JP2003126104A - Ultrasonic incision apparatus - Google Patents

Ultrasonic incision apparatus

Info

Publication number
JP2003126104A
JP2003126104A JP2001325321A JP2001325321A JP2003126104A JP 2003126104 A JP2003126104 A JP 2003126104A JP 2001325321 A JP2001325321 A JP 2001325321A JP 2001325321 A JP2001325321 A JP 2001325321A JP 2003126104 A JP2003126104 A JP 2003126104A
Authority
JP
Japan
Prior art keywords
vibrator
rotary blade
motor
handpiece
cutter
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.)
Withdrawn
Application number
JP2001325321A
Other languages
Japanese (ja)
Inventor
Hideto Yoshimine
英人 吉嶺
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Olympus Corp
Original Assignee
Olympus Optical Co Ltd
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 Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
Priority to JP2001325321A priority Critical patent/JP2003126104A/en
Publication of JP2003126104A publication Critical patent/JP2003126104A/en
Withdrawn legal-status Critical Current

Links

Abstract

PROBLEM TO BE SOLVED: To provide an ultrasonic incision apparatus for which a handpiece for the conventional incision apparatus can be appropriated. SOLUTION: A cutter section 10 equipped with a rotational blade 11 and a vibrator 12 that generates ultrasonic vibration, a motor 31 that rotates the rotational blade 11 and the vibrator 12 and a handpiece 30 provided with an output axis 32 of the motor 31 are loaded, where the basic edge of the cutter section 10 is connected with the output axis 32 of the motor 31 of the handpiece 30 in a way they can be freely loaded and unloaded.

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【発明の属する技術分野】本発明は、外科医療分野にお
いて、広く一般的に用いられる超音波切開装置に関す
る。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an ultrasonic cutting device which is widely and generally used in the field of surgical treatment.

【0002】[0002]

【従来の技術】一般に、切開装置は、回転刃を有するカ
ッター部と、前記回転刃を回転させるモータを有するハ
ンドピースとを連結することにより形成されている。
2. Description of the Related Art Generally, a cutting device is formed by connecting a cutter portion having a rotary blade and a handpiece having a motor for rotating the rotary blade.

【0003】一方、超音波切開装置は、回転刃を有する
カッター部と、超音波振動を発生させる振動子と前記回
転刃を回転させるとともに前記振動子を駆動させるモー
タとを有するハンドピースとを連結することにより形成
されている。
On the other hand, the ultrasonic cutting device connects a cutter unit having a rotary blade, a handpiece having a vibrator for generating ultrasonic vibration and a motor for rotating the rotary blade and driving the vibrator. It is formed by doing.

【0004】この超音波切開装置は、切開装置の回転刃
の先端に超音波振動を付与する目的で形成されたもので
あり、この超音波切開装置の使用時には、回転刃を回転
させるとともに、振動子を駆動して前記回転刃の先端に
超音波振動を付与し、この回転刃の先端で患部を切開す
る。
This ultrasonic cutting device is formed for the purpose of applying ultrasonic vibration to the tip of the rotary blade of the cutting device. When the ultrasonic cutting device is used, the rotary blade is rotated and vibrated. The child is driven to apply ultrasonic vibration to the tip of the rotary blade, and the affected area is incised with the tip of the rotary blade.

【0005】また、この種の従来の超音波切開装置のハ
ンドピースに用いられる装置としては、実開昭60−3
3310号公報に開示されているように、先端を回転さ
せるとともに振動子を駆動させるモータに振動子を一体
的に接続し、先端に長手方向の縦振動を付与する構成の
装置が提案されている。
Further, as a device used for a handpiece of this type of conventional ultrasonic cutting device, there is an actual open sho 60-3.
As disclosed in Japanese Patent No. 3310, there is proposed a device having a structure in which a vibrator is integrally connected to a motor for rotating the tip and driving the vibrator, and longitudinal vibration in the longitudinal direction is applied to the tip. .

【0006】[0006]

【発明が解決しようとする課題】しかし、実開昭60−
33310号公報に開示されている装置は、上述のよう
に、モータに振動子を一体的に接続したものであるた
め、既存の切開装置のハンドピースに用いられる装置と
は異なる。したがって、超音波切開装置のハンドピース
として既存の切開装置のハンドピースを流用することは
できず、回転刃の先端に超音波振動を付与するために
は、新規に超音波切開装置一式を導入しなければなら
ず、不経済である。
[Problems to be Solved by the Invention]
As described above, the device disclosed in Japanese Patent No. 33310 is different from the device used for the handpiece of the existing incision device because the vibrator is integrally connected to the motor. Therefore, the handpiece of the existing incision device cannot be diverted as the handpiece of the ultrasonic incision device, and in order to impart ultrasonic vibration to the tip of the rotary blade, a new set of ultrasonic incision device is introduced. It must be uneconomical.

【0007】この発明は、既存の切開装置のハンドピー
スを流用することができ、経済的な超音波切開装置を提
供することを目的としたものである。
An object of the present invention is to provide an economical ultrasonic incision device which can use the handpiece of the existing incision device.

【0008】[0008]

【課題を解決するための手段】この発明の超音波切開装
置は、回転刃と超音波振動を発生させる振動子とを有す
るカッター部と、前記回転刃を回転させるとともに前記
振動子を駆動させるモータとこのモータの出力軸とを有
するハンドピースとを備えており、前記カッター部の基
端と前記ハンドピースのモータの出力軸とが着脱自在に
連結されていることを特徴とするものである。
SUMMARY OF THE INVENTION An ultrasonic cutting device according to the present invention is a motor having a cutter portion having a rotary blade and a vibrator for generating ultrasonic vibration, and a motor for rotating the rotary blade and driving the vibrator. And a handpiece having an output shaft of the motor, and the base end of the cutter portion and the output shaft of the motor of the handpiece are detachably connected.

【0009】この発明の超音波切開装置によれば、振動
子がカッター部に設けられており、カッター部の基端と
ハンドピースのモータの出力軸とが着脱自在に連結され
ているため、既存の切開装置のハンドピースを流用する
ことができる。
According to the ultrasonic cutting device of the present invention, since the vibrator is provided in the cutter part and the base end of the cutter part and the output shaft of the motor of the handpiece are detachably connected, it is possible to use the existing device. The handpiece of the incision device can be used.

