US3738365A - Spring reinforced extensible catheter - Google Patents
Spring reinforced extensible catheter Download PDFInfo
- Publication number
- US3738365A US3738365A US00194308A US3738365DA US3738365A US 3738365 A US3738365 A US 3738365A US 00194308 A US00194308 A US 00194308A US 3738365D A US3738365D A US 3738365DA US 3738365 A US3738365 A US 3738365A
- Authority
- US
- United States
- Prior art keywords
- housing
- heads
- passage
- spring
- catheter
- 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 - Lifetime
Links
- 238000007789 sealing Methods 0.000 claims abstract description 9
- 230000004323 axial length Effects 0.000 claims abstract description 8
- 239000012530 fluid Substances 0.000 claims description 11
- 239000004945 silicone rubber Substances 0.000 claims description 7
- 239000004677 Nylon Substances 0.000 claims description 6
- 229920001778 nylon Polymers 0.000 claims description 6
- 229920002379 silicone rubber Polymers 0.000 claims description 6
- 230000002093 peripheral effect Effects 0.000 claims description 5
- 239000000463 material Substances 0.000 description 5
- 208000003906 hydrocephalus Diseases 0.000 description 4
- CTQNGGLPUBDAKN-UHFFFAOYSA-N O-Xylene Chemical compound CC1=CC=CC=C1C CTQNGGLPUBDAKN-UHFFFAOYSA-N 0.000 description 2
- 210000004556 brain Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 239000008096 xylene Substances 0.000 description 2
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 1
- 235000011613 Pinus brutia Nutrition 0.000 description 1
- 241000018646 Pinus brutia Species 0.000 description 1
- 230000003190 augmentative effect Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 210000001175 cerebrospinal fluid Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 229920002529 medical grade silicone Polymers 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
- A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
- A61M27/006—Cerebrospinal drainage; Accessories therefor, e.g. valves
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
Definitions
- ABSTRACT An extensible catheter comprising a flexible tubular housing with a circularly cylindrical passage extending therethrough.
- a flexible metallic helical spring having a plurality of identical turns fits in the passage in abut- CATHETER Inventor: Rudolf R. Schulte, 600 Pine Avenue,
- a retainer member makes a fluidsealing structural fit at each end of the housing, holds the heads in the passage, and makes a sliding fluidsealing fit with the outer wall of the respective conduit section.
- This invention relates to catheters for use in drainage of fluids within the human body and in particular to a spring-reinforced catheter whose total length can adjustably be varied.
- the aforesaid catheter performs well, but in practice its has been found desirable to isolate the relatively sliding members from external compressive and kinking forces, and also to reduce surface-to-surface contacts of like substances such as silicone rubber which might have a tendency to adhere to each other, and cause galling upon movement, or which might tend to become fixed. Accordingly, it is an object of this invention to provide an extensible catheter which is reinforced to resist external forces and kinking and which can provide for relative movement principally between dissimilar substances thereby reducing the tendency of the device to stick or to gall.
- An extensible catheter according to this invention comprises a flexible tubular housing which has an interior wall bounding a passage through the housing.
- a flexible metallic helical spring has a plurality of identical turns and a constant inner and outer diameter. The spring extends axially in the passage in abutment with the wall. The innermost boundary of said turns forms a guideway.
- a conduit section is inserted in each end of the passage and a head on each conduit section projects laterally beyond the sections and makes a sliding engagement with the guideway. There is a flow passage through each of the sections and its respective head.
- a pair of retainer members each makes a fluidsealing structural joinder with the housing adjacent to a respective end thereof, and projects away from the housing. It has an inner peripheral surface which surrounds its respective conduit section so as to make a sliding fluid-sealing fit with the other wall of the respective conduit section and retains the head in the passage.
- the relative axial lengths of the passage and of the heads are such as to permit the axial spacing apart of the heads to be varied. The heads slide in the guideway and make sliding contact only with the said spring.
- conduit sections, heads and the housing are made of silicone rubber.
- the spring is indented into the interior wall of the housing.
- FIG. 1 is a perspective view of a drainage system for hydrocephalus utilizing the present invention
- FIG. 2 is an axial cross-section taken at 22 in FIG. 1;
- FIG. 1 shows an infant 10 which is afflicted with hydrocephalus, which is an ailment in which cerebrospinal fluid does not drain properly from the head, with consequent compressive pressure on the brain and enlargement pressure inside the skull.
