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CN1903187B - Compound propofol injection containing local anesthetic and preparation process - Google Patents

Compound propofol injection containing local anesthetic and preparation process Download PDF

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Publication number
CN1903187B
CN1903187B CN2006100712321A CN200610071232A CN1903187B CN 1903187 B CN1903187 B CN 1903187B CN 2006100712321 A CN2006100712321 A CN 2006100712321A CN 200610071232 A CN200610071232 A CN 200610071232A CN 1903187 B CN1903187 B CN 1903187B
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propofol
injection
compound
stir
take
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CN1903187A (en
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王思玲
苏德森
罗瑞昌
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Shenyang Pharmaceutical University
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Shenyang Pharmaceutical University
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Abstract

The invention discloses a compound propofol injection containing local anesthetic and a preparation process thereof. Contains propofol and local anesthetic as effective medicinal components, and each 1000ml of injection contains: 1000-20000mg of propofol, 50-50000mg of procaine, or 50-50000mg of lidocaine, or 50-50000mg of prilocaine, or 50-50000mg of bupivacaine, or 50-50000mg of mepivacaine or 50-50000mg of ropivacaine, and each 1000ml contains 0-200000mg of refined vegetable oil for injection; emulsifier 50-600000 mg; 200-5000mg of isoosmotic adjusting agent; 50-10000 mg of antioxidant; adjusting the pH value to 6.0-9.0 by using a pH regulator; proper amount of water for injection. The formulation has many of the outstanding advantages of propofol as a novel intravenous whole anesthetic. On the other hand, the addition of the local anesthetic remarkably reduces the incidence rate and the degree of pain of the common propofol emulsion injection. Improves the compliance of patients, widens the clinical application prospect, and is a safe and effective intravenous injection anesthetic.