【0010】また、この発明の他の超音波切開装置は、
回転刃を有するカッター部と、超音波振動を発生させる
振動子を有する振動子ユニットと、前記回転刃を回転さ
せるととともに前記振動子を駆動させるモータとこのモ
ータの出力軸とを有するハンドピースとを備えており、
前記カッター部の基端と前記振動子ユニットの振動子の
出力側端部とが着脱自在に連結されているとともに、前
記振動子ユニットの振動子の入力側端部と前記ハンドピ
ースのモータの出力軸とが着脱自在に連結されているこ
とを特徴とするものである。
Another ultrasonic cutting device of the present invention is
A handpiece having a cutter unit having a rotary blade, a vibrator unit having a vibrator for generating ultrasonic vibration, a motor for driving the vibrator while rotating the rotary blade, and a handpiece having an output shaft of the motor. Is equipped with
The base end of the cutter section and the output side end of the vibrator of the vibrator unit are detachably connected, and the input side end of the vibrator of the vibrator unit and the output of the handpiece motor are connected. The shaft is detachably connected to the shaft.

【0011】この発明の他の超音波切開装置によれば、
振動子がカッター部およびハンドピースの双方から独立
した振動子ユニットに設けられており、カッター部の基
端と振動子ユニットの振動子の出力側端部とが着脱自在
に連結されているとともに、振動子ユニットの振動子の
入力側端部とハンドピースのモータの出力軸とが着脱自
在に連結されているため、既存の切開装置のハンドピー
ス流用することができる。
According to another ultrasonic cutting device of the present invention,
The vibrator is provided in the vibrator unit independent of both the cutter unit and the handpiece, and the base end of the cutter unit and the output side end of the vibrator of the vibrator unit are detachably connected, Since the input side end of the vibrator of the vibrator unit and the output shaft of the handpiece motor are detachably connected, the handpiece of the existing incision device can be used.

【0012】[0012]

【発明の実施の形態】図1はこの発明の第1の実施形態
を示す超音波切開装置の全体を示す断面図である。
1 is a sectional view showing an entire ultrasonic cutting device according to a first embodiment of the present invention.

【0013】この実施形態の超音波切開装置1aは、回
転刃の先端に長手方向に対するねじり振動を付与するも
のであり、回転刃11と超音波振動を発生させる振動子
12とを有するカッター部10と、前記回転刃11を回
転させるとともに前記振動子12を駆動させるモータ3
1とこのモータの出力軸32とを有するハンドピース3
0とから構成されている。
The ultrasonic cutting device 1a of this embodiment applies a torsional vibration in the longitudinal direction to the tip of the rotary blade, and has a cutter portion 10 having a rotary blade 11 and a vibrator 12 for generating ultrasonic vibration. And a motor 3 for rotating the rotary blade 11 and driving the vibrator 12
1 and a handpiece 3 having an output shaft 32 of this motor
It is composed of 0 and 0.

【0014】まず、カッター部10について説明する。
前記カッター部10の回転刃11は、患部を切開するの
に十分な長さに形成されており、その内部には、長手方
向の軸に沿った管路が形成されている。また、その外周
は、前記回転刃11の長手方向の軸と同軸のシース13
で覆われている。そして、前記回転刃11の先端には内
刃14が設けられており、前記シース13の先端には外
刃15が設けられている。
First, the cutter section 10 will be described.
The rotary blade 11 of the cutter unit 10 is formed to have a length sufficient to incise the affected area, and a pipe line is formed inside the rotary blade 11 along the longitudinal axis. The outer circumference of the sheath 13 is coaxial with the longitudinal axis of the rotary blade 11.
Is covered with. An inner blade 14 is provided at the tip of the rotary blade 11, and an outer blade 15 is provided at the tip of the sheath 13.

【0015】また、前記シース13の基端にはケーシン
グ16が設けられており、このケーシング16の内部に
は振動子12が収容されている。前記振動子12はねじ
り振動を発生させる振動子、例えば2つの金属ブロック
の間に複数の圧電素子12aを積層させたボルト締めラ
ンジュバン型ねじり振動子であり、その内部には、長手
方向の軸に沿った管路が形成されている。また、この振
動子12は、その長手方向の軸が前記回転刃11の長手
方向の軸と同軸となるように配置されている。なお、前
記回転刃11と前記振動子12の出力側端部とは、例え
ばねじ込み接着、ロー付け、溶接などの方法により連結
固定されている。
A casing 16 is provided at the proximal end of the sheath 13, and the vibrator 12 is housed inside the casing 16. The vibrator 12 is a vibrator that generates a torsional vibration, for example, a bolted Langevin-type torsional vibrator in which a plurality of piezoelectric elements 12a are stacked between two metal blocks, and the inside thereof has a longitudinal axis. A duct along the line is formed. The vibrator 12 is arranged such that its longitudinal axis is coaxial with the longitudinal axis of the rotary blade 11. The rotary blade 11 and the output side end of the vibrator 12 are connected and fixed by a method such as screwing adhesion, brazing, or welding.

【0016】また、前記振動子12の複数の圧電素子1
2aにそれぞれ設けられた電極(図示せず)は、電極板
19と振動子12内部のボルトとを介して電気的に接続
されている。さらに、前記圧電素子12aの電極のうち
の一方の電極はそれぞれ第1のスリップリング20を介
して電線21と電気的に接続され、他方の電極はそれぞ
れ第2のスリップリング22を介して電線23と電気的
に接続されており、これらの電線21,23はそれぞれ
前記振動子12を駆動する振動子コントロールユニット
2と電気的に接続されている。
The plurality of piezoelectric elements 1 of the vibrator 12 are also provided.
Electrodes (not shown) provided on the respective 2a are electrically connected via the electrode plate 19 and the bolt inside the vibrator 12. Further, one of the electrodes of the piezoelectric element 12 a is electrically connected to the electric wire 21 via the first slip ring 20, and the other electrode is connected to the electric wire 23 via the second slip ring 22. The electric wires 21 and 23 are electrically connected to the vibrator control unit 2 that drives the vibrator 12, respectively.

