CN103519859B - A kind of gastrointestinal tract stapler - Google Patents

A kind of gastrointestinal tract stapler Download PDF

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Publication number
CN103519859B
CN103519859B CN201310514851.3A CN201310514851A CN103519859B CN 103519859 B CN103519859 B CN 103519859B CN 201310514851 A CN201310514851 A CN 201310514851A CN 103519859 B CN103519859 B CN 103519859B
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China
Prior art keywords
several
arc plate
gastrointestinal tract
housing
shape arc
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CN201310514851.3A
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Chinese (zh)
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CN103519859A (en
Inventor
徐刚毅
张晓蕾
张洁
裴明黎
郑海菁
王利群
涂克华
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Hangzhou Mingshan Biotechnology Co., Ltd
Original Assignee
HANGZHOU MEDZONE BIO-TECHNOLOGY Co Ltd
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Priority to CN201310514851.3A priority Critical patent/CN103519859B/en
Publication of CN103519859A publication Critical patent/CN103519859A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties

Abstract

A kind of gastrointestinal tract stapler, it comprise by Biodegradable material make slidably connect in ring assemblies and outer ring assembly, described interior ring assemblies comprises the hemispheric internal ring housing that bottom surface is provided with through hole, described outer ring assembly comprises the hemispheric outer shroud housing that bottom surface is provided with through hole and the urceolus be connected with described outer shroud housing, described interior ring assemblies be provided with at least two spaced apart, along arc-shaped edges equally distributed " several " the shape arc plate of the through hole of described internal ring housing; The bottom of described " several " shape arc plate is connected with described internal ring housing, and top width is less than bottom width, and described " several " shape arc plate tilts to described internal ring hull outside from bottom to top.It is simple that gastrointestinal tract stapler provided by the present invention has structure, easily manufactures, easily locate, the advantage that materials are few, effectively can save the consumption of the required Biodegradable material used, simplify production technology, reduce production cost.

