CN106510895A - Binding method for fixing duodenum stent to stent implantation instrument - Google Patents

Binding method for fixing duodenum stent to stent implantation instrument Download PDF

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Publication number
CN106510895A
CN106510895A CN201611067848.1A CN201611067848A CN106510895A CN 106510895 A CN106510895 A CN 106510895A CN 201611067848 A CN201611067848 A CN 201611067848A CN 106510895 A CN106510895 A CN 106510895A
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CN
China
Prior art keywords
binding
stent
support
cup
lashing wire
Prior art date
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Pending
Application number
CN201611067848.1A
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Chinese (zh)
Inventor
范志宁
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.)
CHANGZHOU NEW DISTRICT GARSON MEDICAL STENT APPARATUS Co Ltd
Original Assignee
CHANGZHOU NEW DISTRICT GARSON MEDICAL STENT APPARATUS Co Ltd
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Application filed by CHANGZHOU NEW DISTRICT GARSON MEDICAL STENT APPARATUS Co Ltd filed Critical CHANGZHOU NEW DISTRICT GARSON MEDICAL STENT APPARATUS Co Ltd
Priority to CN201611067848.1A priority Critical patent/CN106510895A/en
Publication of CN106510895A publication Critical patent/CN106510895A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/045Stomach, intestines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9505Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
    • A61F2002/9511Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/001Figure-8-shaped, e.g. hourglass-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2240/00Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2240/001Designing or manufacturing processes

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)

Abstract

Provided is a binding method for fixing a duodenum stent to a stent implantation instrument. The stent implantation instrument with a binding thread is sleeved with the duodenum stent, and then the stent is bound to the stent implantation instrument. The binding method comprises the steps that A, the binding thread is looped, the far end of the binding thread is pressed below the binding thread, the binding thread is wound around the duodenum stent, then the near end of the binding thread penetrates the loop and then is looped, the near end of the binding thread penetrates the loop again, and meanwhile the loop serves as a secondary new loop; B, the binding thread is wound outside the duodenum stent, then the near end of the binding thread penetrates the secondary new loop and is looped again to form a new loop, and the near end of the binding thread penetrates the secondary new loop again; C, the new loop obtained in the step B serves as a secondary new loop, the step B is executed, and the step D is executed after a string of loops is formed; and D, the last new loop is pressed through a pressing strip, and the binding thread penetrates a binding thread channel and penetrates out of the tail of the stent implantation instrument.

Description

Duodenal stent is fixed on into the binding method of support inserting device tool
Present patent application " duodenal stent is fixed on the binding method of support inserting device tool " is the applying date to be: 2015-06-03, Application No.:201510298007.0 with invention and created name it is:Duodenal stent, preparation method, mould And the divisional application of support inserting device tool and binding method.
Technical field
The present invention relates to the technical field of medical apparatus and instruments, more particularly to a kind of duodenal stent, preparation method and support Insertion instrument and support fixing meanss.
Background technology
At present, the duodenal stent of proposition is substantially made up of two parts, the hardware for playing the role of positioning and rise every From effect(Isolation chyme and Digestive system)Sleeve pipe.Duodenal stent proposed by the present invention is as shown in figure 1, and by fixture Constitute with sleeve pipe.Compared with the quoit positioning action with metal ring or ellipse of existing proposition, the present invention devises wine Cup shaped metal network is shown in Fig. 4 as align member, and it reliably can not only position, also with sealing function, and to deep and remote The contractile function of door is substantially free of impact.Cup body and the clamping action at cup bottom, realize reliable positioning action;Cup feather edge to Cup body tilts the design of outer rim 45 and macromolecular material shirt rim 3 thereon, makes it fit tightly with the prepyloric region of stomach, in case food Gruel is leak into outside the sleeve pipe of duodenal stent;The design of wineglass cup handle, is allowed at the pylorus of stomach;And the appropriate spiral of cup handle The selection of line helical pitch, have adjusted the radial support power of glass handle, so as to the impact to the contractile function of pylorus is minimized.12 refer to Intestinal ceca frame has the sleeve pipe of a longer macromolecular material, is grown not only but also soft sleeve pipe inserts human body alimentary canal, greatly increased Whole support has been added to insert the difficulty of operation and insert the complexity of apparatus.The present invention designs single line or the binding of two-wire two ends is defeated Send method, single line or two-wire axial direction intussusception binding conveying method and single line or two-wire axially to fold binding conveying method, not only insert apparatus Simply, and processing ease.Thus, whether duodenal stent or apparatus is inserted accordingly, it is characteristic of the invention that simple Single, reliability and practicality.