【0017】さらに、前記カッター部10の基端には、
内部に長手方向の軸に沿った管路が形成されたテーパ部
17が設けられており、このテーパ部17には、カッタ
ー部10の基端とハンドピース30のモータ31の出力
軸32とを着脱自在に連結するためのピン18が前記回
転刃11の長手方向の軸と直交するように設けられてい
る。
Further, at the base end of the cutter portion 10,
A taper portion 17 having a pipe line formed along an axis in the longitudinal direction is provided inside, and the base end of the cutter portion 10 and the output shaft 32 of the motor 31 of the handpiece 30 are provided in the taper portion 17. A pin 18 for detachably connecting is provided so as to be orthogonal to the longitudinal axis of the rotary blade 11.

【0018】次に、ハンドピース30について説明す
る。ハンドピース30のモータ31およびその出力軸3
2はケーシング33の内部に収容されている。また、前
記モータ31の出力軸32には、前記回転刃11に回転
を伝達するための受け部材34が設けられており、この
受け部材34は、前記テーパ部17と嵌合するテーパ穴
(図示せず)と前記テーパ部17に設けられたピン18
と嵌合する溝(図示せず)が形成されている。
Next, the handpiece 30 will be described. Motor 31 of handpiece 30 and its output shaft 3
2 is housed inside the casing 33. Further, a receiving member 34 for transmitting rotation to the rotary blade 11 is provided on the output shaft 32 of the motor 31, and the receiving member 34 has a tapered hole (FIG. (Not shown) and the pin 18 provided on the tapered portion 17
A groove (not shown) that fits with is formed.

【0019】前記モータ31は、電線35によりモータ
31を駆動するためのモータコントロールユニット3と
電気的に接続されており、前記モータ31を駆動するた
めのスイッチ4は、前記振動子コントロールユニット2
と電気的に接続されている。また、振動子コントロール
ユニット2とモータコントロールユニット3とは、スイ
ッチコネクタ(図示せず)と電気的に接続された信号線
5により電気的に接続されている。
The motor 31 is electrically connected to the motor control unit 3 for driving the motor 31 by an electric wire 35, and the switch 4 for driving the motor 31 includes the switch 4 for driving the motor 31.
Is electrically connected to. The vibrator control unit 2 and the motor control unit 3 are electrically connected by a signal line 5 electrically connected to a switch connector (not shown).

【0020】なお、回転刃11、振動子12およびテー
パ部17の内部には、上述のように、それぞれ長手方向
の軸に沿った管路が形成されており、これら管路がそれ
ぞれ連通して、切開された患部組織を吸引する吸引管路
6が形成されている。また、受け部材34に孔36が設
けられているとともに、ケーシング33の内部に管路3
7が形成されており、前記受け部材34の孔36は前記
管路37を介して吸引装置7に連通している。
Inside the rotary blade 11, the vibrator 12, and the taper portion 17, as described above, pipes are formed along the longitudinal axis, and these pipes communicate with each other. A suction line 6 for sucking the incised diseased tissue is formed. Further, the receiving member 34 is provided with the hole 36, and the pipe 3 is provided inside the casing 33.
7 is formed, and the hole 36 of the receiving member 34 communicates with the suction device 7 through the pipe line 37.

【0021】この実施形態の超音波切開装置1aは、前
記テーパ部17と前記受け部材34のテーパ穴とを嵌合
させるとともに、前記テーパ部17に設けられたピン1
8と前記受け部材34に形成された溝とを嵌合させるこ
とで、カッター部10の基端とハンドピース30のモー
タ31の出力軸32とを着脱自在に連結させて使用する
ものである。また、前記吸引管路6と前記吸引装置7と
は、前記テーパ部17と前記受け部材34とを嵌合させ
ることで、前記受け部材34の孔36および前記管路3
7を介して流体連結する。なお、前記カッター部10の
ケーシング16のハンドピース側端部と前記ハンドピー
ス30のケーシング33のカッター部側端部にはそれぞ
れネジ16a,33aが形成されており、前記ケーシン
グ16,33はこれらネジ16a,33aにより着脱自
在に連結させる。
In the ultrasonic cutting device 1a of this embodiment, the tapered portion 17 is fitted in the tapered hole of the receiving member 34, and the pin 1 provided in the tapered portion 17 is fitted.
The base end of the cutter unit 10 and the output shaft 32 of the motor 31 of the handpiece 30 are detachably connected and used by fitting the groove 8 formed in the receiving member 34 with the base member 8. Further, in the suction pipe line 6 and the suction device 7, by fitting the tapered portion 17 and the receiving member 34, the hole 36 of the receiving member 34 and the pipe line 3 are formed.
Fluidly connected via 7. It should be noted that screws 16a and 33a are formed on the handpiece side end of the casing 16 of the cutter unit 10 and the cutter unit side end of the casing 33 of the handpiece 30, respectively. 16a and 33a connect detachably.

【0022】また、この実施形態の超音波切開装置1a
は、以下のように使用する。まず、スイッチ4をオンに
すると、振動子コントロールユニット2と信号線5とを
介してモータコントロールユニット3がオンになりモー
タ31が回転する。なお、前記カッター部10の基端に
設けられたテーパ部17と前記モータ31の出力軸32
に設けられた受け部材34とが連結しているため、モー
タ31の回転は回転刃11に伝達される。また、スイッ
チ4がオンになると、振動子コントロールユニット2は
モータ31の動作と連動して前記振動子12が駆動す
る。
The ultrasonic cutting device 1a of this embodiment is also used.
Is used as follows. First, when the switch 4 is turned on, the motor control unit 3 is turned on via the vibrator control unit 2 and the signal line 5, and the motor 31 rotates. In addition, the taper portion 17 provided at the base end of the cutter portion 10 and the output shaft 32 of the motor 31.
The rotation of the motor 31 is transmitted to the rotary blade 11 because it is connected to the receiving member 34 provided in the. When the switch 4 is turned on, the vibrator control unit 2 drives the vibrator 12 in conjunction with the operation of the motor 31.

