CN106236167A - Anastomat - Google Patents
Anastomat Download PDFInfo
- Publication number
- CN106236167A CN106236167A CN201610513290.9A CN201610513290A CN106236167A CN 106236167 A CN106236167 A CN 106236167A CN 201610513290 A CN201610513290 A CN 201610513290A CN 106236167 A CN106236167 A CN 106236167A
- Authority
- CN
- China
- Prior art keywords
- control
- anastomat
- nail
- housing
- nail bin
- 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
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- 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
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- 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
- A61B17/3209—Incision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
Abstract
The invention discloses a kind of anastomat, including a housing and guide-localization assembly, stitching and the cutting assembly being arranged in housing, the front end of described housing has the nail anvil seat of an open loop type, described nail anvil seat is corresponding with the position of nail bin, the rear end of described housing has percussion spanner and adjusting knob, it is characterised in that described anastomat also includes: screw mandrel, it is arranged in housing, is arranged between described adjusting knob, stitching and cutting assembly;Pointer, is arranged on hull outside, is connected to described screw mandrel, during described adjusting knob turn, drives described screw mandrel to move, thus drives described pointer to move.The anastomat of the present invention can precisely point out the change of current organization thickness and the degree of balance of apparatus;Use spinning side's clamping squeezing tissue, can effectively control microstructure homogenization;Nail bin changes the mode using plug in the horizontal direction, and operation is more light and handy flexibly.
Description
Technical field
The present invention relates to medical instruments field, it is in particular to a kind of anastomat.
Background technology
A kind of medical apparatus and instruments that Medical stapler is commonly used when being to perform surgical operation digestion living according to principles for self-cultivation reason tissue, general
In surgical operation therapy, anastomat has been commonly used for the cutting closure function of tissue.The operation principle of anastomat and stapler
Identical, therefore it is generically and collectively referred to as Stapler: tissue is placed between nail bin and nail anvil seat, by adjusting between nail bin and nail anvil seat
Tissue is rationally squeezed by distance, and the distance between nail bin and nail anvil seat reaches percussion during the safety range effectively sewed up,
U-shaped staple is compressed into B shape tissue is sewed up, thin vessels can in the space of B shape staple through ensure anastomotic stoma and
The blood supply of remote organization.
Traditional anastomat clamping mode is link-type Guan Bi, is that doctor empirically judges rational group when performing the operation
Knit squeezing degree, it is impossible to the tissue signature for different patients provides corresponding accurate tissue squeezing thickness.But, empirically
Judge that the error of tissue squeezing thickness causes different patient's postoperative effect discrete type relatively big, it is difficult to ensure that operation all can make group every time
Knitting squeezing and be in reasonably one-tenth nail scope, once tissue squeezing scope is unreasonable, then there will be into inconsistent, the secondary Cheng Ding of nail etc.
Phenomenon, thus the postsurgery symptoms such as tissue leakage, tissue necrosis occur, not only have impact on the efficiency of operation, return patient and cause
The most painful.
Summary of the invention
For solving the problems referred to above, the present invention proposes a kind of anastomat, it is possible to the thickness at accurate prompting current organization squeezing
Degree change.
For reaching above-mentioned purpose, the present invention proposes a kind of anastomat, including a housing and the guide-localization being arranged in housing
Assembly, stitching and cutting assembly, the front end of described housing has the position of the nail anvil seat of an open loop type, described nail anvil seat and nail bin
Correspondence, the rear end of described housing has percussion spanner and adjusting knob.Described anastomat also includes:
Screw mandrel, is arranged in housing, is arranged between described adjusting knob, stitching and cutting assembly;
Pointer, is arranged on hull outside, is connected to described screw mandrel, during described adjusting knob turn, drives described screw mandrel
Mobile, thus drive described pointer to move.