Description

A kind of gastrointestinal tract stapler
Technical field
The present invention relates to a kind of medical equipment, particularly a kind of anastomat for gastrointestinal surgery.
Background technology
Gastrointestinal tract anastomosis operation is one of modal operation of surgery, as gastro-esophageal anastomosis, stomach-Surgical healing, small intestinal-esophagus coincide, intestinal-Surgical healing, anus-Surgical healing etc.A kind of decomposable asymmetric choice net anastomosis ring (BAR) utilizing Biodegradable material to prepare is widely applied in clinical operation in recent years, and Chinese patent CN1141913C it is also proposed the identical cover of the degradable in vivo utilizing Biodegradable material to prepare.The great advantage of above-mentioned identical cover is the complication such as anastomotic leakage after greatly reducing operation in patients and anastomotic stricture, and after patient wound's healing, these covers that coincide can be excreted after degraded and fragmentation.
But above-mentioned identical cover, all adopts chimeric design, the chimeric position of this type of anastomat all also exists can not complete hermetic slit; And the existence of this slit, likely cause intestinal juice to leak from the slit that can not seal completely, thus affect the healing of corrective surgery wound, even produce anastomotic leakage.
In order to solve the problem, Chinese patent CN201223418Y provides a kind of non-absorbing disintegratable anastomosis clamp for gastrointestinal tract anastomosis operation, this anastomosis clamp effectively can prevent the leakage after coincideing, but there is complex structure in this anastomosis clamp, complex manufacturing, the shortcoming that Biodegradable material materials are many.In addition; the gastrointestinal tract stapler that present patent application relates to also can adopt similar Biodegradable material to prepare; not present patent application emphasis required for protection about Biodegradable material part; therefore; those skilled in the art are when reading this patent; can understand with reference to the prior art, the application quotes in full as a part disclosed in the present application it.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of gastrointestinal tract stapler, to reduce or to avoid problem noted earlier.
Specifically, the invention provides a kind of gastrointestinal tract stapler, it comprise by Biodegradable material make slidably connect in ring assemblies and outer ring assembly, described interior ring assemblies comprises the hemispheric internal ring housing that bottom surface is provided with through hole, described outer ring assembly comprises the hemispheric outer shroud housing that bottom surface is provided with through hole and the urceolus be connected with described outer shroud housing, described interior ring assemblies be provided with at least two spaced apart, along arc-shaped edges equally distributed " several " the shape arc plate of the through hole of described internal ring housing; The bottom of described " several " shape arc plate is connected with described internal ring housing, and top width is less than bottom width, and described " several " shape arc plate tilts to described internal ring hull outside from bottom to top.
Preferably, described " several " shape arc plate is the circular arc platy structure of hollow.
Preferably, the urceolus of described outer ring assembly is being provided with a lobe away from described outer shroud housing side corresponding to each described " several " shape arc plate; Described internal ring housing is in the junction with described " several " shape arc plate, and the hollow part corresponding to described " several " shape arc plate is provided with medium altitude groove; Junction bottom described lobe both sides and described urceolus also arranges shoulder, and described shoulder can be combined closely with the described internal ring housing of described medium altitude groove both sides.
Preferably, inside described urceolus, the connecting portion of corresponding each described " several " shape arc plate is provided with at least one buckle.
Preferably, inside described urceolus, corresponding each described " several " shape arc plate is provided with an assembling and positioning buckle and two identical locating fasteners.
Preferably, the width of two described identical locating fasteners is identical with the hollow part width of described " several " shape arc plate.
Preferably, described outer shroud housing is provided with multiple square through hole with all corresponding on described internal ring housing.
Preferably, described gastrointestinal tract stapler comprises the Handleset be made up of Biodegradable material further, described Handleset comprises handle body, described handle body front end is provided with the handle locator card be flexibly connected with handle body, described handle locator card is two projections be arranged side by side, width between described two projections just in time can make assembling and positioning buckle from wherein passing through, and described handle locator card may be stuck in the connecting portion position of described interior ring assemblies.
Preferably, inside described urceolus, corresponding each described " several " shape arc plate is provided with two guiding ribs.
Preferably, multiple prefabricated broken groove is evenly provided with at the periphery of the internal ring housing of described interior ring assemblies and the outer shroud housing of outer ring assembly.
It is simple that gastrointestinal tract stapler provided by the present invention has structure, easily manufactures, easily locate, the advantage that materials are few, effectively can save the consumption of the required Biodegradable material used, simplify production technology, reduce production cost.
Accompanying drawing explanation
The following drawings is only intended to schematically illustrate the present invention and explain, not delimit the scope of the invention.Wherein,
Fig. 1 display be the use principle schematic diagram of a kind of gastrointestinal tract stapler according to a specific embodiment of the present invention;