【0023】このようにすることにより、回転刃11が
回転するとともに、振動子12が駆動して回転刃11の
先端である内刃14に長手方向に対するねじり振動が付
与される。そして、この回転刃11の先端に設けられた
内刃14およびシース13の先端に設けられた外刃15
で患部を切開する。なお、このとき、切開された患部組
織は前記吸引装置7を駆動することにより、吸引管路
6、受け部材34の孔36および管路37通って吸引、
除去される。
By doing so, the rotary blade 11 rotates, and the vibrator 12 is driven to impart a torsional vibration in the longitudinal direction to the inner blade 14, which is the tip of the rotary blade 11. Then, the inner blade 14 provided at the tip of the rotary blade 11 and the outer blade 15 provided at the tip of the sheath 13
Make an incision in the affected area. At this time, the incised diseased tissue is sucked through the suction pipe 6, the hole 36 of the receiving member 34, and the pipe 37 by driving the suction device 7.
To be removed.

【0024】この実施形態の超音波切開装置1aによれ
ば、振動子12がカッター部10に設けられており、カ
ッター部10の基端とハンドピース30のモータ31の
出力軸32とが着脱自在に連結されているため、既存の
切開装置のハンドピースを流用することができる。
According to the ultrasonic cutting device 1a of this embodiment, the vibrator 12 is provided in the cutter portion 10, and the base end of the cutter portion 10 and the output shaft 32 of the motor 31 of the handpiece 30 are detachable. The handpiece of the existing incision device can be used because it is connected to.

【0025】したがって、既存の切開装置のカッター部
を本実施形態の超音波切開装置1aのカッター部10に
交換するとともに、前記既存の切開装置に振動子コント
ロールユニット2を追加することにより、新規に超音波
切開装置一式を導入しなくとも、既存の切開装置の回転
刃の先端に超音波ねじり振動を付与することができる。
Therefore, by replacing the cutter part of the existing incision device with the cutter part 10 of the ultrasonic incision device 1a of the present embodiment, and adding the transducer control unit 2 to the existing incision device, a new one is newly provided. Ultrasonic torsional vibration can be applied to the tip of the rotary blade of the existing cutting device without introducing a set of ultrasonic cutting devices.

【0026】図2はこの発明の第2の実施形態を示す超
音波切開装置の全体を示す断面図である。
FIG. 2 is a sectional view showing an entire ultrasonic cutting device showing a second embodiment of the present invention.

【0027】この実施形態の超音波切開装置1bは、回
転刃の先端に長手方向に対する曲げ振動を付与するもの
であり、回転刃41と超音波振動を発生させる振動子4
2とを有するカッター部40と、前記回転刃41を回転
させるとともに前記振動子42を駆動させるモータ31
とこのモータの出力軸32とを有するハンドピース30
とから構成されている。
The ultrasonic cutting device 1b of this embodiment applies bending vibration in the longitudinal direction to the tip of the rotary blade, and the rotary blade 41 and the vibrator 4 for generating ultrasonic vibration.
And a motor 31 for rotating the rotary blade 41 and driving the vibrator 42.
And a handpiece 30 having an output shaft 32 of this motor
It consists of and.

【0028】まず、カッター部40について説明する。
前記カッター部40の回転刃41は、患部を切開するの
に十分な長さに形成されており、その内部には、長手方
向の軸に沿った管路が形成されている。また、その外周
は、回転刃41の長手方向の軸と同軸のシース43で覆
われている。そして、前記回転刃41の先端には内刃4
4が設けられており、前記シース43の先端には外刃4
5が設けられている。また、この回転刃41には、振動
子42を駆動させたときに曲げ振動の節部となる位置に
対応させて複数の軸受け46が設けられており、これら
複数の軸受け46が前記シース43に固定されている。
なお、前記複数の軸受け46のうちの1つは、回転刃4
1と振動子42の出力側端部と連結するための接続用軸
受け47とされている。また、前記シース43の基端に
はケーシング48が設けられている。
First, the cutter section 40 will be described.
The rotary blade 41 of the cutter unit 40 is formed to have a length sufficient to incise the affected area, and a pipe line is formed inside the rotary blade 41 along the longitudinal axis. The outer periphery of the rotary blade 41 is covered with a sheath 43 coaxial with the longitudinal axis of the rotary blade 41. The inner blade 4 is attached to the tip of the rotary blade 41.
4 is provided, and the outer blade 4 is provided at the tip of the sheath 43.
5 are provided. Further, the rotary blade 41 is provided with a plurality of bearings 46 corresponding to the positions which become the nodes of bending vibration when the vibrator 42 is driven, and the plurality of bearings 46 are provided on the sheath 43. It is fixed.
One of the plurality of bearings 46 is the rotary blade 4
1 and a connecting bearing 47 for connecting the output side end of the vibrator 42. A casing 48 is provided at the base end of the sheath 43.

【0029】また、前記接続用軸受け47に対応させて
ケーシング49が設けられており、このケーシング49
の内部に振動子42が収容されている。前記振動子42
は縦振動を発生させる振動子、例えばボルト締めランジ
ュバン型振動子であり、その軸が前記回転刃41の長手
方向の軸と直交するように配置されている。なお、前記
回転刃41と振動子42の出力側端部とは、前記回転刃
41の接続用軸受け47において図示しないネジ等によ
り着脱自在に連結されており、前記ケーシング48と前
記ケーシング49ともまた、図示しないネジ等により着
脱自在に連結されている。
A casing 49 is provided corresponding to the connecting bearing 47. The casing 49
The vibrator 42 is housed inside. The oscillator 42
Is a vibrator that generates vertical vibration, for example, a bolted Langevin vibrator, and is arranged so that its axis is orthogonal to the axis of the rotary blade 41 in the longitudinal direction. The rotary blade 41 and the output side end of the vibrator 42 are detachably connected to each other by a screw or the like (not shown) in a connecting bearing 47 of the rotary blade 41, and the casing 48 and the casing 49 are also connected to each other. , Are detachably connected by screws (not shown).

【0030】さらに、前記カッター部40の基端には、
内部に長手方向の軸に沿った管路が形成されたテーパ−
部50が設けられており、このテーパ−部50には、前
記カッター部40の基端と前記ハンドピース30のモー
タ31の出力軸32とを着脱自在に連結するためのピン
51が前記回転刃41の長手方向の軸と直交するように
設けられている。なお、前記テーパ−部50は前記ハン
ドピース30に設けられた受け部材34のテーパ穴と嵌
合するように形成されているとともに、テーパ−部50
に設けられたピン51は受け部材34の溝と嵌合するよ
うに形成されている。
Further, at the base end of the cutter section 40,
Taper with a conduit formed along the longitudinal axis inside
A portion 50 is provided, and a pin 51 for detachably connecting the base end of the cutter portion 40 and the output shaft 32 of the motor 31 of the handpiece 30 is provided on the tapered portion 50. It is provided so as to be orthogonal to the longitudinal axis of 41. The taper portion 50 is formed so as to fit into the taper hole of the receiving member 34 provided in the handpiece 30, and the taper portion 50 is formed.
The pin 51 provided on the above is formed so as to fit into the groove of the receiving member 34.

