KR100913481B1 - Stabillizer of hart operation - Google Patents

Stabillizer of hart operation Download PDF

Info

Publication number
KR100913481B1
KR100913481B1 KR1020070111904A KR20070111904A KR100913481B1 KR 100913481 B1 KR100913481 B1 KR 100913481B1 KR 1020070111904 A KR1020070111904 A KR 1020070111904A KR 20070111904 A KR20070111904 A KR 20070111904A KR 100913481 B1 KR100913481 B1 KR 100913481B1
Authority
KR
South Korea
Prior art keywords
heart
link
joint
movement
present
Prior art date
Application number
KR1020070111904A
Other languages
Korean (ko)
Other versions
KR20090046008A (en
Inventor
이영삼
Original Assignee
이영삼
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 이영삼 filed Critical 이영삼
Priority to KR1020070111904A priority Critical patent/KR100913481B1/en
Publication of KR20090046008A publication Critical patent/KR20090046008A/en
Application granted granted Critical
Publication of KR100913481B1 publication Critical patent/KR100913481B1/en

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B2017/0237—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for heart surgery

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)

Abstract

본 발명은 심장 수술을 위하여 심장박동을 안정시키기 위하여 사용되는 안정화 장치에 관한 것으로, 특히 심장을 고정을 위한 헤드부를 다방향으로 움직임이 가능토록 되는 조절대가 움직임이 제한되는 다관절로 이루어져 박동되는 심장에 의하여 조절대가 움직이도록 되는 것을 방지토록 한 심장수술용 안정화 장치의 조절대에 관한 것이다.The present invention relates to a stabilization device used for stabilizing the heart rate for cardiac surgery, in particular the heart beats made of a multi-joint that the movement is limited to the control to allow movement in the multi-head head for fixing the heart The present invention relates to a control device of a stabilizing device for cardiac surgery to prevent the control device from moving.

현재 이러한 심장수술용 안정화 장치는 다수의 링크로 연결되어 다관절로 이루어지는 조절대에 의하여 흡입수단이 형성된 헤드부를 사용자가 원하는 심장표면의 적정한 위치로 이동이 용이하게 되는 것이다.At present, such a stabilization device for cardiac surgery is connected to a plurality of links to facilitate the movement of the head portion formed by the suction means by a multi-joint adjuster to an appropriate position on the heart surface desired by the user.

그러나 이때 다관절로 이루어지는 조절대는 관절의 회동이 너무 쉽게 이루어져 심장의 미세한 움직임에도 임의에 따라 지나치게 유동되고 시술자의 미세한 움직임에도 유동되어 수술시 많은 움직임이 발생되므로 안정성이 떨어지는 문제가 있는 것이다.However, in this case, the joint made of a multi-joint is too easy to rotate the joint is too much flow depending on the minute movements of the heart and flows even to the minute movements of the operator, there is a problem that the stability is lowered because a lot of movement occurs during the operation.

따라서 본 발명은 조절대가 암, 수링크와 링크볼에 의해 관절이 구성되고 상기 암, 수링크는 움직임이 제한되도록 맞물림 결합되어 시술중에 조절대의 임의적인 움직임을 최소화하여 상기한 문제점을 해결토록 한 것이다.Therefore, the present invention is to solve the above problems by minimizing the arbitrary movement of the control bar during the procedure, the joint is composed of a joint by the arm, the male link and the link ball and the arm, the male link is limited to the movement. .