Further, described stitching and cutting assembly include controlling tool rest, control storehouse bar, control knife plate, cutting element and nail pushing plate, its
Described in control tool rest and be arranged between the first end of above-mentioned percussion spanner and above-mentioned control storehouse bar, and percussion spanner is at non-firing position
With between firing position during switching, described control tool rest is fired spanner driving and is moved between primary importance and the second position, controls storehouse
Bar is connected to above-mentioned screw mandrel controlled tool rest and drives, and described control knife plate connects above-mentioned control storehouse bar and controlled storehouse bar drives, described in cut
Cutting element and connect above-mentioned control knife plate, nail pushing plate is fixing with above-mentioned cutting element to be connected, when control tool rest from primary importance to second
When putting mobile, cutting element and nail pushing plate move to nail anvil seat, it is achieved cut and sew up.
Further, described stitching and cutting assembly also include torsion spring, are arranged between percussion spanner and housing, when percussion is pulled
Hands from non-firing position to firing position move time, described torsion spring is compressed.
Further, described cutting element being provided with elongated hole and fixing groove, control knife plate connects cutting by a control cutter lock dog
Element, described control cutter lock dog can move in elongated hole, and when controlling the primary importance that cutter lock dog is positioned at elongated hole, control knife plate inserts
In fixing groove on cutting element, when controlling the second position that cutter lock dog is positioned at elongated hole, control knife plate is locked.
Further, described guide-localization assembly, described guide-localization assembly includes controlling pin pushing block, control shank, pin, slide,
Described slide is arranged in the guide groove of nail bin, and one end of pin is inserted nail bin and is slidably arranged in the nail pushing plate in nail bin, separately
One end is fixedly installed in slide, and one end of described control shank is arranged on slide, and the other end is arranged on control pin pushing block, and institute
State control pin pushing block to move relative to housing.
Further, above-mentioned nail anvil seat can rotate relative to housing.
Further, also including nail bin mounting seat, what described mounting seat was fixing is arranged on housing forward end, is used for installing above-mentioned nail
The buckle being slidably matched it is provided with on storehouse, and described nail bin and nail bin mounting seat.
In sum, the anastomat of the present invention compared with prior art, has the advantages that precisely to point out and works as
The change of front tissue thickness and the degree of balance of apparatus;Use spinning side's clamping squeezing tissue, can effectively control microstructure homogenization;Nail bin
Changing the mode using plug in the horizontal direction, operation is more light and handy flexibly.
Accompanying drawing explanation
Fig. 1 is the structural blast figure of the anastomat of the embodiment of the present invention.
Fig. 2 is the decomposing schematic representation of nail anvil seat rotary module in anastomat in Fig. 1.
Fig. 3 is the decomposing schematic representation of grip dimensions display module in anastomat in Fig. 1.
Fig. 4 is that in Fig. 1, in anastomat, nail bin installs the decomposing schematic representation of module.
Fig. 5 is that in Fig. 1, in anastomat, cutting element installs the decomposing schematic representation of module.
Fig. 6 is the decomposing schematic representation of guide-localization module in anastomat in Fig. 1.
Fig. 7 is to sew up and the decomposing schematic representation of cut-sytle pollination module in anastomat in Fig. 1.
Fig. 8 be in Fig. 1 in anastomat sew up and cut-sytle pollination block combiner after generalized section.
Detailed description of the invention
In order to know more about the technology contents of the present invention, especially exemplified by specific embodiment and coordinate institute's accompanying drawings to be described as follows.
Fig. 1 is the structural blast figure of the anastomat of the embodiment of the present invention.The anastomat of the embodiment of the present invention includes tying as follows
Structure module: nail anvil seat rotary module, grip dimensions display module, cutting blade install module, nail bin installs module, guide-localization
Module, stitching and cut-sytle pollination module, below each construction module is described in detail:
1) nail anvil seat rotary module
As in figure 2 it is shown, this module includes: nail anvil seat 1, limited block 3, spring B 1, sunk screw B2, pin B8.
Concrete operations are as follows: promoting limited block 3, limited block 3 departs from stopper slot C, and nail anvil seat 1 is around pin B8 half-twist;Instead
To nail anvil seat 1 being forwarded to position, decontrol limited block 3, spring B 1 promote limited block 3 to realize location in the stopper slot C of nail anvil seat 1
Effect, like this, it is simple to straight line plug nail bin.
