CN105997184B - Delivery device for the Ni-based marmem anal fistula internal orifice closure folder of titanium - Google Patents
Delivery device for the Ni-based marmem anal fistula internal orifice closure folder of titanium Download PDFInfo
- Publication number
- CN105997184B CN105997184B CN201610409039.8A CN201610409039A CN105997184B CN 105997184 B CN105997184 B CN 105997184B CN 201610409039 A CN201610409039 A CN 201610409039A CN 105997184 B CN105997184 B CN 105997184B
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- Prior art keywords
- seat
- push rod
- closure
- steel wire
- fixation
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
Abstract
The present invention is provided to the delivery device of titanium Ni-based marmem anal fistula internal orifice closure folder, including be arranged in shell push bar unit, be arranged on the push ring element of case nose;Pushing bar unit includes trigger, push rod, back-moving spring, stopping means;The push rod can be travelled forward in the presence of trigger and stopping means, and original position is returned in the presence of back-moving spring and stopping means;Pushing ring element includes upper pressure seat, down pressing seat, fixation with steel wire seat, two steel wires, push ring;It is L-type tubular cavity structure that upper pressure seat and down pressing seat fasten up and down, and the fixation with steel wire seat is arranged on the rear end of L-type tubular cavity structure and is connected with the front end of push rod;The rear end of two steel wires is separately fixed on fixation with steel wire seat.The present invention is the special equipment that memorial alloy Zu knits Wen He Clip releases, is mainly used in the closure etc. of the vessel sealing of hemorrhage of digestive tract point, alimentary canal tissue perforation, the excision of local organization hyperplasia, the excision of hemorrhoid, anal fistula internal orifice.
Description
Technical field
The present invention relates to a kind of apparatus for displaying for the Ni-based marmem anal fistula internal orifice closure folder of titanium.
Background technology
At present, tissue closure clinically is to use engaging tissue device, is that one kind enters stainless steel lag screws to tissue section
The identical assistive device of row.Prolonged stay, if it is bad to coincide, can cause to kiss in human body after used stainless steel lag screws coincide
Operative failure is closed, repeat surgery and otherwise pain are brought to patient.
Applicants have invented one kind to be used for the Ni-based marmem anal fistula internal orifice closure folder of titanium, and it makes use of the Ni-based note of titanium
Recall the shape memory characteristic and super-elasticity of alloy, opening less than design temperature or under external force, higher than design temperature
Or closed automatically after external force unloading, focus is carried out continuing Self-pressurizing agri to reach the purpose for the treatment of.
But the super-elasticity of closure folder, very difficult when causing its opening, unloading external force makes it accurately be closed to focus
Place is also extremely not easy.Therefore, being badly in need of a kind of delivery device for the Ni-based marmem anal fistula internal orifice closure folder of titanium, can will beat
The shape for the closure folder opened is fixed temporarily, then according to the action of doctor, quick and precisely by closure folder release.
The content of the invention
The present invention seeks to provided for the new Ni-based marmem anal fistula internal orifice closure folder of titanium in a kind of surgical procedure
The delivery device used, it can be fixed the shape that the closure of opening is pressed from both sides temporarily, quick accurate then according to the action of doctor
Really by closure folder release.
The present invention technical solution be:
A kind of delivery device for the Ni-based marmem anal fistula internal orifice closure folder of titanium, including shell;The shell is set
Handle is equipped with, the cavity structure that the handle and shell fasten for left and right, it is characterized in that:Also include being arranged in shell
Push bar unit, the push ring element for being arranged on case nose;It is described push bar unit include trigger, push rod, back-moving spring,
Stopping means;The push rod can be travelled forward in the presence of trigger, and original position is returned in the presence of back-moving spring;It is described
Pushing ring element includes upper pressure seat, down pressing seat, fixation with steel wire seat, steel wire, push ring;The upper pressure seat and down pressing seat fasten up and down
For L-type tubular cavity structure, its rear end is connected with case nose, and its front end turns to downwards 80-100 degree and forms closure holder,
The closure holder is provided with the through hole of up/down perforation;The fixation with steel wire seat be arranged on the rear end of L-type tubular cavity structure and
It is connected with the front end of push rod;It is fixed in the middle part of the steel wire on fixation with steel wire seat, its both ends is in upper pressure seat and down pressing seat
Between it is parallel extend forward and curve downward and at closure holder, the both ends of the steel wire are respectively with being enclosed on pushing away outside closure holder
Send be hinged on the outside of ring.