Description

The compound isopropyl phenol injection and the preparation technology that contain local anaesthetics
Technical field
The present invention relates to medical technical field, definite saying so contains the compound isopropyl phenol injection and the preparation technology of local anaesthetics.
Background technology
Propofol, promptly 2, the 6-diisopropyl phenol is a kind of novel systemic vein injecting anesthetic medicine.It has that onset is rapid, action time is short, revive rapidly fully, untoward reaction is few, do not stay sequela, (can be used for induction of anesthesia, keep and epidural anesthesia assisted etc.) applied widely, dosage are easy to good characteristics such as grasp.
Since 1977 find its narcotic activity, aspect preparation, carried out a lot of researchs, and obtained clinical practice more and more widely.The pharmacodynamic study of propofol shows, maybe be because due to gastrointestinal tract destroy, and propofol oral administration non-activity.At present, mostly the dosage form of clinical practice both at home and abroad is injectable emulsion, like the lipomul (Diprivan) of Britain prompt sharp Kanggong department production etc.But propofol Emulsion has an outstanding shortcoming, and the pain incidence rate is higher when injecting exactly, and patient's compliance is relatively poor.Recently the relevant propofol injection pain degree that alleviates, the research that reduces the pain incidence rate is also more.The corresponding strategy of taking clinically is more, mainly comprises two aspects: the one, and to the influence factors' such as material of the temperature of injection site, injection, injection speed, syringe research, the effect that is obtained is not ideal enough; On the other hand, adopt drug combination exactly, before medication, propofol Emulsion and some drugs mixed use, Combined application has benefit caine, procaine, prilocaine, fentanyl, an atropine etc. usually.According to the clinical application screening, local anaesthetics such as lignocaine are the ideal medicament that a type and propofol mix use, but operations such as preclinical mixing have increased the contaminated probability of medicine again, and drug level is difficult to grasp.
Summary of the invention
The object of the invention is to provide compound isopropyl phenol injection and the preparation technology who contains local anaesthetics.
The invention provides the method for preparing of compound fat Emulsion, and emulsion particle diameter is controlled at the 0.1-0.8 micron; The method for preparing of compound recipe submicron emulsion, microemulsion is provided, and particle diameter has been controlled in the ideal scope; The method for preparing of Injectable compound preparation is provided.Above-mentioned compound preparation comprises propofol, local anaesthetics (procaine or lignocaine or prilocaine or bupivacaine or mepivacaine or ropivacaine), refined plant oil, emulsifying agent (comprising coemulsifier), isoosmotic adjusting agent, antioxidant, pH regulator agent etc.It is characterized in that: above pharmacology component can be prepared into compound fat Emulsion, compound recipe submicronized emulsion, compound recipe microemulsion and Injectable compound preparation.The every 1000mL of compound fat Emulsion contains: propofol 1000-20000mg, local anaesthetics 50-50000mg, refined plant oil 10-200000mg; Emulsifying agent 50-50000mg, glycerol 200-50000mg, antioxidant 50-10000mg; PH to 6.0~9.0 are transferred in the pH regulator agent; Surplus is water for injection, and the emulsion particle diameter scope should be at the 0.1-0.8 micron, preferably less than 0.5 micron.On the basis of above-mentioned emulsion; Remove refined plant oil; Change the consumption of corresponding emulsifying agent, can prepare the compound recipe submicronized emulsion, it is characterized in that: pH to 6.0~9.0 are transferred in every 1000mL propofol-containing 1000-10000mg, local anaesthetics 50-50000mg, emulsifying agent 50-10000mg, coemulsifier 10000-600000mg, glycerol 200-50000mg, antioxidant 50-10000mg, pH regulator agent; Surplus is water for injection, and the emulsion particle diameter scope should be at the 0.1-0.5 micron.The increase and decrease respective components; Change the ratio of profit phase; Can prepare the compound recipe