Fig. 2 display be the decomposing state structural representation of the gastrointestinal tract stapler shown in Fig. 1;
Fig. 3 display be the perspective view of the interior ring assemblies shown in Fig. 2;
Fig. 4 display be the plan structure schematic diagram of the interior ring assemblies shown in Fig. 3;
Fig. 5 display be the perspective view of the outer ring assembly shown in Fig. 2;
Fig. 6 display be the outer ring assembly shown in Fig. 5 look up structural representation.
Detailed description of the invention
In order to there be understanding clearly to technical characteristic of the present invention, object and effect, now contrast accompanying drawing and the specific embodiment of the present invention is described.Wherein, identical parts adopt identical label.
The present invention relates to a kind of medical equipment, particularly a kind of anastomat for gastrointestinal surgery, especially an anastomat for the non-absorbing disintegratable anastomosis clamp for gastrointestinal tract anastomosis operation disclosed in similar CN201223418Y, belongs to and improves invention to the one of above-mentioned prior art.The operation principle, material etc. of the anastomat related in patent of the present invention are similar with above-mentioned prior art, and therefore the application is incorporated by reference in this text the prior art and examines, and repeats no longer one by one for similar parts such as operating principles.
Fig. 1 display be the use principle schematic diagram of a kind of gastrointestinal tract stapler according to a specific embodiment of the present invention; Fig. 2 display be the decomposing state structural representation of the gastrointestinal tract stapler shown in Fig. 1.
Shown in Fig. 1-2, the invention provides a kind of gastrointestinal tract stapler, similar with above-mentioned prior art, it comprise by Biodegradable material make slidably connect in ring assemblies 1 and outer ring assembly 2.In addition, also show in Fig. 1 after a Handleset 3(and will be described further), its quick position for ring assemblies 1 in auxiliary in operation process and outer ring assembly 2 and assembling, this Handleset 3 also non-required inserts human body, therefore Handleset 3 can be made with Biodegradable material, also can make with common medical plastic.
Described interior ring assemblies 1 comprises the hemispheric internal ring housing 11 that bottom surface is provided with through hole, described outer ring assembly 2 comprises the hemispheric outer shroud housing 21 that bottom surface is provided with through hole, and the urceolus 22 to be connected with described outer shroud housing 21, the top of described internal ring housing 11 is provided with the first circular arc sawtooth 111, and the top of described outer shroud housing 21 is provided with the second circular arc sawtooth 211 matched with described first circular arc sawtooth 111.
With prior art significantly unlike, described interior ring assemblies 1 be provided with at least two spaced apart, along arc-shaped edges equally distributed " several " the shape arc plate 12 of the through hole of described internal ring housing 11, described " several " shape arc plate 12 can be sleeved in described urceolus 22 and to be slidably connected with described urceolus 22, as shown in Figure 2,3.
Described " several " shape arc plate 12 is the circular arc platy structure of hollow, like this ensure described interior ring assemblies 1 and the basis of described outer ring assembly 2 bonding strength greatly reduce manufacture time demand to material quantity.For the ease of manufacturing and location, preferred described interior ring assemblies 1 is provided with " several " shape arc plate 12 described in three or four.
In addition, adopt " several " shape arc plate 12, part 121 1 aspect of its " several " type hollow can reduce material, on the other hand, the medium altitude groove 13(that " several " shape arc plate 12 and the arc-shaped edges of the through hole of internal ring housing 11 are formed is see Fig. 3, to be described this below) locking location can also be carried out to outer ring assembly 2, when avoiding interior ring assemblies 1 and the occlusion of outer ring assembly 2 buckle, distance is therebetween leaned on too tightly stomach intestinal tissue to be clipped broken, and causes identical small opening to form hidden danger.Moreover the connecting portion 122 of " several " shape arc plate 12 can also form the structure of carrying out buckle with outer ring assembly 2.Can say, " several " shape arc plate 12 hinge structure set by interior ring assemblies 1 of the present invention, possesses triple function, that is, interior ring assemblies 1 of the prior art needs to arrange three kinds of different structures respectively for above-mentioned three kinds of functions, and the present invention adopts a kind of structure to possess the function of three kinds of structures in prior art, possess outstanding substantive distinguishing features and significant progress.
Fig. 3 display be the perspective view of the interior ring assemblies shown in Fig. 2; Fig. 4 display be the plan structure schematic diagram of the interior ring assemblies shown in Fig. 3; Shown in Fig. 3-4, in a specific embodiment, the bottom of described " several " shape arc plate 12 is connected with described internal ring housing 11, and top width is less than bottom width, and described " several " shape arc plate 12 tilts from bottom to top outside described internal ring housing 11.Such one side is convenient to described " several " shape arc plate 12 to insert described urceolus 22, on the other hand, " several " shape arc plate 12 tilted can have good elasticity, thus be conducive to described " several " shape arc plate 12 and fit with the extruding of described urceolus 22, avoid interior ring assemblies 1 and outer ring assembly 2 assemble after produce and rock.