심장, 안정화장치, 링크, 관절  Heart, Stabilizer, Link, Joints

Description

심장수술용 안정화 장치의 조절대{stabillizer of hart operation}Stabilizer of hart operation

본 발명은 심장 수술을 위하여 심장박동을 안정시키기 위하여 사용되는 안정화 장치에 관한 것으로, 특히 심장의 고정을 위한 헤드부를 다방향으로 움직임이 가능토록 되는 조절대가 움직임이 제한되는 다관절로 이루어져 박동되는 심장에 의하여 조절대가 움직이도록 되는 것을 방지토록 하여 심장수술을 안정되게 할 수 있는 조절대에 관한 것이다.The present invention relates to a stabilization device used for stabilizing the heart rate for cardiac surgery, in particular the heart beats made of a multi-joint that the movement is limited to the control rod to be able to move in a multi-direction head portion for fixing the heart The present invention relates to a control panel capable of stabilizing cardiac surgery by preventing the control panel from moving.

인체에서의 심장은 혈액을 순환시키는 원동력이 되는 순환계의 중추기관으로, 주기적인 수축과 이완을 되풀이함으로써 혈액을 온몸에 공급하는 펌프역할을 하는 것이고 이러한 심장에 이상이 생긴 경우 심장수술을 하게 되는데 알려진 심장질환의 종류에는 선천성 심장질환과 후천성 심장질환이 있다.The heart in the human body is the central organ of the circulatory system that is the driving force for circulating blood, and it acts as a pump to supply blood to the body by repeating periodic contractions and relaxations, and when such an abnormality occurs, heart surgery is known. There are two types of heart disease: congenital heart disease and acquired heart disease.

상기의 후천성 심장질환에는 관상동맥질환, 심장판막질환, 부정맥 등의 기타 다양한 질환이 있고, 이러한 심장질환 중 많은 비중을 차지하는 관상동맥질환은 관상동맥 자체가 충분히 그 내강을 확장시키는 능력을 가지고 있느나 관상동맥 경화 때문에 혈관 내강이 좁아지거나 막히게 되는 등의 심혈관 질환이 생겨서 혈액순환이 어렵게 되는 것이다.The acquired heart disease has various other diseases such as coronary artery disease, heart valve disease, arrhythmia, and coronary artery disease, which occupies a large proportion of these heart diseases, does the coronary artery itself have sufficient ability to expand its lumen? Coronary artery hardening causes cardiovascular diseases such as narrowing or blockage of the lumen of the blood vessels, which makes blood circulation difficult.

상기한 관상동맥질환을 수술하게 되는 방법으로는 다른 동맥이나 정맥을 이용해서 우회로를 만들어주는 수술을 하게 되는데 이러한 심장수술시 심장의 표면은 심장이 박동을 유지하는 상태에서 특정한 도구를 사용하여 안정화되는 것이고, 이와 같이 시술부위를 안정화시켜 해당부위를 용이하게 시술토록 안정화장치가 사용되는 것이다.As a method of operating the coronary artery disease, surgery is performed to make a detour using another artery or vein. During the operation of the heart, the surface of the heart is stabilized using a specific tool while the heart is beating. As such, by stabilizing the surgical site it is to be used to stabilize the surgical site to facilitate the procedure.

이러한 용도로 사용되는 통상의 심장수술용 안정화장치는 흡입부가 형성되어 심장표면에 흡착되는 헤드부에 음압이 발생토록 하여 심장의 움직임을 제한토록 하고 헤드부의 흡착위치를 변경하고자 하는 경우 헤드부에 흡입력을 차단하여 헤드부를 심장표면으로부터 분리시킨 후, 심장표면의 최적위치로 옮겨야 되는 과정을 거치는 것이다.A conventional cardiac surgery stabilization device used for this purpose has a suction portion formed therein so that negative pressure is generated in the head portion adsorbed on the heart surface to limit the movement of the heart and to change the suction position of the head portion. After separating the head from the heart surface by blocking the process, the process to move to the optimal position of the heart surface.