【0031】また、回転刃41およびテーパ−部50の
内部には、上述のように、それぞれ長手方向の軸に沿っ
た管路が形成されており、これら管路がそれぞれ連通し
て、切開された患部組織を吸引する吸引管路6が形成さ
れている。なお、他の構成は上述した第1の実施形態と
同じであるから、重複する説明は図に同符号を付して省
略する。
Further, inside the rotary blade 41 and the taper portion 50, as described above, pipelines are formed along the longitudinal axis, respectively, and these pipelines communicate with each other and are cut open. A suction conduit 6 for sucking the affected tissue is formed. Since the other configurations are the same as those of the above-described first embodiment, the duplicate description will be omitted by giving the same reference numerals to the drawings.

【0032】この実施形態の超音波切開装置1bは、前
記テーパ−部50と前記受け部材34のテーパ穴とを嵌
合させるとともに、前記テーパ−部50に設けられたピ
ン51と前記受け部材34に形成された溝とを嵌合させ
ることで、カッター部40の基端とハンドピース30の
モータ31の出力軸32とを着脱自在に連結させて使用
するものである。
In the ultrasonic cutting device 1b of this embodiment, the taper portion 50 and the taper hole of the receiving member 34 are fitted together, and the pin 51 provided on the taper portion 50 and the receiving member 34 are provided. The base end of the cutter portion 40 and the output shaft 32 of the motor 31 of the handpiece 30 are detachably connected and used by fitting the groove formed in the.

【0033】また、前記吸引管路6と吸引装置(図示せ
ず)とは、前記テーパ部50と前記受け部材34とを嵌
合させることで、前記受け部材34の孔36および前記
管路37を介して流体連結する。なお、前記カッター部
40のケーシング48のハンドピース側端部と前記ハン
ドピース30のケーシング33のカッター部側端部には
それぞれネジ48a,33aが形成されており、前記ケ
ーシング48,33はこれらネジ48a,33aにより
着脱自在に連結させる。
The suction pipe 6 and the suction device (not shown) are fitted in the tapered portion 50 and the receiving member 34, so that the hole 36 of the receiving member 34 and the pipe 37 are formed. Fluidly connected via. It should be noted that screws 48a and 33a are formed at the handpiece side end of the casing 48 of the cutter section 40 and the cutter side end of the casing 33 of the handpiece 30, respectively. 48a and 33a connect detachably.

【0034】また、この実施形態の超音波切開装置1b
では、前記カッター部40の基端に設けられたテーパ−
部50と前記ハンドピース30のモータ31の出力軸3
2に設けられた受け部材34とが連結しているため、ス
イッチ(図示せず)をオンにしてモータ31を回転させ
るとモータ31の回転は回転刃41に伝達される。ま
た、スイッチがオンになると、振動子コントロールユニ
ット(図示せず)はモータ31の動作と連動して前記振
動子42が駆動する。このようにすることにより、前記
回転刃41が回転するとともに、振動子42が駆動し
て、前記回転刃41先端である内刃44に長手方向の軸
と直交する縦振動、すなわち、長手方向に対する曲げ振
動が付与される。
The ultrasonic cutting device 1b of this embodiment is also used.
Then, a taper provided at the base end of the cutter unit 40
Output shaft 3 of the part 50 and the motor 31 of the handpiece 30
Since the receiving member 34 provided on the No. 2 is connected, when the switch (not shown) is turned on to rotate the motor 31, the rotation of the motor 31 is transmitted to the rotary blade 41. When the switch is turned on, a vibrator control unit (not shown) drives the vibrator 42 in conjunction with the operation of the motor 31. By doing so, the rotary blade 41 rotates, and the vibrator 42 drives to cause the inner blade 44, which is the tip of the rotary blade 41, to vibrate vertically, that is, in the longitudinal direction. Bending vibration is applied.

【0035】この実施形態の超音波切開装置1bによれ
ば、振動子42がカッター部40に設けられており、カ
ッター部40の基端とハンドピース30のモータ31の
出力軸32とが着脱自在に連結されているため、既存の
切開装置のハンドピースを流用することができる。
According to the ultrasonic cutting device 1b of this embodiment, the vibrator 42 is provided in the cutter portion 40, and the base end of the cutter portion 40 and the output shaft 32 of the motor 31 of the handpiece 30 are detachable. The handpiece of the existing incision device can be used because it is connected to.

【0036】したがって、既存の切開装置のカッター部
を本実施形態の超音波切開装置1bのカッター部40と
を交換するとともに、前記既存の切開装置に振動子コン
トロールユニットを追加することにより、新規に超音波
切開装置一式を導入しなくとも、既存の切開装置の回転
刃の先端に超音波曲げ振動を付与することができる。
Therefore, by replacing the cutter part of the existing incision device with the cutter part 40 of the ultrasonic incision device 1b of this embodiment, and adding a transducer control unit to the existing incision device, a new one is newly provided. Ultrasonic bending vibration can be applied to the tip of the rotary blade of the existing cutting device without introducing a set of ultrasonic cutting devices.

【0037】さらに、この実施形態の超音波切開装置1
bでは、回転刃41と振動子42の出力側端部とが着脱
自在に連結されているとともに、ケーシング48とケー
シング49とが着脱自在に連結されているため、カッタ
ー部40からケーシング49およびこのケーシング49
に収容された振動子42が脱着自在であり、したがっ
て、回転刃の先端に超音波振動を付与しない切開装置と
しても使用することができる。
Further, the ultrasonic cutting device 1 according to this embodiment.
In b, the rotary blade 41 and the output side end of the vibrator 42 are detachably connected, and the casing 48 and the casing 49 are detachably connected. Casing 49
Since the vibrator 42 housed in is detachable, it can be used also as an incision device that does not apply ultrasonic vibration to the tip of the rotary blade.