Fig. 5 display be the perspective view of the outer ring assembly shown in Fig. 2; Fig. 6 display be the outer ring assembly shown in Fig. 5 look up structural representation.Shown in Fig. 5,6, in a preferred embodiment, inside described urceolus 22, corresponding each described " several " shape arc plate 12 is provided with an assembling and positioning buckle 23 and two identical locating fasteners 24.Described assembling and positioning buckle 23 and described identical locating fastener 24 are triangularly arranged from described outer shroud housing 21 side along described urceolus 22 inwall, the width of two described identical locating fasteners 24 can be identical with the hollow part width of described " several " shape arc plate 12, like this after described Anastomat hemorrhoidal circumcision, described identical locating fastener 24 firmly can be fixed described " several " shape arc plate 12.
Assembling and positioning buckle 23 is for blocking location by the connecting portion 122 of interior ring assemblies 1 when initial assembling, and because assembling and positioning buckle 23 only has one, this location is only simple location, completely not stuck.After the complete orientation assemble of anastomat well, firmly by interior ring assemblies 1 and outer ring assembly 2 fastening, the connecting portion 122 of interior ring assemblies 1 just blocks by two identical locating fasteners 24, like this after described Anastomat hemorrhoidal circumcision, described identical locating fastener 24 firmly can be fixed described " several " shape arc plate 12.
Shown in Fig. 1,3,4, in another specific embodiment, described gastrointestinal tract stapler comprises Handleset 3 further, described Handleset 3 comprises handle body 31, described handle body 31 front end is provided with the handle locator card 32 be flexibly connected with handle body 31, unlike the prior art, described handle locator card 32 is two projections be arranged side by side, and the width between described two projections just in time can make assembling and positioning buckle 23 from wherein passing through.During operation, Handleset 3 passes by the through hole of interior ring assemblies 1, then makes handle locator card 32 be stuck in connecting portion 122 position of interior ring assemblies 1 by pressing operation.Just do not need to design handle locating hole for described handle locator card 32 specially like this on described interior ring assemblies 1, enormously simplify design and the manufacturing technique requirent of described interior ring assemblies 1.
Shown in Fig. 3-6, in another specific embodiment, preferably, inside described urceolus 22, corresponding each described " several " shape arc plate 12 is provided with two guiding ribs 25.By the clamping position of the described guiding rib 25 of both sides, described " several " shape arc plate 12 can the described urceolus 22 of insertion of more convenient and quicker.
In a preferred embodiment, described urceolus 22 is being provided with a lobe 26 away from described outer shroud housing 21 side corresponding to each described " several " shape arc plate 12, described internal ring housing 11 is in the junction with described " several " shape arc plate 12, and the hollow part corresponding to described " several " shape arc plate 12 is provided with medium altitude groove 13.At described interior ring assemblies 1 with the anastomosis procedures of outer ring assembly 2, described lobe 26 can be inserted into described medium altitude groove 13 along described " several " shape arc plate 12 always, can be conducive to the assembling and positioning of described interior ring assemblies 1 and outer ring assembly 2 like this.
In addition, in a preferred embodiment, junction bottom described lobe 26 both sides and described urceolus 22 can also arrange shoulder 261, like this after described lobe 26 is inserted into described medium altitude groove 13, the shoulder 261 of described lobe 26 both sides can be combined closely with the described internal ring housing 11 of described medium altitude groove 13 both sides, be conducive to described interior ring assemblies 1 and outer ring assembly 2 in conjunction with compactness.
In addition, gastrointestinal tract stapler prepared by existing employing degradation material, by its natural degradation, also just mean in degradation process, gastrointestinal tract stapler can be degraded to the uneven fragment of size, and time and the process of therefore whole gastrointestinal tract stapler degraded are all uncontrollable, if the fragment produced in gastrointestinal tract stapler degradation process is larger, likely dissociate to other positions of inside of human body, bring discomfort to patient.Therefore, in a preferred embodiment, as shown in Figure 2, multiple prefabricated broken groove 41 is evenly provided with at the periphery of the internal ring housing 11 of interior ring assemblies 1 and the outer shroud housing 21 of outer ring assembly 2.The object that arranges of prefabricated broken groove 41 is just to provide a kind of controlled fragment structure, when interior ring assemblies 1 and outer ring assembly 2 can be made in degradation process to be degraded to prefabricated broken groove 41 position, be decomposed into the more uniform fragment of several sizes with prefabricated broken groove 41 for border, facilitate tissue like this and absorb.
It is simple that gastrointestinal tract stapler provided by the present invention has structure, easily manufactures, easily locate, the advantage that materials are few, effectively can save the consumption of the required Biodegradable material used, simplify production technology, reduce production cost.
Although it will be appreciated by those skilled in the art that the present invention is described according to the mode of multiple embodiment, not each embodiment only comprises an independently technical scheme.So describe in description be only used to clear for the purpose of; description should integrally be understood by those skilled in the art, and regards technical scheme involved in each embodiment as the mode that mutually can be combined into different embodiment to understand protection scope of the present invention.
The foregoing is only the schematic detailed description of the invention of the present invention, and be not used to limit scope of the present invention.Any those skilled in the art, the equivalent variations done under the prerequisite not departing from design of the present invention and principle, amendment and combination, all should belong to the scope of protection of the invention.

