KR101587672B1 - 조직에 봉합사를 고정하기 위한 장치 - Google Patents
조직에 봉합사를 고정하기 위한 장치 Download PDFInfo
- Publication number
- KR101587672B1 KR101587672B1 KR1020107021651A KR20107021651A KR101587672B1 KR 101587672 B1 KR101587672 B1 KR 101587672B1 KR 1020107021651 A KR1020107021651 A KR 1020107021651A KR 20107021651 A KR20107021651 A KR 20107021651A KR 101587672 B1 KR101587672 B1 KR 101587672B1
- Authority
- KR
- South Korea
- Prior art keywords
- anchor
- sleeve
- anchoring
- small
- suture
- 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
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00955—Material properties thermoplastic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0417—T-fasteners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
- A61B2017/0422—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30065—Properties of materials and coating materials thermoplastic, i.e. softening or fusing when heated, and hardening and becoming rigid again when cooled
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0071—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof thermoplastic
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Rheumatology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US3306608P | 2008-03-03 | 2008-03-03 | |
| US61/033,066 | 2008-03-03 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| KR20100121531A KR20100121531A (ko) | 2010-11-17 |
| KR101587672B1 true KR101587672B1 (ko) | 2016-01-21 |
Family
ID=40636952
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| KR1020107021651A Expired - Fee Related KR101587672B1 (ko) | 2008-03-03 | 2009-03-02 | 조직에 봉합사를 고정하기 위한 장치 |
Country Status (8)
| Country | Link |
|---|---|
| US (3) | US8623050B2 (enExample) |
| EP (1) | EP2249710B1 (enExample) |
| JP (2) | JP5552439B2 (enExample) |
| KR (1) | KR101587672B1 (enExample) |
| CN (1) | CN101980665B (enExample) |
| ES (1) | ES2581999T3 (enExample) |
| PL (1) | PL2249710T3 (enExample) |
| WO (1) | WO2009109057A1 (enExample) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR20210096399A (ko) | 2020-01-28 | 2021-08-05 | 윤철호 | 초음파 봉합 앵커를 경조직에 고정시키기 위한 방법. |
Families Citing this family (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2249710B1 (de) | 2008-03-03 | 2016-04-20 | Woodwelding AG | Vorrichtung zur verankerung eines fadens in gewebe |
| US9226784B2 (en) * | 2008-05-01 | 2016-01-05 | Woodwelding Ag | Device and method for establishing an anchorage in tissue |
| EP2992860B1 (en) | 2009-02-25 | 2017-04-26 | Spinewelding AG | Spine stabilization device |
| EP3072465B1 (en) | 2009-09-10 | 2020-04-08 | Woodwelding AG | Device to be implanted in a human or animal body for material delivery within the body |
| US9943297B2 (en) * | 2010-05-17 | 2018-04-17 | Globus Medical, Inc. | Soft tissue repair system |
| US11191652B2 (en) | 2010-05-17 | 2021-12-07 | Globus Medical, Inc. | Soft tissue repair system |
| EP3626180A1 (en) * | 2010-09-08 | 2020-03-25 | Synthes GmbH | Fixation device with magnesium core |
| PL2618786T3 (pl) | 2010-09-21 | 2016-03-31 | Spinewelding Ag | Urządzenie do naprawy ludzkiego lub zwierzęcego stawu |
| KR102037022B1 (ko) | 2010-09-24 | 2019-10-25 | 스포트벨딩 게엠베하 | 봉합사를 경조직에 대해 고정시키기 위한 봉합 앵커 및 방법 |
| CN105326533B (zh) | 2010-09-24 | 2017-12-08 | 斯博特威尔丁股份有限公司 | 用于将缝线锚钉固定于硬组织中的装置和方法 |