2) grip dimensions display module
As it is shown on figure 3, this module includes: screw mandrel 19, pointer 20, instruction nut 21, adjusting knob 22, sunk screw B4,
Pin B9.
Rotation of adjustment knob 22, screw mandrel 19 rotates, thus drives instruction nut 21 to move;
Pointer 20 is arranged on instruction nut 21, utilizes the movement of instruction nut 21 to be precisely controlled pointer and moves, it is achieved chi
Very little accurate display, it is possible to precisely prompting current organization thickness change.
It addition, in the present embodiment, owing to using displacement screw mandrel and multiple thread simultaneously, pitch and indicating area are that 1:1 passes
Dynamic output, changes Precise Algorithm by big pitch, and current organization change can real-time prompting.
3) nail bin installs module
As shown in Figure 4, mounting seat 4 is slotted, and nail bin 5 does corresponding convex tendon and becomes sliding form to coordinate;So it is easily installed, carries again
High Product Precision;
4) cutting blade installs module
As it is shown in figure 5, this module includes cutting element 8, control cutter lock dog 10, control knife plate 28.
Control cutter lock dog 10 is buckled in the elongated hole S1 of cutting blade 8, above push away control cutter lock dog 10 to top dead centre;Nail bin 5 and cutting
It is interior to stop that cutting blade 8 inserts mounting seat 4, and the end of this time control knife plate 28 is inserted in the fixing groove S2 of cutting blade 8;To next time
Push away control cutter lock dog 10 locking control knife plate 28, cutting blade 8 installation.Control cutter lock dog 10 can be gone up in the elongated hole of cutting blade 8
Under the design that pushes away facilitate implementation nail bin.
5) guide-localization module
As shown in Figure 6, this module includes nail bin 5, nail pushing plate 7, pin 11, pin slide 12, pushing needle bar 13, controls pin pushing block 14.
Nail pushing plate 7 can slide in nail bin 5, and nail pushing plate 7 is cut element 8 and control knife plate 28 drives and travels forward.Pin
One end of 11 is inserted in nail bin 5, nail pushing plate 7 circular hole, and the other end is buckled in pin slide 12;Pin slide 12 is arranged in nail bin 5;Push away
Shank 13 one end is buckled on pin slide 12, and the other end is contained on control pin pushing block 14;And control pin pushing block 14 and be contained in case 15 guide groove
And can relatively move forward and backward by case 15.Mobile control pin pushing block 14 just can control pin advance or retrogressing realizes apparatus guide-localization.
6) stitching and cut-sytle pollination module
In conjunction with Fig. 5, Fig. 7 and Fig. 8, this module includes nail bin 5, nail pushing plate 7, cutting blade 8, control cutter lock dog 10, guide plate 17
(guiding between control storehouse bar 18 and control knife plate 28), control storehouse bar 18, binding nut 29, screw mandrel 19, adjusting knob 22, pin B9, interior
Percussion spanner 23, torsion spring B5, outside percussion spanner 24, pin B6, control tool rest 25, connecting plate 26, pin B7, control knife plate 28.
The motion of cutting blade 8 is divided into two kinds: air transport dynamic (motion before nail bin 5 and nail anvil seat 1 Guan Bi) and cutting movement:
Air transport is moved, namely nail bin motion, and nail bin 5 is buckled on control storehouse bar 18, and one end of binding nut 29 is buckled in control storehouse bar
On 18, other end connection wire rod 19.Rotary knob 22, screw mandrel 19 rotates the parts advance driving binding nut 29 and being connected,
Before nail bin 5 closes with nail anvil seat 1, cutting blade 8 also can move to anastomat front end, and now cutting blade 8 does not perform to cut and moves
Make;
Cutting movement, when the tissue that nail anvil seat 1 is to be performed the operation with nail bin 5 clamping, the pin B7 of control cutter connecting plate 26 walks
At displacement, pulling outside percussion spanner 24, pin B7 guides the open slot S3 falling into control knife plate 28 at case 15 guide channel
Front end, promote control knife plate 28 to advance and realize cutting element 8 and cut, now nail pushing plate 7 under the driving of cutting element 8 also to kiss
Clutch front end is moved, and compresses staple, it is achieved sew up;Unclamping outside percussion spanner 24, under torsion spring B5 effect, pin B7 is along former road
Returning, return to the rear end of the front end of open slot S3, drive cutting blade 8 to reset, nail pushing plate 7 also resets simultaneously.
