CN105392519A - 用于检测和治疗主动脉肾神经节的设备以及方法 - Google Patents
用于检测和治疗主动脉肾神经节的设备以及方法 Download PDFInfo
- Publication number
- CN105392519A CN105392519A CN201480038303.0A CN201480038303A CN105392519A CN 105392519 A CN105392519 A CN 105392519A CN 201480038303 A CN201480038303 A CN 201480038303A CN 105392519 A CN105392519 A CN 105392519A
- Authority
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- China
- Prior art keywords
- tissue
- catheter
- ganglion
- aortorenal
- renal
- 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.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00434—Neural system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
- A61B2018/00511—Kidney
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1435—Spiral
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
- A61B2090/3735—Optical coherence tomography [OCT]
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
- A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
- A61B2090/3784—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument both receiver and transmitter being in the instrument or receiver being also transmitter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0551—Spinal or peripheral nerve electrodes
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Otolaryngology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201361818749P | 2013-05-02 | 2013-05-02 | |
| US61/818,749 | 2013-05-02 | ||
| US201361905770P | 2013-11-18 | 2013-11-18 | |
| US61/905,770 | 2013-11-18 | ||
| US201461926888P | 2014-01-13 | 2014-01-13 | |
| US61/926,888 | 2014-01-13 | ||
| PCT/US2014/036694 WO2014179768A1 (en) | 2013-05-02 | 2014-05-02 | Devices and methods for detection and treatment of the aorticorenal ganglion |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105392519A true CN105392519A (zh) | 2016-03-09 |
Family
ID=51841831
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201480038303.0A Pending CN105392519A (zh) | 2013-05-02 | 2014-05-02 | 用于检测和治疗主动脉肾神经节的设备以及方法 |
Country Status (5)
| Country | Link |
|---|---|
| US (2) | US10010364B2 (https=) |
| EP (1) | EP2991717A4 (https=) |
| JP (1) | JP2016517750A (https=) |
| CN (1) | CN105392519A (https=) |
| WO (1) | WO2014179768A1 (https=) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112654392A (zh) * | 2018-08-29 | 2021-04-13 | 通用电气公司 | 神经调节技术 |
Families Citing this family (51)
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| US7653438B2 (en) | 2002-04-08 | 2010-01-26 | Ardian, Inc. | Methods and apparatus for renal neuromodulation |
| US7756583B2 (en) | 2002-04-08 | 2010-07-13 | Ardian, Inc. | Methods and apparatus for intravascularly-induced neuromodulation |
| US8150519B2 (en) | 2002-04-08 | 2012-04-03 | Ardian, Inc. | Methods and apparatus for bilateral renal neuromodulation |
| US8347891B2 (en) | 2002-04-08 | 2013-01-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen |
| JP5219518B2 (ja) | 2004-12-09 | 2013-06-26 | ザ ファウンドリー, エルエルシー | 大動脈弁修復 |
| US20070021803A1 (en) | 2005-07-22 | 2007-01-25 | The Foundry Inc. | Systems and methods for neuromodulation for treatment of pain and other disorders associated with nerve conduction |
| US10499937B2 (en) | 2006-05-19 | 2019-12-10 | Recor Medical, Inc. | Ablation device with optimized input power profile and method of using the same |
| US11998266B2 (en) | 2009-10-12 | 2024-06-04 | Otsuka Medical Devices Co., Ltd | Intravascular energy delivery |
| AU2010313379B2 (en) | 2009-10-30 | 2015-11-05 | Recor Medical, Inc. | Method and apparatus for treatment of hypertension through percutaneous ultrasound renal denervation |
| CN107007348B (zh) | 2010-10-25 | 2019-05-31 | 美敦力Af卢森堡有限责任公司 | 用于神经调节治疗的估算及反馈的装置、系统及方法 |
| US20120259269A1 (en) | 2011-04-08 | 2012-10-11 | Tyco Healthcare Group Lp | Iontophoresis drug delivery system and method for denervation of the renal sympathetic nerve and iontophoretic drug delivery |
| EP3287067B1 (en) | 2011-11-07 | 2019-10-30 | Medtronic Ardian Luxembourg S.à.r.l. | Endovascular nerve monitoring devices and associated systems |
| CN104271062B (zh) | 2012-03-08 | 2017-07-07 | 美敦力Af卢森堡有限责任公司 | 采用神经调节装置的生物标志物取样和相关系统及方法 |
| WO2013134543A1 (en) | 2012-03-08 | 2013-09-12 | Medtronic Ardian Luxembourg Sarl | Immune system neuromodulation and associated systems and methods |