- the shunt system 11 is provided to drain away excess fluid, and ordinarily utilizes a catheter 12 such as that shown in the applicants presently co-pending patent application Ser. No. 47,657 filed June 19, 1970, now U.S. Pat. No. 3,626,950, entitled Catheter With Augmented Drainage Means, which is thrust into the region of the brain to be drained and which drains to a combined check valve and pump 13 which may be of the type generally shown in Schulte U.S. Pat. No. 3,111,125 issued Nov. 19, 1963 entitled Drainage Device.
- a catheter 14 according to this invention is joined to the outlet of pump 13 and will extend through various veins 15 to the heart 16 into which the fluid is discharged.
- the catheter includes a pair of conduit sections l7, 18 which are joined together by means yet to be described.
- Conduit section 18 will customarily be provided at its end with slit valves 19 of the type generally shown in Heyer U.S. Pat. No. 3,020,913 issued Feb. 13, 1962, entitled Surgical Drain.
- Protuberances 20 may be formed on the outer wall of conduit section 18 so as to aid in fixing the end at some desired location. The details of the slit valves and protuberances form no part of the present invention.
- the foregoing system receives excess fluid at catheter 12, passes it through the check valve and pump 13 catheter 14, and discharges into the heart. It is a feature of the ailment known as hydrocephalus that while it af fects adults it is generally an ailment of children and the children of course will grow in stature. As can be appreciated from FIG. 1, the length between the pump and the tip within the heart will change as the child grows. Until the catheter shown in the aforesaid Shulte U.S. Pat. No. 3,623,484 was invented, it was common practice to remove and replace the catheter from time to time in order to accommodate the child's growth.
- this of course is an undesirable procedure to repeat any more often than necessary if at all, and it is therefore an object of this invention to avoid this situation by providing means whereby the device can elongate or extend as the child grows. It will also be understood that this device may be located in such a manner that change in length can occur on either or both sides of its central point and that the method or place of installation as shown in FIG. 1 is not limiting in any manner.
- Catheter 14 is shown in full detail in FIG. 2. It has a housing 25 with an interior wall 26 which forms a tubular passage 27 extending from end to end of the housing. Within the housing there is disposed a flexible metallic helical spring 30 which has an inner diameter 31 and an outer diameter 32. The spring has a plurality of turns 33, 34 which are equally spaced apart by spacing 35 (sometimes called the pitch of a spring). The inner and outer diameters of all the turns are equal and are defined by the outermost boundaries, of the spring wire. The spring at its outermost diameter bears in abutment against wall 26 of the passage. ln manufacturing the device, the tube may be softened with xylene and the spring inserted.
- the tube shrinks upon the spring so as to indent the spring into the wall forming a wavy pattern in the wall of the tube.
- waves such as wave 36 will not extend inwardly beyond the inner diameter for reasons yet to be described.
- the spring terminates short of both of the ends of the housing.
- the conduit sections 17, 18 have respective heads 40, 41 on their ends inside the passage, the outer diameter of the heads is substantially equal to the inner diameter of the spring and the axial spacing 35 is smaller than the axial length 42 of the heads.
- the heads project laterally beyond the outer wall of the respective conduit section. Accordingly the turns, or rather the innermost boundary of the turns, comprise a guideway for the heads, and the relative dimensions are such that the heads cannot become trapped between the coils of adjacent turns.
- Retainer members 45, 46 are closely fitted into the respective ends of the passage in abutment with the ends of the spring.
- the retainer members may be cemented or otherwise joined to the housing to make a continuous peripheral fluid-sealing joint such as joint 47 and 48.
- Each retainer member has an inner peripheral surface 49, 50 respectively which surrounds its respective conduit section and makes at two places a sliding fluidsealing fit 51, S2, S3, 54. There is thereby formed a substantially fluid tight arrangement. It will be noted that when the heads move axially in the housing, fluid can bypass them through the spacing between adjacent turns so that there is no pressure developed in the fluid as while the heads are being moved which might cause leakage of the device.
- the heads, conduit sections, and housing will be made of medical grade silicone rubber. This material is flexible and permits substantial relatively easy bending and compression which will be resisted by the flexible spring.
- the spring may be made from round stainless steel wire of approximately 0.010 inches diameter wound with an outer diameter of approximately 0.110 0.l 15 inches with a pitch spacing of approximately l/32 inches.