The content of the invention
The present invention provides a kind of duodenal stent with positioning and fastening function, preparation method, mould and props up and mounts Enter apparatus and binding method, can effectively block small intestinal and food is digested and assimilated, and the absorption of sugared part is reduced from source.
The present invention is adopted the following technical scheme that:
A kind of duodenal stent of the present invention, including wine cup shape metal net support, in wine cup shape metal net support On be connected with macromolecular material sleeve pipe.
A kind of preparation method of duodenal stent of the present invention, comprises the following steps:
Step 1 prepares circular metal webmaster
Step 1.1, takes an one metal wire, and the axial direction that tinsel is turned to the first section spiral line and first section spiral line is long Degree is corresponding with the cup bottom disk radial dimension of wine cup shape network, increases helical pitch and continues around and makes the second section spiral line, The axial length of the second section spiral line is highly corresponding with the cup handle of wine cup shape network, reduces helical pitch and continues coiling the 3rd Section spiral line, the length of the 3rd section spiral line are highly corresponding with the cup body of wine cup shape network,
Ends bent tinsel of the step 1.2 in the 3rd section spiral line described in step 1.1, and by tinsel towards initiating terminal after The length of the 4th section spiral line of continuous coiling and the 4th section spiral line is highly corresponding with the cup body of wine cup shape network, institute State the 4th section spiral line and cup body cross point is intersected to form with the 3rd section spiral line, constitute two cup body cross points of arbitrary neighborhood In the 4th section spiral line in a cup body cross point pass through from below the 3rd section spiral line, constitute two cups of arbitrary neighborhood 4th section spiral line in another cup body cross point in body cross point is passed through from above the 3rd section spiral line and is pressed through;
Increasing helical pitch then the 5th section spiral line of coiling, the axial length of the 5th section spiral line and the cup of wine cup shape network Handle is highly corresponding, and the 5th section spiral line intersects to form a glass handle cross point with second section spiral line, constitutes any phase 5th section spiral line in a cup handle cross point in adjacent two cup handle cross points is passed through from below second section spiral line, structure The 5th section spiral line into another glass of handle cross point in two cup handle cross points of arbitrary neighborhood is from second section spiral line Top passes through and presses through;
Reduction helical pitch then the 6th section spiral line of coiling, the axial length of the 6th section spiral line and the cup of wine cup shape network The radial dimension of bottom disk is corresponding, and the 6th section spiral line intersects to form a glass bottom cross point with first section spiral line, 6th section spiral line in the cup bottom cross point in composition two cup bottoms of arbitrary neighborhood cross point is from first section spiral line Lower section passes through, and constitutes the 6th section spiral line in another glass of bottom cross point in the cross point of two cup bottoms of arbitrary neighborhood from described the Pass through above one section spiral line and press through;
Ends bent tinsel of the step 1.3 in the 6th section spiral line described in step 1.2, and repeat step 1.1 and step 1.2 Until forming circular metal webmaster;
Step 2 carries out setting treatment to circular metal webmaster
Circular metal webmaster is enclosed within the shaping mould of wine glass-shaped, the wine glass-shaped with design and size is allowed to, then will 20 ~ 50 minutes in 420 ~ 510 DEG C of temperature environments, then wine cup shape metal webmaster is placed in together with the shaping mould of wine glass-shaped Water-cooled, unloads shaping mould, obtains wine cup shape network;
Step 3 obtains duodenal stent in wine cup shape network upper joint sleeve pipe.