microemulsion; It is characterized in that: pH to 6.0~9.0 are transferred in every 1000mL propofol-containing 1000-10000mg, local anaesthetics 50-50000mg, emulsifying agent 50-10000mg, coemulsifier 10000-600000mg, glycerol 200-50000mg, pH regulator agent, and surplus is water for injection, and the emulsion particle diameter scope should be about 0.2 micron.On the basis of above-mentioned emulsion, adding mannitol, lactose can prepare Injectable compound preparation, it is characterized in that: every 1000mL propofol-containing 1000-20000mg, local anaesthetics 50-50000mg, mannitol 5000-300000mg, lactose 10000-300000mg.The preparation technology of compound isopropyl phenol Emulsion (comprising: compound fat Emulsion, compound recipe Emulsion, compound recipe submicronized emulsion, compound recipe microemulsion) is characterized in that: emulsifying agent, propofol and an amount of solvent of recipe quantity got in (1), is heated to 45-80 ℃, makes its dissolving mixing; Lignocaine, isoosmotic adjusting agent, antioxidant and an amount of solvent of getting recipe quantity are miscible, also are heated to 45-80 ℃.(2) with the liquid of gained in (1), mixing disperses through tissue mashing machine, and per minute 20000 changes, and three minutes, triplicate.(3) add other component and be preheated to 45-80 ℃ of water for injection in right amount, cross the high pressure dispersing emulsification machine, three times repeatedly, sampling, microscopically is observed particle diameter, when emulsion particle diameter meets the requirements, stops.(4) filter, N2 is filled in fill, seal, and sterilization, numbering gets product.The preparation of Injectable compound preparation may further comprise the steps: on the basis of compound recipe Emulsion, add the mannitol and the lactose of recipe quantity, lyophilization is collected content and is got final product.
The preferential component of compound preparation of the present invention is: in every 1000ml injection, contain
Propofol 10000mg
Procaine 2000mg
Or lignocaine 2000mg
Or prilocaine 2000mg
Or bupivacaine 2000mg
Or mepivacaine 2000mg
Or ropivacaine 2000mg
Its characteristic also is: every 1000mL contains injection refined plant oil 100000mg; Emulsifying agent (comprising coemulsifier) 50-600000mg; Isoosmotic adjusting agent 200-5000mg; Antioxidant 50-10000mg; PH. regulator is transferred pH to 6.0~9.0; (Injectable compound preparation contains mannitol 5000-300000mg, lactose 10000-300000), water for injection was an amount of.
Solvent is selected from following: the mixture of one or more in ethanol, dichloromethane, chloroform, the methanol.
The injection vegetable oil be selected from following: the mixture of one or more in soybean oil, Oleum sesami, safranine caul-fat, Oleum Arachidis hypogaeae semen, the Semen Maydis oil.
Soybean oil is selected from following: the mixture of one or more in LCT, medium chain triglyceride, glycerin mono-fatty acid ester, the glycerol list linoleate.
Emulsifying agent is selected from following: lecithin, hydroxylated lecithin, soybean phospholipid, soybean lecithin, hydrogenated soya phosphatide, Ovum Gallus domesticus Flavus lecithin, poloxamer, cholesterol, (deoxidation) sodium cholate, polyglycereol Palmic acid diol ester, acetic acid esters of mono, polyoxyethylene anhydrate the sorbic acid cetylate, gather hexanediol, 1, the mixture of one or more among 2-propylene glycol, the Drewmulse.
Isoosmotic adjusting agent is selected from following: the mixture of one or more in glucose, sodium chloride, glycerol, sorbitol, xylitol, the mannitol.
The pH regulator agent is selected from following: the mixture of one or more in hydrochloric acid, phosphoric acid, citric acid (sodium), sodium hydroxide (potassium), glacial acetic acid, buffer agent such as sodium dihydrogen phosphate and the sodium hydrogen phosphate.
Antioxidant is selected from following: a kind of or inflated with nitrogen in vitamin E, vitamin C, cysteine, the methionine.
The invention has the advantages that:
Propofol is as a kind of novel intravenous injection GENERAL ANESTHETICS, its determined curative effect, drug safety.The propofol lipomul is used early, technology maturation.On the basis of lipomul, add the compound preparation that local anaesthetics makes, patient's pain reduces the pain incidence rate when the pharmacodynamic experiment proof can significantly alleviate injection.