In order to preferably ensure the movement locus of push rod, the stopping means includes the front limit seat being arranged in shell
With rear limit base, the front portion of the push rod is arranged in front of front limit seat, and front limit seat is arranged in the middle part of the push rod
Between rear limit base, be provided with spring base, the back-moving spring be enclosed on the middle part of push rod and positioned at front limit seat and
Between spring base, the rear portion of the push rod is arranged on rear limit base rear, is provided with trigger slot below;The trigger is set
On the inside of handle, its one end is extended outside handle, and its other end is caught in trigger slot.
Closure holder can be accurately installed in order to ensure to close folder, delivery device may also include closure and clamp clamp device;Institute
State closure and clamp the clamping neck that clamp device includes lead, is arranged on the guide cone of lead one end, is arranged on guide cone top
Portion;The lead matches with through hole 21;The base diameter of the guide cone matches with pushing the internal diameter of ring;The guiding
The coning angle of cone is 120-160 °;Top or top bump 93 institute of the external diameter of the clamping neck with the interior segmental arc 92 of closure folder
Match in diameter of a circle.
To realize that rotation is more flexible, the fixation with steel wire seat is connected with the front end of push rod by rotating mechanism 14;Institute
The rear end for stating L-type tubular cavity structure is connected with case nose by rotary joint 13.
To avoid operation consent maloperation, the push bar unit may also include lock 4;The lock 4 is arranged on outer
Shell rear portion, its button are located at outer surface of outer cover, and its grab is set inside the housing, and the grab can be caught under the driving of button
Or leave the insurance croze of push rod rear upper.
According to principle of human engineering, the handle and shell are the pistol moulding cavity structure that left and right fastens.
Advantages of the present invention:
1st, the delivery device that the present invention is used for the Ni-based marmem anal fistula internal orifice closure folder of titanium is memorial alloy tissue kiss
The special equipment of He Clip releases, it is mainly used in the vessel sealing, alimentary canal tissue perforation, local organization hyperplasia of hemorrhage of digestive tract point
Excision, the excisions of hemorrhoid, the closure etc. of anal fistula internal orifice.
2nd, the present invention is simple in construction, easy to operate, can reach cutting tissue or identical purpose, alleviate the hand of doctor
Art is born.
3rd, using structures such as rotating mechanism and rotary joints between push bar unit of the invention and push ring element so that
In the case that handle is motionless, push ring element can rotate around itself axle, so as to adapt to the focus of different angle.
Brief description of the drawings
Fig. 1 is the sectional view of delivery device of the present invention;
Fig. 2 is to remove the structural representation for pushing ring element after upper pressure seat;
Fig. 3 is the structural representation for pushing ring element;
Fig. 4 is the overview of delivery device of the present invention;
Fig. 5 is the structural representation that closure clamps clamp device;
Fig. 6 is the structural representation of closure folder;
Fig. 7 is the decomposing schematic representation of delivery device;
6 width figures in Fig. 8 are the process schematics of the positive installation of closure folder and release;
6 width figures in Fig. 9 are the process schematics that closure folder is reversely installed and discharged;
Reference:1- handles, 2- triggers, 3- trigger torsion springs, 4- locks, limit base after 5-, 6- trigger slots, 7- push
Bar, 8- insurance crozes, 9- front limit seats, 10- back-moving springs, 11- clasps, 12- shells, 13- rotary joints, 14- rotating mechanisms,
15- fixation with steel wire seats, 16- fixing bolts, 17- steel wires, 18- upper pressure seats, 19- down pressing seats, 20- push rings, 21- through holes, 22- are closed
Co-clip seat, 23- spring bases, 24- leads, 25- guide cones, 26- clamping necks.