A kind of mould for the preparation method of the present invention, including:Bolt, is arranged with bolt successively One round core pipe, the second round core pipe and the 3rd round core pipe and by be located at bolt two ends nut fasten, the first round core pipe, second circle Core pipe and the 3rd round core pipe are provided with spiral groove, and the spiral groove starts from the outer end of the first round core pipe, extend to The outer end of three round core pipes is turned back and is converted into reverse acting spiral connected in star, extends to the outer end of the first round core pipe, is extended with this repeatedly Until spiral groove net is formed, and the lead of screw of the spiral groove on the second round core pipe is more than the first round core pipe With the 3rd round core pipe, the length of the first round core pipe is corresponding with the cup bottom disk radial dimension of wine cup shape network, and The length of two round core pipes is highly corresponding with the cup handle of wine cup shape network, length and netted of the wine cup shape of the 3rd round core pipe The cup body of frame is highly corresponding.
A kind of support inserting device tool of duodenal stent of the present invention, including:Core pipe and core pipe are used to carry institute Duodenal stent is stated, the first binding line passage and first support binding linear window is provided with the core pipe wall of core pipe, first The first lashing wire that the duodenal stent is tied up for fixation is provided with binding line passage.
A kind of binding method that duodenal stent is fixed on support inserting device tool of the present invention, by duodenum Support casing being provided with the support inserting device tool of lashing wire, then with duodenal stent binding method by duodenal stent It is bundled on support inserting device tool, described duodenal stent binding method is comprised the following steps:
Step A:By lashing wire is around lopping and the distal end of lashing wire is crushed on the lower section of lashing wire, then by lashing wire in duodenum Then the external rings of support around wearing the near-end of lashing wire further around a ring and by the near-end of lashing wire again through after the circle The circle is crossed, while by the ring as secondary new ring,
Step B:Lashing wire is surround again in the outside of duodenal stent, then by the near-end of lashing wire through described time Described newly ring is again passed through further around a new ring and by the near-end of lashing wire after new ring,
Step C:The new ring that step B is obtained enters step D after a string of rings are formed as secondary new ring, return to step B,
Step D:Last new ring is pushed down with press strip, then by lashing wire through binding line passage and from support inserting device tool Afterbody is passed.
Compared with prior art, the invention has the advantages that:
(1)Effectively blocking small intestinal of the invention is digested and assimilated to food, closely, is snugly contacted with gastric mucosa, and can be kept The contractile function of pylorus.
The duodenal stent of the present invention is inserted in harmonization of the stomach duodenum, with reference to Fig. 7, is originated in the pylorus 4 of stomach 100, is covered The part duodenum section that is connected with pylorus 4 of lid or whole duodenum section 101, be with wine cup shape network and sleeve pipe, Particularly implement to intercept with sleeve pipe, the digest chyme of gastric when duodenum, only part or completely not with ten Two duodenum 12 inwalls are contacted, and so as to reducing or even excluding duodenal digestion and Absorption completely, effectively blocking small intestinal is to food Thing is digested and assimilated, and the absorption of sugared part is reduced from source.
Duodenal stent is in close contact with the gastric mucosa at stomach pylorus so that diabetes involving middle-JIAO compound(Food)It is substantially all and passes through Support is discharged to duodenum or jejunum.During duodenal stent setting treatment, certain elastic force is produced, duodenal branchess are made The near-end cup bottom disk of frame closely, is snugly gently pressed on the mucosa of stomach.To realize above-mentioned functions, metal rack is designed to Goblet shape, cup bottom disk are the near-ends of support(It is so-called proximally and distally, for being relative operator:One device is near operation One end of person is near-end, is distal end away from the other end of operator)Be placed in gastric, in order that its with gastric mucosa closely, it is docile Ground contact, cup bottom disk outer rim is upwards(To cup body direction)Tilt slightly and form bending edge 45, and cup bottom disk is connect with gastric mucosa There is the shirt rim 3 that a floor height molecular film is constituted tactile side, and this floor height molecular film extends to cup body along cup handle, refers to 12 Intestinal sleeve pipe is connected.
The cup handle of wine cup shape network is just placed at pylorus, and cup handle length is corresponding with the width of pylorus, cup handle gold The helical pitch of category stent helix line is relatively large, thus, the radial support power of cup handle is less, that is to say, that cup shank metal rack pair The radial support effect very little of pylorus, so that pylorus remains in that its contractile function, the impact to pylorus physiological function is significant Reduce.Cup body is the distal end of metal rack, then be placed in duodenal bulb, is on the one hand in close contact with pyloric cap, Another aspect cup body is high with the bond strength of macromolecular material sleeve pipe.Macromolecule membrane on metal rack can also be done with sleeve pipe Integral formula.