Compound isopropyl phenol microemulsion and submicronized emulsion not only have the effect that eases the pain, and (microemulsion is transparent, and particle diameter is about 0.2 micron owing to particle in the emulsion is less; Submicron emulsion is translucent, and size ratio microemulsion particle diameter is big slightly), the Emulsion physical stability is good, has solved the bad difficult problem of emulsion stability.
The preparation of Injectable compound preparation has further solved the stability of formulation problem, makes things convenient for the storage and the circulation of product simultaneously.
The effect that alleviates injection pain is played in the adding of local anaesthetics.Simultaneously, the equal curative effect of used local anaesthetics is accurate, and relevant administration is experienced clinically, and its price is lower, so after propofol made compound recipe with it, the cost of preparation did not obviously rise.Above effect truly has actual effect all through evidence.
The specific embodiment:
Following instance will be done further elaboration to the present invention, but not limit content of the present invention.
Embodiment 1 (compound isopropyl phenol lipomul): Ovum Gallus domesticus Flavus lecithin 20g is got in (1), refined soybean oil 150g, and propofol 10g is preheated to 80 ℃ of stirrings, mixing.(2) taking polyethylene glycol 50g, glycerol 20g, lidocaine hydrochloride 2g and an amount of water for injection are preheated to 80 ℃ of stirrings, mixing.(3) (2) are added in (1), the limit edged stirs, and disperses through tissue mashing machine, and per minute 20000 changes, and three minutes, triplicate.(4) add and be preheated to 80 ℃ of waters for injection in right amount, cross the high pressure dispersing emulsification machine to full dose 1000ml, three times repeatedly, sampling, microscopically is observed particle diameter, when emulsion particle diameter meets the requirements, stops.(5) filter, N is filled in fill 2, seal, sterilization, numbering gets product.
Embodiment 2 (compound isopropyl phenol submicronized emulsion): Ovum Gallus domesticus Flavus lecithin 15g is got in (1), and propofol 10g is preheated to 80 ℃ of stirrings, mixing.(2) get 1,2-propylene glycol 100g, poloxamer 20g, glycerol 25g, lidocaine hydrochloride 1g and an amount of water for injection are preheated to 80 ℃ of stirrings, mixing.(3) (2) are added in (1), the limit edged stirs, and disperses through tissue mashing machine, and per minute 20000 changes, and three minutes, triplicate.(4) add and be preheated to 80 ℃ of waters for injection in right amount, cross the high pressure dispersing emulsification machine to full dose 1000ml, three times repeatedly, sampling, microscopically is observed particle diameter, when emulsion particle diameter meets the requirements, stops.(5) filter, N is filled in fill 2, seal, sterilization, numbering gets product.
Embodiment 3 (compound isopropyl phenol microemulsion): propofol 10g, V are got in (1) E2g is preheated to 80 ℃ of stirrings, mixing.(2) get 1,2-propylene glycol 500g, poloxamer 30g, glycerol 15g, lidocaine hydrochloride 5g and an amount of water for injection are preheated to 80 ℃ of stirrings, mixing.(3) (2) are added in (1), the limit edged stirs, and disperses through tissue mashing machine, and per minute 20000 changes, and three minutes, triplicate.(4) add and be preheated to 80 ℃ of waters for injection in right amount, cross the high pressure dispersing emulsification machine to full dose 1000ml, three times repeatedly, sampling, microscopically is observed particle diameter, when emulsion particle diameter meets the requirements, stops.(5) filter, N is filled in fill 2, seal, sterilization, numbering gets product.
Embodiment 4 (Injectable compound preparation): propofol 20g is got in (1), Ovum Gallus domesticus Flavus lecithin 12g, poloxamer 40g; Lidocaine hydrochloride 30g and an amount of water for injection are preheated to 80 ℃ of stirrings, and mixing disperses through tissue mashing machine; Per minute 20000 changes, and three minutes, triplicate.Add mannitol 30g, lactose 20g is stirred to mix homogeneously.Cross the high pressure dispersing emulsification machine, three times repeatedly, 0.22 μ m membrane filtration pours into cillin bottle, lyophilization.