【0038】図3はこの発明の第3の実施形態を示す超
音波切開装置の全体を示す断面図である。
FIG. 3 is a sectional view showing an entire ultrasonic cutting device showing a third embodiment of the present invention.

【0039】この実施形態の超音波切開装置1cは、回
転刃の先端に長手方向に対するねじり振動を付与するも
のであり、回転刃61を有するカッター部60と、超音
波振動を発生させる振動子71を有する振動子ユニット
70と、前記回転刃61を回転させるととともに前記振
動子71を駆動させるモータ31とこのモータ31の出
力軸32とを有するハンドピース30とから構成されて
いる。
The ultrasonic cutting device 1c of this embodiment applies a torsional vibration in the longitudinal direction to the tip of the rotary blade, and has a cutter section 60 having a rotary blade 61 and a vibrator 71 for generating ultrasonic vibration. And a handpiece 30 having a motor 31 for rotating the rotary blade 61 and driving the vibrator 71, and an output shaft 32 of the motor 31.

【0040】まず、カッター部60について説明する。
前記カッター部60の回転刃61は、患部を切開するの
に十分な長さに形成されており、内部には、長手方向の
軸に沿った管路が形成されている。また、その外周は、
回転刃61の長手方向の軸と同軸のシース62で覆われ
ている。そして、前記回転刃61の先端には内刃63が
設けられており、前記シース62の先端には外刃64が
設けられている。また、シース62の基端にはケーシン
グ65が設けられている。
First, the cutter section 60 will be described.
The rotary blade 61 of the cutter unit 60 is formed to have a length sufficient to incise the affected part, and a pipe line is formed inside along the longitudinal axis. Also, its outer circumference is
It is covered with a sheath 62 coaxial with the longitudinal axis of the rotary blade 61. An inner blade 63 is provided at the tip of the rotary blade 61, and an outer blade 64 is provided at the tip of the sheath 62. A casing 65 is provided at the base end of the sheath 62.

【0041】さらに、前記カッター部60の基端には、
内部に長手方向の軸に沿った管路が形成された第1のテ
ーパ−部66が設けられており、この第1のテーパ部6
6には、カッター部60の基端と振動子71の出力側端
部とを着脱自在に連結するためのピン67が前記回転刃
61の長手方向の軸と直交するように設けられている。
Further, at the base end of the cutter unit 60,
A first taper portion 66 having a pipe line formed therein along a longitudinal axis is provided inside the first taper portion 6.
6, a pin 67 for detachably connecting the base end of the cutter unit 60 and the output side end of the vibrator 71 is provided so as to be orthogonal to the longitudinal axis of the rotary blade 61.

【0042】次に、振動子ユニット70について説明す
る。振動子ユニット70にはケーシング72が設けられ
ており、このケーシング72の内部に振動子71が収容
されている。前記振動子71はねじり振動を発生させる
振動子、例えばボルト締めランジュバン型ねじり振動子
であり、内部に長手方向の軸に沿った管路が形成されて
いる。また、この振動子71は、その軸が前記回転刃6
1の長手方向の軸と同軸となるように配置されている。
Next, the vibrator unit 70 will be described. The vibrator unit 70 is provided with a casing 72, and the vibrator 71 is housed inside the casing 72. The vibrator 71 is a vibrator that generates a torsional vibration, for example, a bolted Langevin-type torsional vibrator, and has a pipe line formed inside along a longitudinal axis. The axis of the oscillator 71 is the rotary blade 6
1 is arranged so as to be coaxial with the longitudinal axis.

【0043】また、前記振動子71の複数の圧電素子7
1aにそれぞれ設けられた電極(図示せず)は、電極板
73と振動子71の内部のボルトとを介して電気的に接
続されている。さらに、前記圧電素子71aの電極のう
ちの一方の電極はそれぞれ第1のスリップリング74を
介して第1の電線75と電気的に接続され、他方の電極
はそれぞれ第2のスリップリング76を介して第2の電
線77と電気的に接続されており、これらの電線75,
77はそれぞれ前記振動子71を駆動する振動子コント
ロールユニット(図示せず)と電気的に接続されてい
る。
The plurality of piezoelectric elements 7 of the vibrator 71 are also provided.
The electrodes (not shown) provided on each of the terminals 1a are electrically connected to each other through the electrode plate 73 and the bolt inside the vibrator 71. Further, one of the electrodes of the piezoelectric element 71 a is electrically connected to the first electric wire 75 via the first slip ring 74, and the other electrode is connected to the second slip ring 76. Is electrically connected to the second electric wire 77, and these electric wires 75,
77 are electrically connected to a vibrator control unit (not shown) that drives the vibrator 71.

【0044】また、前記振動子71の出力側端部には、
回転刃61に回転を伝達するための第1の受け部材78
が設けられており、この第1の受け部材78は、前記カ
ッター部60に設けられた第1のテーパ部66と嵌合す
るテーパ穴(図示せず)と前記第1テーパ部66に設け
られたピン67と嵌合する溝(図示せず)が形成されて
いる。なお、内部には、長手方向の軸に沿った管路が形
成されている。
Further, at the output side end of the vibrator 71,
First receiving member 78 for transmitting rotation to the rotary blade 61
The first receiving member 78 is provided in the first tapered portion 66 and a tapered hole (not shown) that fits into the first tapered portion 66 provided in the cutter portion 60. A groove (not shown) that fits into the pin 67 is formed. A pipe line is formed inside along the longitudinal axis.

【0045】さらに、前記振動子71の入力側端部に
は、内部に長手方向の軸に沿った管路が形成された第2
のテーパ部79が設けられており、この第2のテーパ部
79には、前記振動子71の入力側端部と前記ハンドピ
ース30のモータ31の出力軸32とを着脱自在に連結
するためのピン80が前記回転刃61の長手方向の軸と
直交するように設けられている。なお、前記第2のテー
パ部79は前記ハンドピース30に設けられた受け部材
(以下、第2の受け部材という)34のテーパ穴と嵌合
するように形成されているとともに、第2のテーパ部7
9に設けられたピン80は第2の受け部材34の溝と嵌
合するように形成されている。
Further, at the input side end of the vibrator 71, there is formed a second pipe in which a pipe line is formed along the longitudinal axis.
Is provided to the second taper portion 79 for connecting the input side end of the vibrator 71 and the output shaft 32 of the motor 31 of the handpiece 30 in a detachable manner. The pin 80 is provided so as to be orthogonal to the longitudinal axis of the rotary blade 61. The second taper portion 79 is formed so as to fit into a taper hole of a receiving member (hereinafter, referred to as a second receiving member) 34 provided on the handpiece 30, and the second taper portion is also formed. Part 7
The pin 80 provided at 9 is formed so as to fit in the groove of the second receiving member 34.