(2)The effect of the duodenal stent preparation method of the present invention and effect are as follows:
According to the winding method coiling of circular metal webmaster of the present invention, two groups of helixes can be formed, one of which be it is left-handed, it is another For dextrorotation, two groups of helix mutually activities intersect group, constitute many little networks.Exactly, adjacent two left-turn spirals Line and adjacent two right-hand helixs intersect, and constitute little network unit, and whole circular metal webmaster is completely by this A little little network units are constituted.The one group of network unit for along the circumferential direction arranging, its summit respectively positioned at three that On this adjacent circumference, the end that each section of Stent assembling die is also all located at the intersection of this two groups of left-right rotary helixes On the constituted circumference of point, Fig. 6 is seen.Different helical pitch λ of each section of employing of metal net support, has the disk of proximal segment high Counter-bending elasticity, stage casing have relatively low radial support power, and distal ports have higher radial support power, thus, distal ports cup The lead of helix of body is minimum, and the helical pitch of interlude cup shank is maximum, and the helical pitch at proximal segment cup bottom is placed in the middle.
According to the circular metal webmaster of winding method coiling of the present invention, helix does not repeat.
According to the circular metal webmaster of winding method coiling of the present invention, the mutually activity of its two groups of helixes intersects.
When a left-handed or right-hand helix, when intersecting with another group of dextrorotation or left-handed parallel helix, along this Root is left-handed or right-hand helix on adjacent cross point, this left-handed or right-hand helix is in another group of dextrorotation or left-handed parallel It is alternate that helix is upper and the next, that is to say, that as this root is left-handed or right-hand helix is in a cross point When face is by another group of dextrorotation or left-handed parallel helix, then when by next cross point, in another group of dextrorotation or left-handed Below parallel helix, with reference to Fig. 5.In these cross points, two Ni-Ti shape-memory alloy wires of different trends are only mutual Intersect, when support deforms, this two silks can produce relative displacement, thus, these cross points are all slip-knot points.Compile When casting off into, two terminations of this root Ni-Ti shape-memory alloy wires will overlap, and position is typically answered in the position that termination overlaps In the middle part of support.
After the setting treatment of support, support has the function of memory finished product support shape and size, i.e., when support is in about When pencil state or compressive state, it has self-expanding ability.
(3)The present invention is had the advantage that for the mould for preparing circular metal webmaster:
Using the combined knitting mould of the segmentation shown in Fig. 6, when the head number of helix is identical, each section die as needed can be with Different helical pitches are chosen, thus, each section of support for knitting out has different size of network, also just has different mechanics Performance:Each section of support has different radial support power and different axial bending strengths.
(4)The support inserting device tool of the present invention conveniently, reliably can be realized back after duodenal stent is inserted and finished Remove.
Raidal drainage hole 88 is machined with the main chamber 84 of core pipe, Fig. 8 is seen, to recall during support inserting device tool, from handle Liquid injection hole injects distilled water, flows into the gap between rack sleeve and support inserting device tool, when distilled water is injected, while withdraw propping up Mount into apparatus, side left rotation and right rotation support inserting device tool, in case the sleeve pipe of support is wrapped on support inserting device tool, affect support Insert apparatus to exit from rack sleeve.
(5)The binding method of duodenal stent of the present invention
Support mode of movement bundlees method for releasing using support, whole duodenal stent is equably enclosed within support first and is inserted On apparatus, then proximally and distally the bundling duodenal stent with lashing wire, make duodenal stent be fixed on conveying dress Put.After support inserting device tool is inserted in place together with support, pull support inserting device tool afterbody is lashing wire, you can break rope Knot, discharges support.Pull lashing wire is broken the principle of knot and sees Figure 15.