| WO2014159276A1 (en) | 2013-03-14 | 2014-10-02 | Recor Medical, Inc. | Ultrasound-based neuromodulation system |
| US10543037B2 (en) | 2013-03-15 | 2020-01-28 | Medtronic Ardian Luxembourg S.A.R.L. | Controlled neuromodulation systems and methods of use |
| US9326816B2 (en) | 2013-08-30 | 2016-05-03 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation systems having nerve monitoring assemblies and associated devices, systems, and methods |
| US9339332B2 (en) | 2013-08-30 | 2016-05-17 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation catheters with nerve monitoring features for transmitting digital neural signals and associated systems and methods |
| US9579149B2 (en) | 2014-03-13 | 2017-02-28 | Medtronic Ardian Luxembourg S.A.R.L. | Low profile catheter assemblies and associated systems and methods |
| US9999463B2 (en) | 2014-04-14 | 2018-06-19 | NeuroMedic, Inc. | Monitoring nerve activity |
| US12350050B2 (en) | 2014-04-14 | 2025-07-08 | Recor Medical, Inc. | Intraluminal microneurography probes and related systems and methods |
| US20170027460A1 (en) | 2015-07-29 | 2017-02-02 | NeuroMedic, Inc. | Intraluminal microneurography probe |
| US10610292B2 (en) | 2014-04-25 | 2020-04-07 | Medtronic Ardian Luxembourg S.A.R.L. | Devices, systems, and methods for monitoring and/or controlling deployment of a neuromodulation element within a body lumen and related technology |
| US10709490B2 (en) | 2014-05-07 | 2020-07-14 | Medtronic Ardian Luxembourg S.A.R.L. | Catheter assemblies comprising a direct heating element for renal neuromodulation and associated systems and methods |
| WO2016033543A1 (en) | 2014-08-28 | 2016-03-03 | Medtronic Ardian Luxembourg S.A.R.L. | Methods for assessing efficacy of renal neuromodulation and associated systems and devices |
| EP3791817B1 (en) | 2014-10-01 | 2024-05-22 | Medtronic Ardian Luxembourg S.à.r.l. | Systems for evaluating neuromodulation therapy via hemodynamic responses |
| US10925579B2 (en) | 2014-11-05 | 2021-02-23 | Otsuka Medical Devices Co., Ltd. | Systems and methods for real-time tracking of a target tissue using imaging before and during therapy delivery |
| JP2017536187A (ja) | 2014-12-03 | 2017-12-07 | メタベンション インコーポレイテッド | 神経または他の組織を調節するためのシステムおよび方法 |
| WO2016100720A1 (en) | 2014-12-17 | 2016-06-23 | Medtronic Ardian Luxembourg S.A.R.L. | Systems and methods for assessing sympathetic nervous system tone for renal neuromodulation therapy |
| US20170095291A1 (en) * | 2015-10-06 | 2017-04-06 | Halcyon Medical, Inc. | Aorticorenal Ganglion Detection |
| US11213340B2 (en) * | 2015-10-16 | 2022-01-04 | Medtronic, Inc. | Therapy to treat pelvic floor dysfunction and/or pain |
| US10524859B2 (en) | 2016-06-07 | 2020-01-07 | Metavention, Inc. | Therapeutic tissue modulation devices and methods |
| US10231784B2 (en) | 2016-10-28 | 2019-03-19 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and systems for optimizing perivascular neuromodulation therapy using computational fluid dynamics |
| MX2019009923A (es) * | 2017-02-27 | 2019-09-26 | Avent Inc | Metodo y sistema para mejorar la exactitud de ubicacion de un procedimiento de extirpacion por radiofrecuencia mediante marcaje de referencia. |
| US12082917B2 (en) | 2018-01-24 | 2024-09-10 | Medtronic Ireland Manufacturing Unlimited Company | Systems, devices, and methods for assessing efficacy of renal neuromodulation therapy |
| US11633120B2 (en) | 2018-09-04 | 2023-04-25 | Medtronic Ardian Luxembourg S.A.R.L. | Systems and methods for assessing efficacy of renal neuromodulation therapy |
| WO2020072468A1 (en) | 2018-10-01 | 2020-04-09 | Biovisics Medical, Llc | System and methods for controlled electrical modulation for vision therapy |
| US11305118B2 (en) | 2018-11-30 | 2022-04-19 | Biovisics Medical, Inc. | Head worn apparatuses for vision therapy |
| US11471680B2 (en) | 2019-04-10 | 2022-10-18 | Biovisics, Inc. | Systems and interfaces for ocular therapy |
| US11511112B2 (en) | 2019-06-14 | 2022-11-29 | Biovisics Medical, Inc. | Wearable medical device |
| WO2021011255A1 (en) | 2019-07-12 | 2021-01-21 | Biovisics Medical, Inc. | Ocular therapy modes and systems |