| WO2012037700A1 (en) | 2010-09-24 | 2012-03-29 | Sportwelding Gmbh | Device and method for fixating a suture anchor in hard tissue |
| EP3954302A1 (en) | 2010-09-30 | 2022-02-16 | Woodwelding AG | Implant for stabilizing two bone portions separated by a cut or fracture |
| CA2821360C (en) | 2011-01-28 | 2019-10-22 | Sportwelding Gmbh | Device and method for fixating a suture anchor with a suture or a headed anchor in hard tissue |
| BR112013018116B1 (pt) | 2011-01-28 | 2020-12-08 | Sportwelding Gmbh | dispositivo para fixar uma âncora de sutura com uma sutura em uma abertura de tecido duro |
| US9386976B2 (en) | 2011-01-28 | 2016-07-12 | Sportwelding Gmbh | Method and device for fixating a suture anchor with a suture in hard tissue |
| KR101123100B1 (ko) * | 2011-09-05 | 2012-03-16 | 주식회사 메타바이오메드 | 고강도 연조직 고정 도구 |
| WO2013127406A1 (en) * | 2012-02-29 | 2013-09-06 | Stryker Trauma Gmbh | System for handling an augmentation implant |
| US9913637B2 (en) * | 2013-03-13 | 2018-03-13 | DePuy Synthes Products, Inc. | Soft tissue fixation system |
| US9901333B2 (en) | 2013-03-13 | 2018-02-27 | DePuy Synthes Products, Inc. | Soft tissue fixation system |
| KR101431735B1 (ko) * | 2013-03-20 | 2014-08-19 | 대진글로우텍 주식회사 | 연조직 고정구의 제조장치와 그 제조방법 |
| JP6367594B2 (ja) * | 2014-04-04 | 2018-08-01 | 株式会社ホムズ技研 | 外科用ケーブルスリーブシステム |
| US10722270B2 (en) * | 2015-09-30 | 2020-07-28 | Spinewelding Ag | System comprising a medical apparatus and a medical device, medical apparatus and surgical method |
| US10939905B2 (en) * | 2016-08-26 | 2021-03-09 | Edwards Lifesciences Corporation | Suture clips, deployment devices therefor, and methods of use |
| US10646345B2 (en) | 2017-06-02 | 2020-05-12 | Howmedica Osteonics Corp. | Implant with hole having porous structure for soft tissue fixation |
| EP3749236B1 (en) | 2018-02-08 | 2021-12-22 | Woodwelding AG | System of sonotrode and guide shaft |
| WO2019154835A1 (en) * | 2018-02-08 | 2019-08-15 | Spinewelding Ag | System and method for establishing an anchorage or reinforcement in an object with the aid of in situ liquefaction and displacement of a material having thermoplastic properties |
| CN109893189A (zh) * | 2019-04-16 | 2019-06-18 | 江苏尚美医疗器械有限公司 | 一种用于相对硬组织固定缝线的线锚钉固定装置 |
| DE102022207916A1 (de) | 2022-08-01 | 2024-02-01 | B. Braun Melsungen Aktiengesellschaft | Verfahren, Vorrichtungen und Medizinprodukt |
| WO2025175041A1 (en) * | 2024-02-13 | 2025-08-21 | Holmes Jr S Wendell | Knotless suture anchors |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030083662A1 (en) | 2001-11-01 | 2003-05-01 | Middleton Lance M. | Orthopaedic implant fixation using an in-situ formed anchor |
| JP2006095301A (ja) | 2004-09-27 | 2006-04-13 | Ethicon Inc | 縫合糸アンカーと空胴充填材の組合せ |
| US20070270974A1 (en) | 2001-03-02 | 2007-11-22 | Woodwelding Ag | Implants for creating connections to tissue parts, in particular to skeletal parts, as well as device and method for implantation thereof |
Family Cites Families (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5549630A (en) | 1993-05-14 | 1996-08-27 | Bonutti; Peter M. | Method and apparatus for anchoring a suture |
| US5545180A (en) * | 1993-12-13 | 1996-08-13 | Ethicon, Inc. | Umbrella-shaped suture anchor device with actuating ring member |
