philips Electronics, N.V. Insufflating-exsufflating system
CN102216780A (zh) * 2008-11-19 2011-10-12 皇家飞利浦电子股份有限公司 用于致动磁性粒子的生物传感器系统
WO2010071919A1 (en) 2008-12-22 2010-07-01 The University Of Sydney Respiratory aid device
EP2440274B1 (en) 2009-06-09 2021-11-24 Respinova Ltd. Device for applying therapeutic protocols to organs of the cardiopulmonary system
BR112012001413B1 (pt) 2009-07-24 2021-05-18 Koninklijke Philips N.V. dispositivo para ajudar a tossir
JP5873021B2 (ja) * 2009-10-16 2016-03-01 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 人工呼吸器装着者の気道から分泌物除去するための吸引システム
CN102441211B (zh) * 2010-10-13 2016-02-24 陈实 高强度负压脉动呼吸疾病治疗仪
US9320863B2 (en) * 2010-12-21 2016-04-26 Koninklijke Philips N.V. System and method for inexsufflating a subject
RU2585137C2 (ru) * 2010-12-21 2016-05-27 Конинклейке Филипс Электроникс Н.В. Аппарат искусственной вентиляции легких с интегрированной воздуходувкой
CN103619392B (zh) * 2011-06-29 2016-04-20 皇家飞利浦有限公司 用于辅助进行气道清除的装置
US10335564B2 (en) * 2013-09-19 2019-07-02 Koninklijke Philips N.V. System and method for controlling exsufflation pressure during in-exsufflation

Also Published As

Publication number Publication date
CN104797284A (zh) 2015-07-22
CN104797284B (zh) 2018-06-05
JP2016501063A (ja) 2016-01-18
US10485941B2 (en) 2019-11-26
WO2014076618A1 (en) 2014-05-22
US20160287823A1 (en) 2016-10-06
EP2919839B1 (en) 2021-05-05
EP2919839A1 (en) 2015-09-23

Similar Documents

Publication Publication Date Title
JP5873021B2 (ja) 人工呼吸器装着者の気道から分泌物除去するための吸引システム
CN103282072B (zh) 用于对受试者吹气排气的系统和方法
JP6223340B2 (ja) 人工呼吸療法装置を制御するための方法及び機器
CN102576386B (zh) 用于处理吞咽困难的系统和方法
US9987444B2 (en) System and method for limited flow respiratory therapy
CN107949411B (zh) 机械吸气-呼气
JP6302892B2 (ja) 呼吸治療デバイスに対する開始圧力
JP6173320B2 (ja) 非侵襲換気測定
CN104203320B (zh) 用于在吹排气期间控制吹气压力的系统与方法
EP2812059B1 (en) Device for increasing cough flow
JP6384965B2 (ja) 呼気流を増加させるための方法及び装置
CN103260682B (zh) 取决于呼吸速率的呼吸辅助
JP2017533751A (ja) 咳嗽流の増大の間の圧力制御
CN104936643A (zh) 与通气机集成的用于肺内叩击通气的系统和方法
CN104284691B (zh) 确定通气期间的吸入氧气的分数的系统和方法
JP2014506163A5 (cg-RX-API-DMAC7.html)
JP2016523586A (ja) 呼吸蓄積療法に対する圧力支持システム
JP2016523586A5 (cg-RX-API-DMAC7.html)
CN107567342B (zh) 用于改进的咳嗽分割的系统和方法
CN103957974A (zh) 用于使用集成在通气机中的部分co2再呼吸和其测量结果来确定非侵入性心脏输出的方法和系统
JP6552116B2 (ja) マウスピースベンチレーションを具備する救命救急人工呼吸器
JP6017442B2 (ja) 呼気同期
JP2015533606A (ja) 被験者の気道に圧力パルスを供給するシステム
CN103561805A (zh) 邻近或结合二级气道压力治疗的转换的方法
CN103458950A (zh) 通过控制累积逆行体积来管理中枢性睡眠呼吸暂停的方法和系统

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20150525

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20161107

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20161107

RD04 Notification of resignation of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7424

Effective date: 20170214

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20170822

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20170829

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20171023

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20180308

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20180619

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

Free format text: JAPANESE INTERMEDIATE CODE: A911

Effective date: 20180628

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: 20180802

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20180803

R150 Certificate of patent or registration of utility model

Ref document number: 6384965

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