When support is installed, by support casing in the core pipe for inserting apparatus, the distal end of rack sleeve is close to the near-end of soft head. The two ends of duodenal stent during binding, are only bundled, i.e., only bundlees support proximally and distally, at the rack sleeve of remainder In nonbinding state.The effect of rack far end binding is the position for fixing duodenal stent sleeve pipe on apparatus is inserted, and is prevented Sleeve pipe occurs to slide on apparatus core pipe is inserted, thus, the number of turns of lashing wire is as few as possible, usual 1 ~ 5 circle;And mount proximal end bundle The effect tied up, is not only fixed support and the relative position for inserting apparatus, and wire netting pipe holder is snugly bundled, It is easy to insert apparatus insertion digestive tract.Now, bundle the number of turns more, bundle the table that coil is evenly distributed in wire netting pipe holder On face.Duodenal stent is bundled in the distal end for inserting apparatus, the lashing wire first support lashing wire 87, Jing of rack far end By the first support binding line passage 851 in core pipe, from the first support binding linear window of core pipe distal end(82)Pass, by Figure 13 Binding method, the distal end of rack sleeve binding 1 ~ 5 is enclosed, knot breaks order for from the close-by examples to those far off;The binding of mount proximal end Line second support lashing wire 86, via the second support binding line passage 852 of core pipe, by second support lashing wire in core pipe Window(83)Pass, the near-end of support is bundled with same binding method, it is ensured that metal base portion is docile to be bundled in Insert on apparatus, and the order of breaking of knot is then to draw near.The tail end of first and second lashing wire is by the handle tail for inserting apparatus Pipe is passed, and during release support, first pull second support lashing wire discharges the near-end of support;When mount proximal end metal rack Part position it is appropriate after, then pull first support lashing wire discharges the distal end of support.This binding method is referred to as two-wire by us Two ends bundle method, and Figure 13 is seen in position of the duodenal stent on apparatus is inserted.
In order to shorten coated length of the support on support inserting device tool, longer sleeve pipe can be using axial intussusception or axle Method to folding, is shown in Figure 15 and Figure 16.When sleeve pipe is using axial intussusception or the mode of movement for axially folding, and support Proximally and distally bundle respectively, equally only binding 1~5 is enclosed for distal end, but the binding number of turns of near-end should be by after axial intussusception or folding Support tied line to bundle completely, it is ensured that whole duodenal stent is snugly coated on a conveyor, Bu Huiying Ring the insertion human body alimentary canal of the conveyer device with duodenal stent.It is bundled in after sleeve pipe axial direction intussusception or axially folding again defeated The mode of movement on device is sent, two-wire axial direction intussusception binding conveying method is referred to as and two-wire is axially folded binding conveying method.This The binding order and release order of two kinds of binding carrying method supports is identical with two-wire two ends binding method.
The two ends binding of duodenal stent can also be realized with a lashing wire.Now, the core pipe of inserter is using double Lumen, is shown in Figure 10, and lashing wire 87 is released by the first binding linear window 82 distal end of binding duodenal stent, lashing wire again by Second binding linear window is extracted out, bundlees the near-end of duodenal stent, and near-end binding finishes rear lashing wire and penetrates the second binding again Linear window, the secondary chamber 851 of Jing core pipes 8 is passed by the tail pipe 94 of handle.
Description of the drawings
Fig. 1 is the structural representation of duodenal stent of the present invention, 1 wine cup shape metal net support in figure, 2 high scores Sub- material bushing.
Fig. 2 is the close-up schematic view of duodenal stent of the present invention, show duodenal stent with it is gastropyloric Mutual relation, 1 wine cup shape metal net support in figure, 2 sleeve pipes, 4 stomach pyloruses.
Fig. 3 is the local B enlarged diagrams of duodenal stent of the present invention, shows the close of metal rack near-end cup bottom disk Envelope is acted on.In figure, 3 shirt rims, 4 stomach pyloruses, the bending edge of 45 glasss of bottom disks.
Fig. 4 is wine cup shape network structural representation of the present invention.
Fig. 5 is wine cup shape network local A structural representations of the present invention, i.e. the enlarged drawing of local A in Fig. 4, display are propped up The feature of frame braiding structure.
Fig. 6 is the combined knitting die structure dwg of the present invention.In figure, the cylindrical mold at 61 braiding cup bottoms, 62 The cylinder mould of braiding cup handle, the cylinder mould of 63 braiding cup bodies, 64 pads, 65 bolts, 66 nuts.