| US5649963A (en) * | 1994-11-10 | 1997-07-22 | Innovasive Devices, Inc. | Suture anchor assembly and methods |
| US6610079B1 (en) | 1999-12-14 | 2003-08-26 | Linvatec Corporation | Fixation system and method |
| US7993368B2 (en) * | 2003-03-13 | 2011-08-09 | C.R. Bard, Inc. | Suture clips, delivery devices and methods |
| US7094251B2 (en) * | 2002-08-27 | 2006-08-22 | Marctec, Llc. | Apparatus and method for securing a suture |
| US7993369B2 (en) | 2000-06-22 | 2011-08-09 | Arthrex, Inc. | Graft fixation using a plug against suture |
| US7008226B2 (en) * | 2002-08-23 | 2006-03-07 | Woodwelding Ag | Implant, in particular a dental implant |
| US7517357B2 (en) * | 2003-01-09 | 2009-04-14 | Linvatec Biomaterials | Knotless suture anchor |
| US7713285B1 (en) | 2003-07-02 | 2010-05-11 | Biomet Sports Medicine, Llc | Method and apparatus for suture anchors with a vertical eyelet |
| CA2556963A1 (en) | 2004-02-20 | 2005-09-01 | Woodwelding Ag | Implant that can be implanted in osseous tissue, method for producing said implant and corresponding implant |
| US7604643B2 (en) | 2004-04-06 | 2009-10-20 | Synthes Usa, Llc | Adjustable tool for cannulated fasteners |
| US8361113B2 (en) | 2006-02-03 | 2013-01-29 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US8298262B2 (en) | 2006-02-03 | 2012-10-30 | Biomet Sports Medicine, Llc | Method for tissue fixation |
| US8496657B2 (en) * | 2006-02-07 | 2013-07-30 | P Tech, Llc. | Methods for utilizing vibratory energy to weld, stake and/or remove implants |
| JP2007271773A (ja) | 2006-03-30 | 2007-10-18 | Fujitsu Hitachi Plasma Display Ltd | プラズマディスプレイ装置 |
| US9017380B2 (en) | 2006-04-03 | 2015-04-28 | Woodwelding Ag | Surgical method, kit of parts, and implant |
| US8202295B2 (en) | 2006-07-20 | 2012-06-19 | Kaplan Lee D | Surgical instruments |
| US20080097491A1 (en) | 2006-08-28 | 2008-04-24 | Fred Gobel | Tissue to tissue anchoring device and method of using the same |
| US20100179573A1 (en) | 2006-10-31 | 2010-07-15 | Core Essence Orthopaedics, Llc | Medical device and procedure for attaching tissue to bone |
| US8414613B2 (en) | 2006-10-31 | 2013-04-09 | Orthonoble Inc. | Medical device and procedure for attaching tissue to bone |
| US8167906B2 (en) | 2006-11-01 | 2012-05-01 | Depuy Mitek, Inc. | Suture anchor with pulley |
| EP2205185B1 (en) | 2007-10-30 | 2014-06-18 | Woodwelding AG | Device for producing an anchorage in human or animal tissue |
| EP2249710B1 (de) * | 2008-03-03 | 2016-04-20 | Woodwelding AG | Vorrichtung zur verankerung eines fadens in gewebe |
| US8439936B2 (en) | 2008-03-06 | 2013-05-14 | Zone 2 Surgical, Inc. | Device and method for tendon, ligament or soft tissue repair |
| US8777990B2 (en) | 2008-09-08 | 2014-07-15 | Howmedica Osteonics Corp. | Knotless suture anchor for soft tissue repair and method of use |
| US9119678B2 (en) | 2011-11-01 | 2015-09-01 | Synergy Disc Replacement Inc. | Facet fixation systems |
-
2009
- 2009-03-02 EP EP09718151.5A patent/EP2249710B1/de active Active
- 2009-03-02 ES ES09718151.5T patent/ES2581999T3/es active Active
- 2009-03-02 CN CN2009801075089A patent/CN101980665B/zh not_active Expired - Fee Related
- 2009-03-02 JP JP2010548997A patent/JP5552439B2/ja not_active Expired - Fee Related