Time specifically used, when needing to carry out sewing up operation, first installing nail bin 5 and cutting blade 8, concrete operations refer to
3) nail bin install module and 4) cutting blade install module detailed description, here is omitted.Then, rotation of adjustment knob
22, screw mandrel 19 to anastomat front end rotate, drive binding nut 29 and be connected control storehouse bar 18, control knife plate 28 move forward,
Thus drive cutting blade 8 and nail bin 5 forward end to move, it is achieved the Guan Bi between nail bin 5 and nail anvil seat 1 and clamping.Continue rotation
Turn adjusting knob 22, when current organization thickness meets the requirements, move control pin pushing block 14 to anastomat front end, control pin pushing block 14
Travel forward and drive travelling forward of pin 11, it is achieved apparatus correcting.Then percussion spanner 24 is detained, by control tool rest 25 forward
Motion drives control storehouse bar 18, control knife plate 28 to move forward, thus drive cutting blade 8 and nail pushing plate 7 forward end to move, it is achieved group
The cutting knitted and stitching.After cutting and stitching terminate, unclamping percussion spanner 24, under torsion spring B5 effect, pin B7 returns along former road
Returning, drive cutting blade 8 to reset, nail pushing plate 7 also resets simultaneously.
Further, in the present embodiment, described anastomat also includes neck support component 9 and lock tube 27, and lock tube 27 is arranged on cover
The front end of shell 15, neck support component 9 is arranged on lock tube 27, is used for carrying mounting seat 4.
Although the present invention is disclosed above with preferred embodiment, so it is not limited to the present invention.Skill belonging to the present invention
Art field has usually intellectual, without departing from the spirit and scope of the present invention, when being used for a variety of modifications and variations.Cause
This, protection scope of the present invention is when being as the criterion depending on those as defined in claim.
Claims (8)
1. anastomat, including a housing and guide-localization assembly, stitching and the cutting assembly being arranged in housing, described housing
Front end has the nail anvil seat of an open loop type, and described nail anvil seat is corresponding with the position of nail bin, and the rear end of described housing has percussion and pulls
Hands and adjusting knob, it is characterised in that described anastomat also includes:
Screw mandrel, is arranged in housing, is arranged between described adjusting knob, stitching and cutting assembly;
Pointer, is arranged on hull outside, is connected to described screw mandrel, during described adjusting knob turn, drives described screw mandrel to move,
Thus drive described pointer to move.
Anastomat the most according to claim 1, it is characterised in that described stitching and cutting assembly include controlling tool rest, control storehouse
Bar, control knife plate, cutting element and nail pushing plate, wherein said control tool rest is arranged on above-mentioned percussion spanner and the first of above-mentioned control storehouse bar
Between end, and when percussion spanner switches between non-firing position and firing position, described control tool rest is fired spanner and is driven
Moving between primary importance and the second position, control storehouse bar is connected to above-mentioned screw mandrel and controlled tool rest drives, in the connection of described control knife plate
Stating control storehouse bar and controlled storehouse bar drives, described cutting element connects above-mentioned control knife plate, and nail pushing plate is fixing with above-mentioned cutting element even
Connect, when control tool rest move to the second position from primary importance time, cutting element and nail pushing plate move to nail anvil seat, it is achieved cutting with
Sew up.
Anastomat the most according to claim 2, it is characterised in that described stitching and cutting assembly also include torsion spring, is arranged
Between percussion spanner and housing, when firing spanner and moving to firing position from non-firing position, described torsion spring is compressed.