Claims (10)

1. a gastrointestinal tract stapler, it comprise by Biodegradable material make slidably connect in ring assemblies and outer ring assembly, described interior ring assemblies comprises the hemispheric internal ring housing that bottom surface is provided with through hole, described outer ring assembly comprises the hemispheric outer shroud housing that bottom surface is provided with through hole and the urceolus be connected with described outer shroud housing, it is characterized in that, described interior ring assemblies be provided with at least two spaced apart, along arc-shaped edges equally distributed " several " the shape arc plate of the through hole of described internal ring housing; The bottom of described " several " shape arc plate is connected with described internal ring housing, and top width is less than bottom width, and described " several " shape arc plate tilts to described internal ring hull outside from bottom to top.
2. gastrointestinal tract stapler according to claim 1, is characterized in that, described " several " shape arc plate is the circular arc platy structure of hollow.
3. gastrointestinal tract stapler according to claim 1, is characterized in that, the urceolus of described outer ring assembly is being provided with a lobe away from described outer shroud housing side corresponding to each described " several " shape arc plate; Described internal ring housing is in the junction with described " several " shape arc plate, and the hollow part corresponding to described " several " shape arc plate is provided with medium altitude groove; Junction bottom described lobe both sides and described urceolus also arranges shoulder, and described shoulder can be combined closely with the described internal ring housing of described medium altitude groove both sides.
4. gastrointestinal tract stapler according to claim 1, is characterized in that, inside described urceolus, the connecting portion of corresponding each described " several " shape arc plate is provided with at least one buckle.
5. gastrointestinal tract stapler according to claim 4, is characterized in that, inside described urceolus, corresponding each described " several " shape arc plate is provided with an assembling and positioning buckle and two identical locating fasteners.
6. gastrointestinal tract stapler according to claim 5, is characterized in that, the width of two described identical locating fasteners is identical with the hollow part width of described " several " shape arc plate.
7. gastrointestinal tract stapler according to claim 1, is characterized in that, described outer shroud housing is provided with multiple square through hole with all corresponding on described internal ring housing.
8. gastrointestinal tract stapler according to claim 1, it is characterized in that, described gastrointestinal tract stapler comprises the Handleset be made up of Biodegradable material further, described Handleset comprises handle body, described handle body front end is provided with the handle locator card be flexibly connected with handle body, described handle locator card is two projections be arranged side by side, width between described two projections just in time can make assembling and positioning buckle from wherein passing through, and described handle locator card may be stuck in the connecting portion position of described interior ring assemblies.
9. according to the gastrointestinal tract stapler one of claim 1-8 Suo Shu, it is characterized in that, inside described urceolus, corresponding each described " several " shape arc plate is provided with two guiding ribs.
10. according to the gastrointestinal tract stapler one of claim 1-8 Suo Shu, it is characterized in that, be evenly provided with multiple prefabricated broken groove at the periphery of the internal ring housing of described interior ring assemblies and the outer shroud housing of outer ring assembly.
CN201310514851.3A 2013-10-25 2013-10-25 A kind of gastrointestinal tract stapler Active CN103519859B (en)

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104083186A (en) * 2014-06-16 2014-10-08 禹正杨 Degradable inner buckled type intestine auxiliary anastomotic device
CN105559844B (en) * 2016-02-26 2018-11-30 杭州越阡生物科技有限公司 Anastomosis ring
CN105534556B (en) * 2016-02-26 2017-09-29 杭州越阡生物科技有限公司 A kind of intestines and stomach anastomosis ring
CN105852917B (en) * 2016-04-19 2018-09-07 杭州铭众生物科技有限公司 A kind of other mouthpart for intestine fistulization operation

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US4766898A (en) * 1980-10-20 1988-08-30 American Cyanamid Company Anastomotic device
US5282810A (en) * 1992-04-08 1994-02-01 American Cyanamid Company Surgical anastomosis device
CN201223418Y (en) * 2008-05-13 2009-04-22 浙江铭众科技有限公司 Non-absorption disintegratable anastomosis clip for gastrointestinal tract anastomosis operation
CN102793951A (en) * 2012-08-29 2012-11-28 哈尔滨医科大学 Medical intestinal anastomosis ring made of degradable magnesium alloy

Family Cites Families (2)

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US20020091397A1 (en) * 2001-01-05 2002-07-11 Te-Chuan Chen Structure of intestinal anastomosis gun
US20070142850A1 (en) * 2005-12-15 2007-06-21 David Fowler Compression anastomosis device

Patent Citations (4)

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Publication number Priority date Publication date Assignee Title
US4766898A (en) * 1980-10-20 1988-08-30 American Cyanamid Company Anastomotic device
US5282810A (en) * 1992-04-08 1994-02-01 American Cyanamid Company Surgical anastomosis device
CN201223418Y (en) * 2008-05-13 2009-04-22 浙江铭众科技有限公司 Non-absorption disintegratable anastomosis clip for gastrointestinal tract anastomosis operation
CN102793951A (en) * 2012-08-29 2012-11-28 哈尔滨医科大学 Medical intestinal anastomosis ring made of degradable magnesium alloy

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Address after: 310018 room 2, building 452, No. 6, main street, Hangzhou economic and Technological Development Zone, Zhejiang,

Patentee after: Hangzhou Mingshan Biotechnology Co., Ltd

Address before: 310018, C0101 building, building 2, hi tech incubator, No. 6, 452 Avenue, Hangzhou economic and Technological Development Zone, Zhejiang, China

Patentee before: Hangzhou Medzone Bio-Technology Co., Ltd.

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