따라서 최근에는 상기 헤드부를 지지하는 조절대가 다관절을 형성하는 다수의 링크로 이루어져 여러 방향으로 회동토록 되는 것이지만 이러한 조절대는 관절의 회동이 너무 쉽게 이루어져 심장의 미세한 움직임에도 임의에 따라 지나치게 유동되고 시술자의 미세한 움직임에도 유동되어 수술시 많은 움직임이 발생되므로 수술에 어려움이 있는 것이다.Therefore, in recent years, the control unit supporting the head part is composed of a plurality of links forming a multi-joint to rotate in various directions, but the control unit is too easy to rotate the joint so that even the minute movement of the heart is excessively flown and the operator's It is difficult to operate because a lot of movements are generated during surgery because of flow even in fine movements.

본 발명은 상기한 종래의 문제점을 해결하기 위하여 안출한 것으로서, 심장표면에 밀착고정되는 헤드부가 수술시 유동되지 않고 암부의 움직임이 최소화 되도록 하여 심장수술시 심장의 움직임을 제한하여 수술이 용이토록 하는데 그 목적이 있다.The present invention has been made in order to solve the above-mentioned conventional problems, the head portion fixed to the heart surface is not flow during surgery to minimize the movement of the arm portion during surgery to limit the movement of the heart during heart surgery to facilitate the operation The purpose is.

상기 목적을 달성하기 위하여 본 발명은 심장수술용 안정화 장치의 헤드부를 지지하는 조절대가 움직임이 제한되는 암링크와 수링크로 이루어지고 상기 암, 수링크는 링크볼에 의해 반복적으로 연결되며, 상기 링크볼은 종방향과 횡방향으로 교차되도록 연결되어 암부의 움직임이 용히하면서도 심장수술시 임의에 따른 움직임이 최소화되는 것이다.In order to achieve the above object, the present invention consists of an arm link and a male link in which a control unit supporting a head of a stabilizing device for cardiac surgery is restricted in movement, and the female and male link are repeatedly connected by a link ball, and the link The balls are connected so as to intersect longitudinally and transversely so that the movement of the arm part is minimized while the random movement is minimized during cardiac surgery.

상술한 바와 같이 본 발명은 심장수술시 사용되는 안정화 장치의 헤드부가 심장표면에 흡착된 상태에서 조절대가 임의적으로 움직임 되는 것을 최소화하여 시술의 안정성을 높이고, 시술부위의 시야확보 및 접근성을 높여 시술이 용이하면서 시술시간의 단축이 가능토록 한 것이다.As described above, the present invention improves the stability of the procedure by minimizing random movement of the control bar in the state where the head of the stabilization device used for cardiac surgery is adsorbed on the surface of the heart, and increases the field of view and accessibility of the procedure. It is easy and shorten the procedure time.

이하 본 발명에 따른 바람직한 실시 예를 첨부한 도면을 참조하여 설명하면 다음과 같다. 하기 첨부도면에서는 동일한 구성요소에 대해서는 동일한 참조번호를 사용하였다.Hereinafter, with reference to the accompanying drawings, preferred embodiments of the present invention will be described. In the accompanying drawings, the same reference numerals are used for the same components.

도 1에 도시된 바와 같이 본 발명은 심장표면에 흡입공(21)을 통하여 밀착고정되는 헤드부(20)와, 상기 헤드부(20)를 지지하고 헤드부(20)의 움직임을 제어토록 하는 조절대(10)와, 상기 조절대(10)와 헤드부(20)를 수술대의 일측에 고정토록하는 홀더(30)로 이루어진 것으로, 상기 조절대(10)는 회동암부(1a)를 갖는 암링크(1)와 회동돌기(2a)를 갖는 수링크(2)로 구성되고, 상기 암링크(1)와 수링크(2)에 안착홈(1b,2b)이 형성되어 링크볼(3)이 안착되도록 결합되는 구조이다.As shown in FIG. 1, the present invention supports the head part 20 fixed to the cardiac surface through the suction hole 21, and supports the head part 20 and controls the movement of the head part 20. It consists of a holder (10), the holder 30 for fixing the control unit 10 and the head portion 20 to one side of the operating table, the control unit 10 is an arm having a rotating arm (1a) It consists of a male link (2) having a link (1) and a pivoting projection (2a), the seating grooves (1b, 2b) are formed in the female link (1) and the male link (2), the link ball (3) It is a structure that is combined to be seated.