- the indentation of the spring turns into the wall of the housing will not be sufficient to cause the material of the wall of the housing to abut against the head. Therefore there is provided a closely-sized guideway for the heads in which there is no sliding surface-tosurface contact between the heads and another silicone rubber surface which might tend to seize or to gall. Instead contact is between the rubber head and the metal of which the spring is made. This causes only a light drag, and is not subject to adherence or galling.
- the spring protects the head from binding compressive forces.
- the retainer members are preferably made of a different material from that of the housing, one which will be inherently stiffer, such as cast nylon in order that it cannot be compressed against the wall of the conduit section so as possibly to occlude or drag on it. Also, it is a different material than that of the conduit segment so there is no tendency to adhere or to gall.
- the retainer members can conveniently be made of relatively stiff nylon so as to make a light interference fit on the order of perhaps a few thousands of an inch with the wall of the tubing. The stiff retainer member will provide good support for sutures which may be tightly tied to the respective grooves.
- an extensible catheter for drainage of fluids from the human body such as hydrocephalus fluids in which ease of sliding of the telescoping members is provided, in which surfaceto-surface contact of materials which may tend to adhere to one another or to gall one another, is eliminated, and in which the possible effect of external forces in limiting relative internal movement is reduced if not entirely eliminated.
- An extensible catheter for use in a physiological fluid shunt system, said catheter comprising: a flexible tubular housing; an interior wall bounding a passage through the housing, the passage having a central axis; a flexible metallic helical spring having a plurality of identical turns and a constant inner and outer diameter, the said spring extending axially in the passage in abutment with said wall, the innermost boundary of said turns forming a guideway; a pair of conduit sections slidably mounted in apposition with one another within said passage, a head on each conduit section laterally projecting beyond the sections and making a sliding engagement with the said guideway, there being a flow passage through each sections and its head; and a pair of retainer members each making a fluid-sealing structural joinder with the housing adjacent to a respective end thereof, and projecting away from said housing, and having an inner peripheral surface which surrounds its respective conduit section so as to make a sliding, fluid-sealing fit with the outer wall of the respective conduit section and to retain the head
- a catheter according to claim 1 in which the spring is indented into the interior wall of the housing.
- a catheter according to claim 1 in which the axial length of the heads is greater than the axial spacing of the turns of the spring whereby the heads cannot be trapped between adjacent turns.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Anesthesiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Otolaryngology (AREA)
- Ophthalmology & Optometry (AREA)
- Neurology (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Description
Claims (10)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US84351769A | 1969-07-22 | 1969-07-22 | |
US19430871A | 1971-11-01 | 1971-11-01 |
Publications (1)
Publication Number | Publication Date |
---|---|
US3738365A true US3738365A (en) | 1973-06-12 |
Family
ID=26889888
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US00194308A Expired - Lifetime US3738365A (en) | 1969-07-22 | 1971-11-01 | Spring reinforced extensible catheter |
Country Status (1)
Country | Link |
---|---|
US (1) | US3738365A (en) |
Cited By (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3894541A (en) * | 1974-02-27 | 1975-07-15 | El Shafei Ismail Lotfy | Method of treating hydrocephalus |