| WO2022170275A1 (en) * | 2021-02-08 | 2022-08-11 | The Regents Of The University Of California | Renal neuromodulation |
| US12419662B2 (en) | 2021-02-19 | 2025-09-23 | Otsuka Medical Devices Co., Ltd. | Selectively insulated ultrasound transducers |
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| US12594185B2 (en) | 2021-07-19 | 2026-04-07 | Otsuka Medical Devices Co., Ltd. | Treatment system having generator and fluid transfer cartridge |
| US12440165B2 (en) | 2021-07-28 | 2025-10-14 | Otsuka Medical Devices Co., Ltd. | Catheter for neural measurements and treatment and related systems and methods |
| EP4572661A1 (en) * | 2022-09-27 | 2025-06-25 | Edwards Lifesciences Corporation | Intravascular catheter to measure vessel distensibility, compliance, and pulse wave velocity |
| US12589243B2 (en) | 2022-10-21 | 2026-03-31 | I-Lumen Scientific, Inc. | Ocular devices and controller interfaces for ocular therapy |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101940815A (zh) * | 2004-10-05 | 2011-01-12 | 阿迪安公司 | 肾神经调节的方法和装置 |
| US20120290024A1 (en) * | 2011-05-11 | 2012-11-15 | St. Jude Medical, Inc. | Transvenous renal nerve modulation for treatment of hypertension, cardiovascular disorders, and chronic renal diseases |
| US20120296232A1 (en) * | 2011-05-18 | 2012-11-22 | St. Jude Medical, Inc. | Method and apparatus of assessing transvascular denervation |
| CN202637103U (zh) * | 2011-08-26 | 2013-01-02 | 王捷 | 具有肾神经标测功能的导管 |
| CN202654228U (zh) * | 2010-10-25 | 2013-01-09 | 美敦力Af卢森堡有限责任公司 | 用于通过肾去神经支配治疗人类患者的导管装置 |
| CN102883659A (zh) * | 2010-01-19 | 2013-01-16 | 美敦力阿迪安卢森堡有限公司 | 通过立体定向放疗用于肾神经调节的方法和设备 |
| CN102933169A (zh) * | 2010-04-14 | 2013-02-13 | 波士顿科学西美德公司 | 采用螺旋成形装置的肾动脉去神经支配术器械 |
| CN103220984A (zh) * | 2010-09-10 | 2013-07-24 | 波士顿科学西美德公司 | 用于肾神经消融的机械、机电和/或弹性成像评定 |
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| CN103327921A (zh) * | 2010-11-19 | 2013-09-25 | 波士顿科学西美德公司 | 肾神经检测以及消融装置和方法 |
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-
2014
- 2014-05-02 CN CN201480038303.0A patent/CN105392519A/zh active Pending
- 2014-05-02 WO PCT/US2014/036694 patent/WO2014179768A1/en not_active Ceased
- 2014-05-02 EP EP14792130.8A patent/EP2991717A4/en not_active Withdrawn
- 2014-05-02 US US14/269,001 patent/US10010364B2/en active Active
- 2014-05-02 JP JP2016512089A patent/JP2016517750A/ja active Pending
-
2018
- 2018-07-02 US US16/025,973 patent/US20180325576A1/en not_active Abandoned
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| CN101940815A (zh) * | 2004-10-05 | 2011-01-12 | 阿迪安公司 | 肾神经调节的方法和装置 |
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| CN102933169A (zh) * | 2010-04-14 | 2013-02-13 | 波士顿科学西美德公司 | 采用螺旋成形装置的肾动脉去神经支配术器械 |
| CN103220984A (zh) * | 2010-09-10 | 2013-07-24 | 波士顿科学西美德公司 | 用于肾神经消融的机械、机电和/或弹性成像评定 |
| CN202654228U (zh) * | 2010-10-25 | 2013-01-09 | 美敦力Af卢森堡有限责任公司 | 用于通过肾去神经支配治疗人类患者的导管装置 |
| CN103327921A (zh) * | 2010-11-19 | 2013-09-25 | 波士顿科学西美德公司 | 肾神经检测以及消融装置和方法 |
| US20120290024A1 (en) * | 2011-05-11 | 2012-11-15 | St. Jude Medical, Inc. | Transvenous renal nerve modulation for treatment of hypertension, cardiovascular disorders, and chronic renal diseases |
| US20120296232A1 (en) * | 2011-05-18 | 2012-11-22 | St. Jude Medical, Inc. | Method and apparatus of assessing transvascular denervation |
| CN202637103U (zh) * | 2011-08-26 | 2013-01-02 | 王捷 | 具有肾神经标测功能的导管 |
| WO2013112844A2 (en) * | 2012-01-26 | 2013-08-01 | Landy Toth | Controlled sympathectomy and micro-ablation systems and methods |
| WO2013163469A1 (en) * | 2012-04-27 | 2013-10-31 | Medtronic Ardian Luxembourg Sarl | Therapy systems including hyperthermic energy delivery elements and cryogenic applicators and associated methods |
| CN103417290A (zh) * | 2012-05-14 | 2013-12-04 | 韦伯斯特生物官能(以色列)有限公司 | 用于血管消融的具有螺旋状端部的导管 |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112654392A (zh) * | 2018-08-29 | 2021-04-13 | 通用电气公司 | 神经调节技术 |
Also Published As
| Publication number | Publication date |
|---|---|
| EP2991717A4 (en) | 2016-12-07 |
| US20180325576A1 (en) | 2018-11-15 |
| JP2016517750A (ja) | 2016-06-20 |
| US20140330267A1 (en) | 2014-11-06 |
| US10010364B2 (en) | 2018-07-03 |
| EP2991717A1 (en) | 2016-03-09 |
| WO2014179768A1 (en) | 2014-11-06 |
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