따라서, 상기 암, 수링크(1,2)와 링크볼(3)이 반복적으로 결합되어 상기 암, 수링크(1,2)의 안착홈(1b,2b)이 링크볼(3)의 외주면을 축으로 하여 각도조절이 용이하게 이루어지는 것이다.Thus, the female, male link (1, 2) and the link ball (3) is repeatedly coupled so that the seating grooves (1b, 2b) of the female, male link (1, 2) is the outer peripheral surface of the link ball (3) It is easy to adjust the angle by the axis.

이때, 상기 링크볼(3)이 종방향과 횡방향으로 반복적으로 결합되도록 함으로써 조절대(10)의 사용자가 사용하고자 하는 각도와 방향으로 방향전환이 가능토록 되는 것이다.At this time, the link ball (3) is to be repeatedly changed in the longitudinal direction and the transverse direction to be able to change the direction in the angle and direction to be used by the user of the adjuster (10).

한편, 상기 암, 수링크(1,2)와 링크볼(3)에 관통홀(1c,2c,3c)이 형성되어 결합부재(4)가 관통홀(1c,2c,3c)을 통하여 조절대(10)의 양단에 고정 결합되는 것으로, 결합부재(4)는 와이어나 케이블 등이 사용되는 것이다.Meanwhile, through holes 1c, 2c, and 3c are formed in the female, male links 1 and 2, and the link ball 3, so that the coupling member 4 adjusts through the through holes 1c, 2c, and 3c. It is fixed to both ends of the (10), the coupling member 4 is a wire or cable is used.

이때, 상기 암링크(1)와 수링크(2)는 밀착결합된 상태에서 회동암부(1a)에 회동돌기(2a)가 끼움 되어 상기 조절대(10)에 움직임이 발생하면 회동돌기(2a)가 회동암부(1a)의 측벽에 걸림되어 회동이 제한됨으로써 수술시 심장박동이나 임의적인 움직임에 따른 조절대(10)의 비틀림을 최소화하면서 심장이 안정적으로 지지토 록 되는 것이다.At this time, the female link (1) and the male link (2) is fitted in the rotating arm portion (1a) rotational projection (2a) is fitted in the state in close contact with the rotation projection (2a) when the movement occurs in the adjuster (10) Is locked to the side wall of the rotatable arm portion (1a) is limited to the rotation is to ensure that the heart is stably supported while minimizing the torsion of the adjuster 10 according to the heartbeat or arbitrary movement during surgery.

또한, 상기 조절대(10)의 후방에 핸들(11)이 형성되고 하단부에는 고정레버(31)를 이용하여 탈, 부착되는 홀더(30)가 형성되어 심장안정화 장치가 수술대에 고정된 상태에서 핸들(11)의 조작으로 조절대(10)의 제어가 원활히 이루어지도록 되는 것이다.In addition, the handle 11 is formed on the rear of the adjuster 10 and the lower end portion is formed with a holder 30 which is detached and attached using the fixing lever 31 so that the cardiac stabilization device is fixed to the operating table. By the operation of (11) the control of the adjuster 10 is to be made smoothly.

따라서, 수술용 안정화장치의 헤드부(20)를 지지해주는 조절대(10)가 다관절로 이루어지고 제한적인 움직임을 갖는 간단한 구조로 이루어져 심장수술용 안정화장치의 움직임을 최소화되도록 제한하여 조절대(10)가 임의로 유동되는 범위를 최소화하여 심장수술이 용이하게 이루어 지는 것이다.Therefore, the control unit 10 for supporting the head portion 20 of the stabilizing device for surgery is made of a multi-joint and has a simple structure having a limited movement to limit the movement of the stabilizing device for heart surgery to minimize the control ( 10) is to minimize the range of random flow to facilitate cardiac surgery.