Fig. 7 is the position after duodenal stent inserts body cavities, 1 wine cup shape metal net support in figure, and 2 is high Molecular material sleeve pipe, 4 pyloruses, 100 stomaches, 101 duodenums.
Fig. 8 is that the present invention manufactures the glass mold of macromolecular material sleeve pipe, and metal net support is enclosed within glass mold, Jing Extraction and subsequent sulfuration in macromolecular material emulsion, form the sleeve pipe integrated with the thin film on wire netting pipe holder.Figure In, 1 wire netting pipe holder, 2 sleeve pipes, 5 glass molds.
Fig. 9 is that three lumen of one embodiment structure chart duodenal stent binding of support inserting device tool of the present invention is put Enter apparatus, in figure, 81 soft heads, 82 first supports binding linear window, 83 second supports binding linear window, 851 first Binding line passage, 852 second binding line passages, 86 second lashing wires, 87 first lashing wires, 9 handles, 91 Rule Joint, 92 closures, 94 first tail pipes, 95 second tail pipes.
Figure 10 is the enlarged drawing of Fig. 9 core pipe C-C sections, shows the architectural feature of three lumens, in figure, 84 core pipe main chambers, 851 first binding line passages(Core pipe pair chamber), 852 second binding line passages(Core pipe pair chamber).
Figure 11 is the enlarged drawing of Fig. 9 core pipe D-D sections, in figure, 84 3 lumen main chambers, and 851 3 lumens pair chamber (First binding line passage), 88 outages.
Figure 12 is the structure chart duodenal stent two-chamber of another embodiment of the support inserting device tool of the present invention Apparatus is inserted in binding.
Figure 13 is the enlarged drawing of F-F sections on Figure 12.
Figure 14 is binding position view of the duodenal stent of the present invention on apparatus is inserted.
Figure 15 is the schematic diagram that pull lashing wire breaks knot, in figure, 7 line ball circles, and 71 fakes, 72 2 times Fake, 8 core pipes.
Figure 16 is duodenal stent sleeve pipe axial direction of the present invention intussusception schematic diagram.
Figure 17 is that duodenal stent sleeve pipe of the present invention axially folds schematic diagram.
Specific embodiment
Embodiment 1- duodenal stent
With reference to Fig. 1, a kind of duodenal stent, including wine cup shape network 1 are connected with set on wine cup shape network 1 Pipe 2, the wine cup shape network 1 include glass bottom 41, cup body 43 and the cup handle 42 for connecting cup bottom, cup body, with reference to Fig. 3 and Fig. 4, the cup feather edge tilt and are formed bending edge 45 to cup body, and the wine cup shape network 1 is by left-hand screw wire shaped Wire and constitute in the nemaline wire interlacing of right-hand screw, generally, wire adopts Ni-Ti Shape-memory alloy wire, with reference to Fig. 2, constitutes the lead of helix of wire of cup handle portion more than composition cup bottom and cup body The helix of partial wire is led, also, constitute cup handle portion wire the lead of helix be 60 ~ 145mm, the lead of helix for constituting the wire of bottom of the cup are 55 ~ 100mm, constitute the wire of cup body part The lead of helix be 40 ~ 85mm so that the cup handle 42 of wine cup shape network 1 have elastic deformability, reference picture 4, be coated with macromolecular material shirt rim 3 on wine cup shape network 1, the shirt rim 3 from cup bottom extend to cup body and with it is described Sleeve pipe 2 connects.