US3913587A (en) * | 1973-12-10 | 1975-10-21 | Dow Corning | Implantable extendable member |
US4713074A (en) * | 1985-06-12 | 1987-12-15 | Renato Piacentino | Implant device for the surgical treatment of infertility due to obstruction of uterine tubes |
US4955859A (en) * | 1989-07-07 | 1990-09-11 | C. R. Bard, Inc. | High-friction prostatic stent |
EP0621015A1 (en) * | 1993-04-23 | 1994-10-26 | Schneider (Europe) Ag | Stent with a covering layer of elastic material and methods for applying the layer on the stent |
WO2002036193A1 (en) * | 2000-10-30 | 2002-05-10 | Technovobis Ab | System and method for physiological drainage |
US20040049265A1 (en) * | 1995-04-19 | 2004-03-11 | Schneider (Usa) Inc. | Drug coating with topcoat |
US20040106897A1 (en) * | 1990-02-02 | 2004-06-03 | Thompson Russell B. | Assemblies for creating compound curves in distal catheter regions |
US20060088654A1 (en) * | 1995-04-19 | 2006-04-27 | Boston Scientific Scimed, Inc. | Drug release coated stent |
US7625410B2 (en) | 2001-05-02 | 2009-12-01 | Boston Scientific Scimed, Inc. | Stent device and method |
US20110124969A1 (en) * | 2009-11-24 | 2011-05-26 | Tyco Healthcare Group Lp | Seal anchor introducer including biasing member |
US8067022B2 (en) | 1992-09-25 | 2011-11-29 | Boston Scientific Scimed, Inc. | Therapeutic inhibitor of vascular smooth muscle cells |
US8097642B2 (en) | 1995-02-15 | 2012-01-17 | Boston Scientific Scimed, Inc. | Therapeutic inhibitor of vascular smooth muscle cells |
US20140316325A1 (en) * | 2013-04-22 | 2014-10-23 | King Abdulaziz University | Csf shunt valve |
US20150190620A1 (en) * | 2013-02-18 | 2015-07-09 | Michael J. Dalton | Implantable system for collection and supply of interstitial fluid |
US10251994B2 (en) | 2013-02-18 | 2019-04-09 | Michael J. Dalton | Transplanted cell containment and nutrition device |
CN117282004A (en) * | 2023-11-24 | 2023-12-26 | 通桥医疗科技有限公司 | Shunt for treating hydrocephalus and system thereof |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US953922A (en) * | 1907-06-17 | 1910-04-05 | John B Rogers | Tracheal cannula or tube. |
GB699256A (en) * | 1951-01-31 | 1953-11-04 | British Thomson Houston Co Ltd | Improvements in and relating to eddy-current brakes with magnetic locking |
US3456965A (en) * | 1967-02-23 | 1969-07-22 | Baxter Laboratories Inc | Means for coupling a pair of fluid conduits |
US3467101A (en) * | 1965-09-30 | 1969-09-16 | Edwards Lab Inc | Balloon catheter |
US3492996A (en) * | 1966-02-09 | 1970-02-03 | Dow Corning | Ventriculo-atrial shunt |
US3623484A (en) * | 1969-07-22 | 1971-11-30 | Rudolf R Schulte | Telescoping shunt system for physiological fluid |
-
1971
- 1971-11-01 US US00194308A patent/US3738365A/en not_active Expired - Lifetime
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US953922A (en) * | 1907-06-17 | 1910-04-05 | John B Rogers | Tracheal cannula or tube. |
GB699256A (en) * | 1951-01-31 | 1953-11-04 | British Thomson Houston Co Ltd | Improvements in and relating to eddy-current brakes with magnetic locking |
US3467101A (en) * | 1965-09-30 | 1969-09-16 | Edwards Lab Inc | Balloon catheter |
US3492996A (en) * | 1966-02-09 | 1970-02-03 | Dow Corning | Ventriculo-atrial shunt |
US3456965A (en) * | 1967-02-23 | 1969-07-22 | Baxter Laboratories Inc | Means for coupling a pair of fluid conduits |
US3623484A (en) * | 1969-07-22 | 1971-11-30 | Rudolf R Schulte | Telescoping shunt system for physiological fluid |
Cited By (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3913587A (en) * | 1973-12-10 | 1975-10-21 | Dow Corning | Implantable extendable member |
US3894541A (en) * | 1974-02-27 | 1975-07-15 | El Shafei Ismail Lotfy | Method of treating hydrocephalus |
US4713074A (en) * | 1985-06-12 | 1987-12-15 | Renato Piacentino | Implant device for the surgical treatment of infertility due to obstruction of uterine tubes |
US4955859A (en) * | 1989-07-07 | 1990-09-11 | C. R. Bard, Inc. | High-friction prostatic stent |