【0046】また、回転刃61、第1のテーパ部66、
第1の受け部材78、振動子71および第2のテーパ部
79の内部にはそれぞれ長手方向の軸に沿った管路が形
成されており、これら管路がそれぞれ連通して、切開さ
れた患部組織を吸引する吸引管路6が形成されている。
なお、他の構成は上述した第1の実施形態と同じである
から、重複する説明は図に同符号を付して省略する。
The rotary blade 61, the first taper portion 66,
Inside the first receiving member 78, the vibrator 71, and the second taper portion 79, ducts are formed along the longitudinal axis, respectively, and these ducts communicate with each other to make an incised lesion. A suction line 6 for suctioning the tissue is formed.
Since the other configurations are the same as those of the above-described first embodiment, the duplicate description will be omitted by giving the same reference numerals to the drawings.

【0047】この実施形態の超音波切開装置1cは、前
記第1のテーパ部66と前記第1の受け部材78のテー
パ穴とを嵌合させるとともに、前記第1のテーパ部66
に設けられたピン67と前記受け部材78に形成された
溝とを嵌合させることで、カッター部60の基端と振動
子ユニット70の出力側端部とを着脱自在に連結させる
ことができる。また、前記第2のテーパ部79と前記第
2の受け部材34のテーパ穴とを嵌合させるとともに、
前記第2テーパ部79に設けられたピン80と前記受け
部材34に形成された溝とを嵌合させることで、振動子
ユニット70の入力側端部とハンドピース30のモータ
31の出力軸32とを着脱自在に連結させて使用するも
のである。
In the ultrasonic cutting device 1c of this embodiment, the first taper portion 66 is fitted into the taper hole of the first receiving member 78, and the first taper portion 66 is formed.
The base end of the cutter unit 60 and the output side end of the vibrator unit 70 can be detachably connected by fitting the pin 67 provided on the base member and the groove formed in the receiving member 78. . Further, the second taper portion 79 and the taper hole of the second receiving member 34 are fitted together, and
By fitting the pin 80 provided on the second taper portion 79 and the groove formed on the receiving member 34, the input side end portion of the transducer unit 70 and the output shaft 32 of the motor 31 of the handpiece 30. It is used by detachably connecting and.

【0048】また、前記吸引管路6と吸引装置(図示せ
ず)とは、前記第1のテーパ部66と前記第1の受け部
材78とを嵌合させるとともに、前記第2のテーパ部7
9と前記第2の受け部材78とを嵌合させることで、前
記受け部材34の孔36および前記管路37を介して流
体連結する。なお、前記カッター部60のケーシング6
5の振動子ユニット側端部と前記振動子ユニット70の
ケーシング72のカッター部側端部にはそれぞれネジ6
5a,72aが形成されており、前記ケーシング65,
72はこれらネジ65a,72aにより着脱自在に連結
させる。前記振動子ユニット70のケーシング72のハ
ンドピース側端部と前記ハンドピース30のケーシング
33の振動子ユニット側端部にはそれぞれネジ72b,
33aが形成されており、前記ケーシング72,33は
これらネジ72b,33aにより着脱自在に連結させ
る。
The suction pipe line 6 and the suction device (not shown) fit the first taper portion 66 and the first receiving member 78, and the second taper portion 7 is formed.
By fitting 9 and the second receiving member 78, fluid connection is established through the hole 36 of the receiving member 34 and the conduit 37. The casing 6 of the cutter unit 60
5 is attached to the end of the vibrator unit 70 on the vibrator unit side and the end of the vibrator 72 on the cutter unit side of the casing 72.
5a, 72a are formed, and the casing 65,
72 is detachably connected by these screws 65a and 72a. Screws 72b are respectively provided on the handpiece side end of the casing 72 of the vibrator unit 70 and the vibrator unit side end of the casing 33 of the handpiece 30.
33a is formed, and the casings 72 and 33 are detachably connected by the screws 72b and 33a.

【0049】また、この実施形態の超音波切開装置1c
では、上述のように、前記カッター部60の基端に設け
られた第1のテーパ部66と前記振動子ユニット70の
出力側端部に設けられた第1の受け部材78とが連結し
ているとともに、前記振動子ユニット70の入力側端部
に設けられた第2のテーパ部79と前記ハンドピース3
0のモータ31の出力軸32に設けられた第2受け部材
34とが連結している。このため、スイッチ(図示せ
ず)をオンにしてモータ31を回転させるとモータ31
の回転は回転刃61に伝達される。また、スイッチがオ
ンになると、振動子コントロールユニット(図示せず)
はモータ31の動作と連動して前記振動子71が駆動す
る。このようにすることにより、前記回転刃61が回転
するとともに、振動子71が駆動して、前記回転刃61
の先端である内刃63に長手方向に対するねじり振動が
付与される。
The ultrasonic cutting device 1c of this embodiment is also used.
Then, as described above, the first taper portion 66 provided at the base end of the cutter portion 60 and the first receiving member 78 provided at the output side end portion of the transducer unit 70 are connected to each other. And the second taper portion 79 provided at the input end of the vibrator unit 70 and the handpiece 3
The second receiving member 34 provided on the output shaft 32 of the zero motor 31 is connected. Therefore, when the switch (not shown) is turned on and the motor 31 is rotated, the motor 31
Is transmitted to the rotary blade 61. Also, when the switch is turned on, the oscillator control unit (not shown)
The oscillator 71 is driven in conjunction with the operation of the motor 31. By doing so, the rotary blade 61 is rotated and the vibrator 71 is driven to move the rotary blade 61.
Torsional vibration in the longitudinal direction is applied to the inner blade 63, which is the tip of the.