Embodiment
The present invention is used for the delivery device of the Ni-based marmem anal fistula internal orifice closure folder of titanium, referring to Fig. 1-5 and Fig. 7, bag
The push bar unit that include shell, is arranged in shell, the push ring element for being arranged on case nose;Shell is provided with handle, hand
The pistol moulding cavity structure that handle and shell fasten for left and right, push bar unit include trigger, push rod, back-moving spring, spacing
Device;Push rod can be travelled forward in the presence of trigger, and original position is returned in the presence of back-moving spring;Stopping means includes
The front limit seat and rear limit base being arranged in shell, the front portion of push rod are arranged in front of front limit seat, the middle part of push rod
It is arranged between front limit seat and rear limit base, is provided with spring base, back-moving spring is enclosed on the middle part of push rod and is located at
Between front limit seat and spring base, the rear portion of push rod is arranged on rear limit base rear, is provided with trigger slot below;Trigger is set
Put on the inside of handle, its one end is extended outside handle, and its other end is caught in trigger slot;Push bar unit may also include lock;
The lock is arranged on shell rear portion, and its button is located at outer surface of outer cover, and its grab is set inside the housing, grab can by
The insurance croze of push rod rear upper is caught in or left under the driving of button;Pushing ring element includes upper pressure seat, down pressing seat, steel wire
Fixed seat, steel wire, push ring;It is L-type tubular cavity structure, its rear end and case nose phase that upper pressure seat and down pressing seat fasten up and down
Connection, its front end turn to downwards 80-100 degree and form closure holder, and closure holder is provided with the through hole of up/down perforation;Fixation with steel wire
Seat is arranged on the rear end of L-type tubular cavity structure and is connected with the front end of push rod;Fixation with steel wire is fixed in the middle part of steel wire
On seat, its both ends is parallel between upper pressure seat and down pressing seat to be extended forward and curves downward and at closure holder, the both ends of steel wire
It is hinged respectively with the push ring outside being enclosed on outside closure holder;
Connected between fixation with steel wire seat and push rod by rotating mechanism, one end of fixation with steel wire seat and rotating mechanism connects
Connect, the other end connection of push rod and rotating mechanism, fixation with steel wire seat can rotate around the central shaft of push rod.
Rotating mechanism includes dead axle and moving axis, and the end set of moving axis has boss, and boss is consolidated by moving axis neck with steel wire
Reservation is connected, and the diameter of boss is more than recess diameter;Be provided with dead axle the neck that is adapted with boss and with moving axis neck
The rotary spacing groove being adapted, boss can be caught in neck from the side of dead axle and rotate wherein, and moving axis neck can be from
The side of dead axle is caught in rotary spacing groove and rotated wherein.
Closure holder can be accurately installed in order to ensure to close folder, delivery device may also include closure and clamp clamp device;Close
The clamping neck that co-clip clamping device includes lead, is arranged on the guide cone of lead one end, is arranged on guide cone top;Lead
Match to post and through hole;The base diameter of guide cone matches with pushing the internal diameter of ring;The coning angle of guide cone is 120-
160°;The external diameter of clamping neck matches with diameter of a circle where the top of the interior segmental arc of closure folder or top bump.
Closure folder operation principle:
The Ni-based marmem tissue closure folder of titanium, including the closure clip main body that the band by closing is formed;Closure
Band is sequentially connected by the interior segmental arc of staggered at least three outer arc segments and identical quantity head and the tail;The band of closure forms flat
Planar layout, disk like layout or bowl-shape layout;There is hyperelastic titanium Ni-based shape when the band of closure is by higher than memory temperature
Memory alloy material is made, after external force unloading or high again when external force acts on or can changed during less than memory temperature its shape
Refresh memory shape when memory temperature.
The operation principle of the Ni-based marmem anal fistula internal orifice closure folder of titanium is exactly that make use of the Ni-based shape memory of titanium to close
The temperature effect and superlastic sexual function of gold are pulled open at low temperature, and closure reverts to shape memory under high temperature, are increased with tissue
Raw, necrosis physiological Mechanism is combined, and the reasonability of the Ni-based marmem anal fistula internal orifice closure clamping structure design of titanium,
Realize the identical purpose of tissue tissue.
The Bi He Clip made of the shape memory function characteristic of the Ni-based shape memory alloy material of titanium are released to affected area,
Make to press from both sides with temperature or the closure changed in outer masterpiece, it can be played and clinically implement the leading role of operation.
Engaging tissue:
It is semi-closure conjunction state, closed-gap 1-2mm or so that memorial alloy anal fistula internal orifice is closed into folder memory.By closing for closure
Co-clip pulls open rear enclosure on the closure holder of delivery device of the present invention, and cocking, push rod travels forward, and drives steel wire to transport forward
Move, steel wire drives push ring to move downward, and closure is pressed from both sides and pushed at the tissue that needs close.If necessary, tissue is tied up with fine rule
Tie, silk thread passes from through hole, tenses, and pulls tissue into closure folder, then cocking, release closure folder, makes ring-type
The tissue to be closed is clamped at center, continues Self-pressurizing agri, and tissue is tightly pushed down and coincide.The tissue of pressurization is good because of blood circulation
Good, the hyperblastosis of pressurization forms cicatricial tissue and provides regeneration, reaches the purpose of engaging tissue.