Claims (4)

1.复方异丙酚脂肪乳剂,其特征在于:通过如下方法制备:1. compound propofol fat emulsion, is characterized in that: prepare by following method: (1)取蛋黄卵磷脂20g,精制大豆油150g,异丙酚10g,预热至80℃搅拌,混匀;(2)取聚乙二醇50g,甘油20g,盐酸利多卡因2g及适量注射用水预热至80℃搅拌,混匀;(3)将(2)加入(1)中,边加边搅拌,经组织捣碎机分散,每分钟20000转,三分钟,重复三次;(4)加适量预热至80℃注射用水至全量1000ml,过高压乳匀机,反复三次,取样,显微镜下观察粒径,至乳液粒径符合要求时停止;(5)过滤,灌装,充N2,封口,灭菌,编号,得复方异丙酚脂肪乳剂。(1) Take 20g of egg yolk lecithin, 150g of refined soybean oil, 10g of propofol, preheat to 80°C, stir and mix well; (2) Take 50g of polyethylene glycol, 20g of glycerin, 2g of lidocaine hydrochloride and inject an appropriate amount Preheat with water to 80°C and mix well; (3) Add (2) into (1), stir while adding, and disperse through a tissue grinder, 20,000 revolutions per minute, three minutes, repeat three times; (4) Add an appropriate amount of water for injection preheated to 80°C to a full volume of 1000ml, pass through a high-pressure homogenizer, repeat three times, take samples, observe the particle size under a microscope, and stop when the particle size of the emulsion meets the requirements; (5) filter, fill, and fill with N 2 , sealed, sterilized, and numbered to obtain the compound propofol fat emulsion. 2.复方异丙酚亚微乳剂,其特征在于:通过如下方法制备:2. compound propofol submicron emulsion, is characterized in that: prepare by following method: (1)取蛋黄卵磷脂15g,异丙酚10g,预热至80℃搅拌,混匀;(2)取1,2-丙二醇100g,泊洛沙姆20g,甘油25g,盐酸利多卡因1g及适量注射用水预热至80℃搅拌,混匀;(3)将(2)加入(1)中,边加边搅拌,经组织捣碎机分散,每分钟20000转,三分钟,重复三次;(4)加适量预热至80℃注射用水至全量1000ml,过高压乳匀机,反复三次,取样,显微镜下观察粒径,至亚微乳粒径符合要求时停止;(5)过滤,灌装,充N2,封口,灭菌,编号,得复方异丙酚亚微乳剂。(1) Take 15g of egg yolk lecithin, 10g of propofol, preheat to 80°C, stir and mix well; (2) Take 100g of 1,2-propanediol, 20g of poloxamer, 25g of glycerin, 1g of lidocaine hydrochloride and An appropriate amount of water for injection is preheated to 80°C and stirred, and mixed; (3) Add (2) to (1), stir while adding, and disperse through a tissue masher, 20,000 rpm for three minutes, repeat three times; ( 4) Add an appropriate amount of water for injection preheated to 80°C to a full volume of 1000ml, pass through a high-pressure homogenizer, repeat three times, take samples, observe the particle size under a microscope, and stop when the particle size of the submicron emulsion meets the requirements; (5) Filter and fill , filled with N 2 , sealed, sterilized, and numbered to obtain compound propofol submicron emulsion. 3.复方异丙酚微乳剂,其特征在于:通过如下方法制备:3. compound propofol microemulsion, is characterized in that: prepare by following method: (1)取异丙酚10g,VE 2g,预热至80℃搅拌,混匀;(2)取1,2-丙二醇500g,泊洛沙姆30g,甘油15g,盐酸利多卡因5g及适量注射用水预热至80℃搅拌,混匀;(3)将(2)加入(1)中,边加边搅拌,经组织捣碎机分散,每分钟20000转,三分钟,重复三次;(4)加适量预热至80℃注射用水至全量1000ml,过高压乳匀机,反复三次,取样,显微镜下观察粒径,至微乳粒径符合要求时停止;(5)过滤,灌装,充N2,封口,灭菌,编号,得复方异丙酚微乳剂。(1) Take propofol 10g, VE 2g, preheat to 80°C, stir and mix well; (2) Take 1,2-propanediol 500g, poloxamer 30g, glycerin 15g, lidocaine hydrochloride 5g and appropriate amount Preheat the water for injection to 80°C and stir, and mix well; (3) Add (2) into (1), stir while adding, and disperse through a tissue smasher, 20,000 revolutions per minute, three minutes, repeat three times; (4 ) add an appropriate amount of water for injection preheated to 80°C to a full volume of 1000ml, pass through a high-pressure homogenizer, repeat three times, take samples, observe the particle size under a microscope, and stop when the particle size of the microemulsion meets the requirements; (5) filter, fill, fill N 2 , sealed, sterilized, numbered, and compound propofol microemulsion was obtained. 4.注射用复方制剂,其特征在于:通过如下方法制备:4. The compound preparation for injection is characterized in that: it is prepared by the following method: (1)取异丙酚20g,蛋黄卵磷脂12g,泊洛沙姆40g,盐酸利多卡因30g及适量注射用水预热至80℃搅拌,混匀,经组织捣碎机分散,每分钟20000转,三分钟,重复三次,加入甘露醇30g,乳糖20g,搅拌至混合均匀;过高压乳匀机,反复三次,0.22μm滤膜过滤,灌入西林瓶,冷冻干燥。(1) Take 20g of propofol, 12g of egg yolk lecithin, 40g of poloxamer, 30g of lidocaine hydrochloride and appropriate amount of water for injection, preheat to 80°C and stir, mix well, disperse through a tissue masher, 20,000 rpm , three minutes, repeat three times, add 30g of mannitol, 20g of lactose, stir until mixed evenly; pass through a high-pressure milk homogenizer, repeat three times, filter with a 0.22μm filter membrane, pour into a vial, and freeze-dry.
CN2006100712321A 2006-03-21 2006-03-21 Compound propofol injection containing local anesthetic and preparation process Expired - Fee Related CN1903187B (en)

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CN102370619A (en) * 2010-08-18 2012-03-14 罗和国 Fat-emulsion-emulsified local anesthetic
CN106902362B (en) * 2017-02-13 2018-04-13 牡丹江医学院 A kind of anaesthetic preparation for ultrasonic guidance and preparation method thereof

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5714520A (en) * 1994-03-22 1998-02-03 Zeneca Limited Propofol compostion containing edetate

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5714520A (en) * 1994-03-22 1998-02-03 Zeneca Limited Propofol compostion containing edetate

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* Cited by examiner, † Cited by third party
Title
JP特开2002-179562A 2002.06.26

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