Anastomat the most according to claim 2, it is characterised in that be provided with elongated hole and fixing groove on described cutting element,
Control knife plate connects cutting element by a control cutter lock dog, and described control cutter lock dog can move in elongated hole, when control cutter lock dog is positioned at
During primary importance in elongated hole, control knife plate inserts in the fixing groove on cutting element, when control cutter lock dog is positioned at the second of elongated hole
During position, control knife plate is locked.
Anastomat the most according to claim 2, it is characterised in that described guide-localization assembly, described guide-localization assembly
Including control pin pushing block, control shank, pin, slide, described slide is arranged in the guide groove of nail bin, and nail bin and cunning are inserted in one end of pin
In the dynamic nail pushing plate being arranged in nail bin, the other end is fixedly installed in slide, and one end of described control shank is arranged on slide,
The other end is arranged on control pin pushing block, and described control pin pushing block can move relative to housing.
Anastomat the most according to claim 1, it is characterised in that above-mentioned nail anvil seat can rotate relative to housing.
Anastomat the most according to claim 1, it is characterised in that also include mounting seat, the setting that described mounting seat is fixing
At housing forward end, it is used for installing above-mentioned nail bin, and in described nail bin and mounting seat, is provided with the buckle being slidably matched.
Anastomat the most according to claim 7, it is characterised in that also include neck support component and lock tube, lock tube is arranged on
The front end of case, neck support component is arranged on lock tube, is used for carrying mounting seat.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610513290.9A CN106236167A (en) | 2016-06-30 | 2016-06-30 | Anastomat |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610513290.9A CN106236167A (en) | 2016-06-30 | 2016-06-30 | Anastomat |
Publications (1)
Publication Number | Publication Date |
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CN106236167A true CN106236167A (en) | 2016-12-21 |
Family
ID=57613100
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201610513290.9A Pending CN106236167A (en) | 2016-06-30 | 2016-06-30 | Anastomat |
Country Status (1)
Country | Link |
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CN (1) | CN106236167A (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110115605A (en) * | 2018-02-06 | 2019-08-13 | 上海梵焜医疗器械有限公司 | A kind of Linear type suturing instrument |
CN115969443A (en) * | 2022-12-30 | 2023-04-18 | 宝玛医疗科技(无锡)有限公司 | Anastomat capable of preventing cutting knife from being triggered by mistake |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104224259A (en) * | 2014-09-15 | 2014-12-24 | 江苏钱璟医疗器械有限公司 | Disposable internal opening cutting and enclosing anastomat |
CN104688288A (en) * | 2015-03-13 | 2015-06-10 | 苏州天臣国际医疗科技有限公司 | Medical stapler |
-
2016
- 2016-06-30 CN CN201610513290.9A patent/CN106236167A/en active Pending
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104224259A (en) * | 2014-09-15 | 2014-12-24 | 江苏钱璟医疗器械有限公司 | Disposable internal opening cutting and enclosing anastomat |
CN104688288A (en) * | 2015-03-13 | 2015-06-10 | 苏州天臣国际医疗科技有限公司 | Medical stapler |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110115605A (en) * | 2018-02-06 | 2019-08-13 | 上海梵焜医疗器械有限公司 | A kind of Linear type suturing instrument |
CN110115605B (en) * | 2018-02-06 | 2022-08-26 | 上海梵焜医疗器械有限公司 | Linear type stitching instrument |
CN115969443A (en) * | 2022-12-30 | 2023-04-18 | 宝玛医疗科技(无锡)有限公司 | Anastomat capable of preventing cutting knife from being triggered by mistake |
CN115969443B (en) * | 2022-12-30 | 2024-03-12 | 宝玛医疗科技(无锡)有限公司 | Anastomat capable of preventing false firing of cutting knife |
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Effective date of registration: 20180211 Address after: Qixia Xianlin Avenue horses Street District of Nanjing City, Jiangsu province 210046 horses B Technology Innovation Center No. 18 room 512 Applicant after: Nanjing Pu Pai medical science and technology company limited Address before: 224000 Jiangsu Xindu District Yancheng City Nanxin street people's Road No. 38 building D1 Xinlong Guangcheng Applicant before: Yancheng Yuanyang Medical Technology Co Ltd |
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Application publication date: 20161221 |