도 1은 본 발명의 일 실시 예를 나타낸 사시도1 is a perspective view showing an embodiment of the present invention

도 2는 본 발명의 조절부의 분해 사시도Figure 2 is an exploded perspective view of the control unit of the present invention

도 3은 본 발명의 측면도3 is a side view of the present invention

도 4는 본 발명의 결합상태를 나타낸 단면도Figure 4 is a cross-sectional view showing a coupling state of the present invention

도 5는 본 발명의 사용상태도5 is a use state diagram of the present invention

<도면의 주요부분에 대한 부호의 설명><Description of the symbols for the main parts of the drawings>

1: 암링크 1a: 회동암부1: arm link 1a: rotational arm part

1b: 안착홈 1c: 관통홀1b: mounting groove 1c: through hole

2: 수링크 2a: 회동암부2: male link 2a: rotatable rock

2b: 안착홈 2c: 관통홀2b: mounting groove 2c: through hole

3: 링크볼 3c: 관통홀3: link ball 3c: through hole

4: 결합부재4: coupling member

10: 조절대 11: 핸들10: adjuster 11: handle

20: 헤드부 21: 흡입공20: head 21: suction hole

30: 홀더 31: 고정레버30: holder 31: fixed lever

Claims (3)

심장표면에 밀착고정되는 헤드부(20)와, 상기 헤드부(20)는 조절대(10)의 일단에 고정되어 움직임이 제어토록 되는 것으로, 상기 조절대(10)는 회동암부(1a)를 갖는 암링크(1)와 회동돌기(2a)를 갖는 수링크(2)로 구성되고, 상기 암링크(1)와 수링크(2)에 안착홈(1b,2b)이 형성되어 링크볼(3)이 안착되도록 결합되는 것을 특징으로 하는 심장수술용 안정화 장치의 조절대Head portion 20 and the head portion 20 is fixed to the surface of the heart is fixed to one end of the control unit 10 to control the movement, the control unit 10 is a pivotal arm (1a) It consists of a male link (1) having a male link (2) having a pivoting projection (2a), the seating groove (1b, 2b) is formed in the female link (1) and the male link (2) link ball (3) ) Is a control panel of the stabilization device for cardiac surgery, characterized in that coupled to seat 제 1항에 있어서, 상기 조절대(10)는 암, 수링크(1,2)와 링크볼(3)에 관통홀(1c,2c,3c)이 형성되어 결합부재(4)가 관통홀(1c,2c,3c)을 통하여 조절대(10)의 양단에 고정토록 결합되는 것을 특징으로 하는 심장수술용 안정화 장치의 조절대According to claim 1, wherein the adjuster 10 has a through hole (1c, 2c, 3c) is formed in the female, male link (1, 2) and the link ball (3), the coupling member (4) is a through hole ( 1c, 2c, 3c through the control panel of the stabilization device for cardiac surgery, characterized in that coupled to both ends of the control panel 10 제 1항 또는 제 2항에 있어서, 상기 조절대(10)의 후방에 핸들(11)이 형성되고 그 하단부에는 고정레버(31)를 이용하여 탈부착되는 홀더(30)가 형성된 것을 특징으로 하는 심장수술용 안정화 장치의 조절대According to claim 1 or 2, wherein the handle 11 is formed on the rear of the adjuster 10, the lower end of the heart characterized in that the holder 30 which is detachable using the fixing lever 31 is formed. Adjuster of Surgical Stabilizer
KR1020070111904A 2007-11-05 2007-11-05 Stabillizer of hart operation KR100913481B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
KR1020070111904A KR100913481B1 (en) 2007-11-05 2007-11-05 Stabillizer of hart operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
KR1020070111904A KR100913481B1 (en) 2007-11-05 2007-11-05 Stabillizer of hart operation

Publications (2)