Cutting tissue:
It is fully closed condition that memorial alloy anal fistula internal orifice is closed into folder memory, and remaining step is identical with engaging tissue.Add
Tissue ischemia is caused to make necrosis in the ring of pressure, while ring inner tissue one side is downright bad, the hyperblastosis of the outer another side of ring
Make engaging tissue.Due to ring inner tissue ischemic necrosis, otch is formed, slough comes off, Ti-Ni marmem closure folder
Also come off therewith, de- fall behind in the presence of enterocinesia excretes, and makes not stay foreign matter in vivo.
Close the reliability of folder:
Pressed from both sides with the closure of the Ni-based marmem board making of the titanium of different-thickness, its constant pressure characteristic determines simultaneously
Different tissues thickness can be compensated, and place tissue is produced and stablizes lasting pressure, so as to ensure uniform and controllable pressurization
Anastomosis procedures.Make the regeneration of engaging tissue portion within the different time, slough comes off, and ensure that the reliable of engaging tissue
Property.
Closure folder comes off the time:
The operation principle of the Ni-based marmem anal fistula internal orifice closure folder of titanium is exactly that make use of the Ni-based shape memory of titanium to close
The temperature effect function of gold is pulled open at low temperature, and closure reverts to shape memory under high temperature, with hyperblastosis of human body, the life of necrosis
It is external for the exclusion that comes off of closure folder after ten days, ten days that reason mechanism is combined the organization healing time.
The design principle and design structure and clinical manipulation and make that the Ni-based marmem anal fistula internal orifice closure of titanium is pressed from both sides
It is more scientific, easier with peg stapling apparatus all more all than clinic at present, it is a preferable tissue closure binder tool.
Claims (7)
1. for the delivery device of the Ni-based marmem anal fistula internal orifice closure folder of titanium, including shell;The shell is provided with hand
Handle, the handle and shell are the cavity structure fastened, it is characterised in that:
The push bar unit that also includes being arranged in shell, it is arranged on the push ring element of case nose;
The push bar unit includes trigger, push rod, back-moving spring, stopping means;The push rod can be in trigger and spacing
Travelled forward in the presence of device, and original position is returned in the presence of back-moving spring and stopping means;
The push ring element includes upper pressure seat, down pressing seat, fixation with steel wire seat, two steel wires, push ring;
It is L-type tubular cavity structure that the upper pressure seat and down pressing seat fasten up and down, and its rear end is connected with case nose, its front end
80-100 degree is turned to downwards and forms closure holder, and the closure holder is provided with the through hole of up/down perforation;The fixation with steel wire seat
It is arranged on the rear end of L-type tubular cavity structure and is connected with the front end of push rod;The rear end of two steel wires is fixed respectively
On fixation with steel wire seat, its middle part is set in parallel between upper pressure seat and down pressing seat, and its front end is respectively with being enclosed on outside closure holder
Push ring be hinged.
2. delivery device according to claim 1, it is characterised in that:The stopping means includes the front limit being arranged in shell
Seat and rear limit base, the front portion of the push rod are arranged in front of front limit seat, and front limit is arranged in the middle part of the push rod
Between seat and rear limit base, spring base is provided with, the back-moving spring is enclosed on the middle part of push rod and is located at front limit seat
Between spring base, the rear portion of the push rod is arranged on rear limit base rear, is provided with trigger slot below;The trigger is set
Put on the inside of handle, its one end is extended outside handle, and its other end is caught in trigger slot.
3. delivery device according to claim 1, it is characterised in that:Also clamp device is clamped including closure;The closure clamps
The clamping neck that device includes lead, is arranged on the guide cone of lead one end, is arranged on guide cone top;The lead
Match with through hole;The base diameter of the guide cone matches with pushing the internal diameter of ring;The coning angle of the guide cone is
120-160°;The external diameter of the clamping neck and diameter of a circle phase where the top of the interior segmental arc of closure folder or top bump
Match somebody with somebody.