【0050】この実施形態の超音波切開装置1cによれ
ば、振動子71がカッター部60およびハンドピース3
0の双方から独立した振動子ユニット70内に設けられ
ており、カッター部60の基端と振動子ユニット70の
振動子71の出力側端部とが着脱自在に連結されてい
る。さらに、振動子ユニット70の振動子71の入力側
端部とハンドピース30のモータ31の出力軸32とが
着脱自在に連結されているため、既存の切開装置のハン
ドピースを流用することができる。また、この実施形態
の超音波切開装置1cによれば、既存の切開装置のカッ
ター部も流用することができる。
According to the ultrasonic cutting device 1c of this embodiment, the vibrator 71 includes the cutter portion 60 and the handpiece 3.
It is provided in the vibrator unit 70 independent of both 0, and the base end of the cutter unit 60 and the output side end of the vibrator 71 of the vibrator unit 70 are detachably connected. Further, since the input side end of the vibrator 71 of the vibrator unit 70 and the output shaft 32 of the motor 31 of the handpiece 30 are detachably connected, the existing handpiece of the incision device can be used. . Further, according to the ultrasonic cutting device 1c of this embodiment, the cutter portion of the existing cutting device can also be used.

【0051】したがって、既存の切開装置に本実施形態
の超音波切開装置1cの振動子ユニットおよび振動子コ
ントロールユニットを追加することにより、新規に超音
波切開装置一式を導入しなくとも、既存の切開装置の回
転刃の先端に超音波ねじり振動を付与することができ
る。
Therefore, by adding the vibrator unit and the vibrator control unit of the ultrasonic cutting device 1c of the present embodiment to the existing cutting device, the existing cutting device can be installed without introducing a new set of ultrasonic cutting device. Ultrasonic torsional vibration can be applied to the tip of the rotary blade of the device.

【0052】なお、本発明に用いられる振動子は、上記
実施形態で用いられた振動子に限定されるものではな
く、超音波振動を発生させる振動子であればよい。
The vibrator used in the present invention is not limited to the vibrator used in the above embodiment, but may be any vibrator that generates ultrasonic vibration.

【0053】[0053]

【発明の効果】以上に説明したように、請求項1の発明
によれは、カッター部の振動子の入力側端部とハンドピ
ースのモータの出力軸とが着脱自在に連結されているた
め、既存の切開装置のハンドピースを流用することがで
き、経済的である。
As described above, according to the invention of claim 1, since the input side end of the vibrator of the cutter and the output shaft of the motor of the handpiece are detachably connected, The existing incision device handpiece can be used, which is economical.

【0054】また、請求項2の発明によれば、カッター
部の基端と振動子ユニットの振動子の出力側端部とが着
脱自在に連結されているとともに、振動子ユニットの振
動子の入力側端部とハンドピースのモータの出力軸とが
着脱自在に連結されているため、既存の切開装置のハン
ドピースを流用することができ、経済的である。
According to the second aspect of the invention, the base end of the cutter unit and the output side end of the vibrator of the vibrator unit are detachably connected, and the vibrator input of the vibrator unit is input. Since the side end portion and the output shaft of the motor of the handpiece are detachably connected, the handpiece of the existing incision device can be used, which is economical.

【図面の簡単な説明】[Brief description of drawings]

【図1】この発明の第1の実施形態を示す超音波切開装
置の全体を示すの断面図。
FIG. 1 is a cross-sectional view showing an entire ultrasonic cutting device according to a first embodiment of the present invention.

【図2】この発明の第2の実施形態を示す超音波切開装
置の全体を示すの断面図。
FIG. 2 is a sectional view showing an entire ultrasonic cutting device showing a second embodiment of the present invention.

【図3】この発明の第3の実施形態を示す超音波切開装
置の全体を示すの断面図。
FIG. 3 is a sectional view showing an entire ultrasonic cutting device showing a third embodiment of the present invention.

【符号の説明】[Explanation of symbols]

1a,1b,1c…超音波切開装置 10,40,60…カッター部 11,41,61…回転刃 70…振動子ユニット 12,42,71…振動子 30…ハンドピース 31…モータ 32…出力軸 1a, 1b, 1c ... Ultrasonic cutting device 10, 40, 60 ... Cutter part 11, 41, 61 ... Rotary blade 70 ... Transducer unit 12, 42, 71 ... Transducer 30 ... Handpiece 31 ... Motor 32 ... Output shaft

Claims (2)

【特許請求の範囲】[Claims] 【請求項1】回転刃と超音波振動を発生させる振動子と
を有する超音波切開装置において、 回転刃と振動子とを有するカッター部と、前記回転刃を
回転させるとともに前記振動子を駆動させるモータとこ
のモータの出力軸とを有するハンドピースとを備えてお
り、前記カッター部の基端と前記ハンドピースのモータ
の出力軸とが着脱自在に連結されていることを特徴とす
る超音波切開装置。
1. An ultrasonic cutting device having a rotary blade and a vibrator for generating ultrasonic vibration, wherein a cutter unit having the rotary blade and the vibrator, and rotating the rotary blade and driving the vibrator. An ultrasonic incision comprising a motor and a handpiece having an output shaft of the motor, wherein the base end of the cutter portion and the output shaft of the motor of the handpiece are detachably connected. apparatus.
【請求項2】回転刃と超音波振動を発生させる振動子と
を有する超音波切開装置において、 回転刃を有するカッター部と、振動子を有する振動子ユ
ニットと、前記回転刃を回転させるととともに前記振動
子を駆動させるモータとこのモータの出力軸とを有する
ハンドピースとを備えており、前記カッター部の基端と
前記振動子ユニットの振動子の出力側端部とが着脱自在
に連結されているとともに、前記振動子ユニットの振動
子の入力側端部と前記ハンドピースのモータの出力軸と
が着脱自在に連結されていることを特徴とする超音波切
開装置。
2. An ultrasonic cutting device having a rotary blade and a vibrator for generating ultrasonic vibration, comprising: a cutter unit having the rotary blade, a vibrator unit having the vibrator, and rotating the rotary blade. A handpiece having a motor for driving the vibrator and an output shaft of the motor is provided, and the base end of the cutter unit and the output side end of the vibrator of the vibrator unit are detachably connected. In addition, the ultrasonic cutting device is characterized in that the input side end of the vibrator of the vibrator unit and the output shaft of the motor of the handpiece are detachably connected.
JP2001325321A 2001-10-23 2001-10-23 Ultrasonic incision apparatus Withdrawn JP2003126104A (en)

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Country Link
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