Publication Number Publication Date
KR20090046008A KR20090046008A (en) 2009-05-11
KR100913481B1 true KR100913481B1 (en) 2009-08-25

Family

ID=40855964

Family Applications (1)

Application Number Title Priority Date Filing Date
KR1020070111904A KR100913481B1 (en) 2007-11-05 2007-11-05 Stabillizer of hart operation

Country Status (1)

Country Link
KR (1) KR100913481B1 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101230142B1 (en) 2010-10-20 2013-02-05 이영삼 heart stabilizing device
KR20160063604A (en) * 2014-11-27 2016-06-07 진화메디칼 주식회사 Angle Control Bar

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11192225A (en) 1997-10-07 1999-07-21 Ethicon Endo Surgery Inc Body tissue stabilizer in operation
US6464629B1 (en) 1998-09-15 2002-10-15 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area of tissue
KR20050034623A (en) * 2001-10-29 2005-04-14 텔레플렉스-씨티 디바이시스 인코포레이티드 Segmented arm for holding a stabilizing tissue device
KR20060061481A (en) * 2004-12-02 2006-06-08 이영탁 Stabilizer device of hart operation

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11192225A (en) 1997-10-07 1999-07-21 Ethicon Endo Surgery Inc Body tissue stabilizer in operation
US6464629B1 (en) 1998-09-15 2002-10-15 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area of tissue
KR20050034623A (en) * 2001-10-29 2005-04-14 텔레플렉스-씨티 디바이시스 인코포레이티드 Segmented arm for holding a stabilizing tissue device
KR20060061481A (en) * 2004-12-02 2006-06-08 이영탁 Stabilizer device of hart operation

Also Published As

Publication number Publication date
KR20090046008A (en) 2009-05-11

Similar Documents

Publication Publication Date Title
EP1082058B1 (en) Beating heart coronary bypass surgical device
US9155452B2 (en) Complex shape steerable tissue visualization and manipulation catheter
JP2001510695A (en) Support members for surgery
US6551242B1 (en) Retractor-mounted coronary stabilizer
US8657805B2 (en) Complex shape steerable tissue visualization and manipulation catheter
KR102116326B1 (en) Medical catheter module device
CA2252647C (en) Ball and socket coronary stabilizer
JP4259865B2 (en) Segment arm assembly for use with a surgical retractor and related instruments and methods
US20050277982A1 (en) Articulated center post
US20060241687A1 (en) Septal occluder with pivot arms and articulating joints
JP7282759B2 (en) Reusable catheter handle system
KR100913481B1 (en) Stabillizer of hart operation
AU733169B2 (en) Adjustable multi-purpose coronary stabilizing retractor
KR101230142B1 (en) heart stabilizing device
WO2003068097A1 (en) Organ manipulator
KR20090046009A (en) An heart operation stabilizer head
CN112955092A (en) Surgical head fixing device
KR200447629Y1 (en) Stabillizer of hart operation
CN219557408U (en) Thyroid surgery retractor device
JP2008289679A (en) Surgical holder
KR100640041B1 (en) stabilizer device of hart operation
CN214907469U (en) Drag hook for orthopedic clinical limb operation
KR200377123Y1 (en) stabilizer device of hart operation
JP2004290429A (en) Dental medical examination table
JP2004290518A (en) Flexible arm for heart surgical operation and device for heart surgical operation using it

Legal Events

Date Code Title Description
A201 Request for examination
E902 Notification of reason for refusal
E701 Decision to grant or registration of patent right
GRNT Written decision to grant
FPAY Annual fee payment

Payment date: 20130527

Year of fee payment: 5

FPAY Annual fee payment

Payment date: 20140527

Year of fee payment: 6

FPAY Annual fee payment

Payment date: 20150612

Year of fee payment: 7

FPAY Annual fee payment

Payment date: 20160817

Year of fee payment: 8

FPAY Annual fee payment

Payment date: 20180808

Year of fee payment: 10