4. according to 1 or 2 or 3 delivery device of claim, it is characterised in that:Pass through between the fixation with steel wire seat and push rod
Rotating mechanism connects, one end connection of the fixation with steel wire seat and rotating mechanism, the other end of the push rod and rotating mechanism
Connection, the fixation with steel wire seat can rotate around the central shaft of push rod.
5. delivery device according to claim 4, it is characterised in that:The rotating mechanism includes dead axle and moving axis, moving axis
End set has boss, and the boss is connected by moving axis neck and fixation with steel wire seat, and the diameter of the boss is straight more than neck
Footpath;The neck being adapted with boss and the rotary spacing groove being adapted with moving axis neck are provided with the dead axle, it is described convex
Platform can be caught in neck from the side of dead axle and rotate wherein, and the moving axis neck can be caught in rotation from the side of dead axle
Rotate in stopper slot and wherein.
6. delivery device according to claim 4, it is characterised in that:The push bar unit also includes lock;The insurance
Bolt is arranged on shell rear portion, and its button is located at outer surface of outer cover, and its grab is set inside the housing, and the grab can be in button
The insurance croze of push rod rear upper is caught in or left under driving.
7. delivery device according to claim 4, it is characterised in that:The handle and shell are empty for the pistol moulding that left and right fastens
Cavity configuration.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610409039.8A CN105997184B (en) | 2016-06-12 | 2016-06-12 | Delivery device for the Ni-based marmem anal fistula internal orifice closure folder of titanium |
PCT/CN2016/111526 WO2017107955A1 (en) | 2015-12-22 | 2016-12-22 | Titanium nickel-based shape memory alloy tissue closing clip, release device, and clip accommodating device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610409039.8A CN105997184B (en) | 2016-06-12 | 2016-06-12 | Delivery device for the Ni-based marmem anal fistula internal orifice closure folder of titanium |
Publications (2)
Publication Number | Publication Date |
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CN105997184A CN105997184A (en) | 2016-10-12 |
CN105997184B true CN105997184B (en) | 2018-02-23 |
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CN201610409039.8A Active CN105997184B (en) | 2015-12-22 | 2016-06-12 | Delivery device for the Ni-based marmem anal fistula internal orifice closure folder of titanium |
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Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2017107955A1 (en) * | 2015-12-22 | 2017-06-29 | 杨西群 | Titanium nickel-based shape memory alloy tissue closing clip, release device, and clip accommodating device |
CN106821444B (en) * | 2016-12-22 | 2023-06-27 | 杨西群 | Clip loader and delivery device for titanium-nickel-based shape memory alloy tissue closure clip |
CN107174299B (en) * | 2017-07-02 | 2018-10-30 | 邵杰 | A kind of micro-wound surgical operation needle holder |
CN107374685B (en) * | 2017-07-09 | 2023-08-15 | 杨西群 | Soft tissue sleeve cutting anastomat based on shape memory alloy |
CN108577917A (en) | 2018-05-17 | 2018-09-28 | 南京微创医学科技股份有限公司 | The self-service anastomosis clamp of alimentary canal and its release device |
CN112957094B (en) * | 2021-02-03 | 2022-06-10 | 中山大学附属第三医院(中山大学肝脏病医院) | Clip applier |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
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GB9827415D0 (en) * | 1998-12-11 | 1999-02-03 | Wild Andrew M | Surgical apparatus and method for occluding a body passageway |
WO2012078067A1 (en) * | 2010-12-07 | 2012-06-14 | Globetek 2000 Pty Ltd | Method of a hemostasis creation with restoration possibility of blood- flow in tubular elastic structures of an organism and device for its realization |
CN203182964U (en) * | 2013-03-28 | 2013-09-11 | 常州海尔斯医疗器械科技有限公司 | Limiting structure of anorectum anastomat |
CN103356267A (en) * | 2013-08-05 | 2013-10-23 | 杭州康基医疗器械有限公司 | Multi-clamp automatic clamp feeding device of disposable titanium clamp |
CN204410883U (en) * | 2014-12-24 | 2015-06-24 | 无锡博康医疗器械有限公司 | Novel arc Endo-GIA |
CN205831861U (en) * | 2016-06-12 | 2016-12-28 | 杨西群 | Delivery device for titanium Ni-based marmem anal fistula internal orifice Guan Bi folder |
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