- 2009-03-02 US US12/920,696 patent/US8623050B2/en active Active
- 2009-03-02 KR KR1020107021651A patent/KR101587672B1/ko not_active Expired - Fee Related
- 2009-03-02 PL PL09718151.5T patent/PL2249710T3/pl unknown
- 2009-03-02 WO PCT/CH2009/000082 patent/WO2009109057A1/de not_active Ceased
-
2013
- 2013-12-16 US US14/107,248 patent/US9149269B2/en active Active
-
2014
- 2014-05-23 JP JP2014107017A patent/JP5905923B2/ja active Active
-
2015
- 2015-09-14 US US14/852,782 patent/US9504463B2/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20070270974A1 (en) | 2001-03-02 | 2007-11-22 | Woodwelding Ag | Implants for creating connections to tissue parts, in particular to skeletal parts, as well as device and method for implantation thereof |
| US20030083662A1 (en) | 2001-11-01 | 2003-05-01 | Middleton Lance M. | Orthopaedic implant fixation using an in-situ formed anchor |
| JP2006095301A (ja) | 2004-09-27 | 2006-04-13 | Ethicon Inc | 縫合糸アンカーと空胴充填材の組合せ |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR20210096399A (ko) | 2020-01-28 | 2021-08-05 | 윤철호 | 초음파 봉합 앵커를 경조직에 고정시키기 위한 방법. |
Also Published As
| Publication number | Publication date |
|---|---|
| US20150374357A1 (en) | 2015-12-31 |
| KR20100121531A (ko) | 2010-11-17 |
| EP2249710B1 (de) | 2016-04-20 |
| HK1146527A1 (zh) | 2011-06-17 |
| JP2014223317A (ja) | 2014-12-04 |
| JP5905923B2 (ja) | 2016-04-20 |
| CN101980665B (zh) | 2012-12-05 |
| US20110046670A1 (en) | 2011-02-24 |
| US8623050B2 (en) | 2014-01-07 |
| JP2011512969A (ja) | 2011-04-28 |
| ES2581999T3 (es) | 2016-09-08 |
| CN101980665A (zh) | 2011-02-23 |
| PL2249710T3 (pl) | 2016-12-30 |
| US9504463B2 (en) | 2016-11-29 |
| EP2249710A1 (de) | 2010-11-17 |
| US9149269B2 (en) | 2015-10-06 |
| WO2009109057A1 (de) | 2009-09-11 |
| JP5552439B2 (ja) | 2014-07-16 |
| US20140107702A1 (en) | 2014-04-17 |
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| PA0105 | International application |
St.27 status event code: A-0-1-A10-A15-nap-PA0105 |
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| E13-X000 | Pre-grant limitation requested |
St.27 status event code: A-2-3-E10-E13-lim-X000 |
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| P11-X000 | Amendment of application requested |
St.27 status event code: A-2-2-P10-P11-nap-X000 |
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| P13-X000 | Application amended |
St.27 status event code: A-2-2-P10-P13-nap-X000 |
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| PG1501 | Laying open of application |
St.27 status event code: A-1-1-Q10-Q12-nap-PG1501 |
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| A201 | Request for examination | ||
| P11-X000 | Amendment of application requested |
St.27 status event code: A-2-2-P10-P11-nap-X000 |
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| P13-X000 | Application amended |
St.27 status event code: A-2-2-P10-P13-nap-X000 |
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| PA0201 | Request for examination |
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| R18-X000 | Changes to party contact information recorded |
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| E902 | Notification of reason for refusal | ||
| PE0902 | Notice of grounds for rejection |
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