WO1991000712A2 (en) * | 1989-07-07 | 1991-01-24 | C.R. Bard, Inc. | High-friction prostatic stent |
WO1991000712A3 (en) * | 1989-07-07 | 1991-03-07 | Bard Inc C R | High-friction prostatic stent |
GB2241169A (en) * | 1989-07-07 | 1991-08-28 | Bard Inc C R | High-friction prostatic stent |
US20040106897A1 (en) * | 1990-02-02 | 2004-06-03 | Thompson Russell B. | Assemblies for creating compound curves in distal catheter regions |
US8067022B2 (en) | 1992-09-25 | 2011-11-29 | Boston Scientific Scimed, Inc. | Therapeutic inhibitor of vascular smooth muscle cells |
EP0621015A1 (en) * | 1993-04-23 | 1994-10-26 | Schneider (Europe) Ag | Stent with a covering layer of elastic material and methods for applying the layer on the stent |
US6375787B1 (en) | 1993-04-23 | 2002-04-23 | Schneider (Europe) Ag | Methods for applying a covering layer to a stent |
US8097642B2 (en) | 1995-02-15 | 2012-01-17 | Boston Scientific Scimed, Inc. | Therapeutic inhibitor of vascular smooth muscle cells |
US8158670B2 (en) | 1995-02-15 | 2012-04-17 | Boston Scientific Scimed, Inc. | Therapeutic inhibitor of vascular smooth muscle cells |
US20040049265A1 (en) * | 1995-04-19 | 2004-03-11 | Schneider (Usa) Inc. | Drug coating with topcoat |
US20050187611A1 (en) * | 1995-04-19 | 2005-08-25 | Boston Scientific Scimed, Inc. | Drug coating with topcoat |
US20060088654A1 (en) * | 1995-04-19 | 2006-04-27 | Boston Scientific Scimed, Inc. | Drug release coated stent |
CN1299780C (en) * | 2000-10-30 | 2007-02-14 | 泰克诺沃比斯股份公司 | System and method for physiologial drainage |
AU2002212884B2 (en) * | 2000-10-30 | 2006-06-29 | Technovobis Ab | System and method for physiological drainage |
US7476211B2 (en) | 2000-10-30 | 2009-01-13 | Technovobis Ab | System and method for physiological drainage |
US20040087887A1 (en) * | 2000-10-30 | 2004-05-06 | Nilsson Per Erik | System and method for physiological drainage |
WO2002036193A1 (en) * | 2000-10-30 | 2002-05-10 | Technovobis Ab | System and method for physiological drainage |
US7625410B2 (en) | 2001-05-02 | 2009-12-01 | Boston Scientific Scimed, Inc. | Stent device and method |
US8740904B2 (en) * | 2009-11-24 | 2014-06-03 | Covidien Lp | Seal anchor introducer including biasing member |
US20110124969A1 (en) * | 2009-11-24 | 2011-05-26 | Tyco Healthcare Group Lp | Seal anchor introducer including biasing member |
US20150190620A1 (en) * | 2013-02-18 | 2015-07-09 | Michael J. Dalton | Implantable system for collection and supply of interstitial fluid |
US10004882B2 (en) * | 2013-02-18 | 2018-06-26 | Michael J. Dalton | Implantable system for collection and supply of interstitial fluid |
US10251994B2 (en) | 2013-02-18 | 2019-04-09 | Michael J. Dalton | Transplanted cell containment and nutrition device |
US20140316325A1 (en) * | 2013-04-22 | 2014-10-23 | King Abdulaziz University | Csf shunt valve |
US9242078B2 (en) * | 2013-04-22 | 2016-01-26 | King Abdulaziz University | CSF shunt valve |
CN117282004A (en) * | 2023-11-24 | 2023-12-26 | 通桥医疗科技有限公司 | Shunt for treating hydrocephalus and system thereof |
CN117282004B (en) * | 2023-11-24 | 2024-01-26 | 通桥医疗科技有限公司 | Shunt for treating hydrocephalus and system thereof |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: AMERICAN HOSPITAL SUPPLY CORPORATION; ONE AMERICAN Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:AMERICAN HEYER- SCHULTE CORPORATION;REEL/FRAME:004099/0695 Effective date: 19830121 |
|
AS | Assignment |
Owner name: AMERICAN HEYER-SCHULTE CORPORATION Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:HEYER-SCHULTE CORPORATION;REEL/FRAME:004245/0660 Effective date: 19800623 |
|
AS | Assignment |
Owner name: BAXTER TRAVENOL LABORATORIES, INC. A CORP. OF DE Free format text: MERGER;ASSIGNOR:AMERICAN HOSPITAL SUPPLY CORPORATION INTO;REEL/FRAME:004760/0345 Effective date: 19870126 |
|
AS | Assignment |
Owner name: BAXTER INTERNATIONAL INC. Free format text: CHANGE OF NAME;ASSIGNOR:BAXTER TRAVENOL LABORATORIES, INC., A CORP. OF DE;REEL/FRAME:005050/0870 Effective date: 19880518 |