The preparation method of embodiment 2- duodenal stent
A kind of preparation method of duodenal stent, comprises the following steps:
Step 1 prepares circular metal webmaster
Tinsel is turned to the first section spiral line and the first paragraph on the combined knitting mould shown in Fig. 6 by step 1.1 The length of helix is corresponding with the radial dimension of the cup bottom disk of wine cup shape network, increases helical pitch and continues coiling second Section spiral line, the length of the second section spiral line are highly corresponding with the cup handle of wine cup shape network, reduce helical pitch and continue around The 3rd section spiral line is made, the length of the 3rd section spiral line is highly corresponding with the cup body of wine cup shape network,
Ends bent tinsel of the step 1.2 in the 3rd section spiral line described in step 1.1, and by tinsel towards initiating terminal after The 4th section spiral line of continuous coiling, and the length of the 4th section spiral line is highly corresponding with the cup body of wine cup shape network, 4th section spiral line intersects to form cup body cross point with the 3rd section spiral line, constitutes two cup bodies of arbitrary neighborhood and intersects 4th section spiral line in a cup body cross point in point is passed through from below the 3rd section spiral line, constitutes arbitrary neighborhood two 4th section spiral line in another cup body cross point in cup body cross point is passed through from above the 3rd section spiral line and is pressed through;
Increasing helical pitch then the 5th section spiral line of coiling, the length of the 5th section spiral line are high with the cup handle of wine cup shape network Degree is corresponding, and the 5th section spiral line intersects to form a glass handle cross point with second section spiral line, constitutes arbitrary neighborhood two 5th section spiral line in a cup handle cross point in individual cup handle cross point is passed through from below second section spiral line, is constituted and is appointed 5th section spiral line in another glass of handle cross point anticipated in two neighboring cup handle cross point is from above second section spiral line Through pressing through;
Reduction helical pitch then the 6th section spiral line of coiling, the length of the 6th section spiral line are justified with the cup bottom of wine cup shape network Disk radial dimension is corresponding, and the 6th section spiral line intersects to form a glass bottom cross point with first section spiral line, constitutes and appoints The 6th section spiral line in the cup bottom cross point in the cross point of two neighboring cup bottom of anticipating is worn from below first section spiral line Cross, the 6th section spiral line in another glass of bottom cross point in composition two cup bottoms of arbitrary neighborhood cross point is from the first paragraph spiral shell Pass through above spin line and press through;
Ends bent tinsel of the step 1.3 in the 6th section spiral line described in step 1.2, and repeat step 1.1 and step 1.2 Until forming circular metal webmaster;
It should be noted that the present invention is during helix winding, helix Jing after bending, will coiling helix rotation direction It is oppositely oriented with the helix before bending, so, complete circular metal webmaster can be turned to by an one metal wire.
Step 2 carries out setting treatment to circular metal webmaster
Circular metal webmaster is enclosed within the shaping mould of wine glass-shaped, and guarantees that metal webmaster is docile and be bundled in shaping mould On, the shape and size with wine cup shape metal rack.Then, they are placed in together in 420 ~ 510 DEG C of temperature environments and are incubated 20 ~ 50 minutes.Water-cooled after insulation, unloads shaping mould, has just obtained wine cup shape network.The present embodiment can specifically be selected Be placed in 50 minutes in 420 DEG C of temperature environments, in 450 DEG C of temperature environments 40 minutes or 510 DEG C of temperature environments in 20 minutes;
Step 3 obtains duodenal stent in wine cup shape network upper joint sleeve pipe;Connect on wine cup shape network Casing methods can have various, and the present embodiment can specifically using one of following two methods:
Method one:In the method for wine cup shape network upper joint sleeve pipe it is:The sleeve pipe of shaping is bonded in into wineglass with adhesive On shape network.
Method two:In the method for wine cup shape network upper joint sleeve pipe it is:Referring to Fig. 8, by wine cup shape network(1) It is enclosed within tubular mould 5, then the tubular mould for being cased with wine cup shape network is immersed in macromolecular material emulsion, will set The tubular mould for having wine cup shape network lifts out macromolecular material emulsion, in wine cup shape network and tubular mould The upper thin film for forming a floor height molecular material, Jing after 160 ~ 220 DEG C, the vulcanizing treatment of 30 ~ 60 minutes, in wine cup shape network On 1 and the macromolecule material film being integrated altogether is formed on tubular mould 5, and in wine cup shape network cup bottom bending edge Glass is generally selected in upper formation shirt rim 3, last removal tubular mould, the material of tubular mould.
Embodiment 3- is used for the mould of coiling circular metal webmaster
A kind of mould for duodenal stent preparation method, including:Bolt 65, is arranged with braiding cup on bolt 65 successively Round-ended cylinder shape mould 61, braiding cup handle cylindrical mold 62 and braiding cup body cylindrical mold 63, and by being located at 65 two ends of bolt Nut 66 fasten, in braiding cup round-ended cylinder shape mould 61, braiding cup handle cylindrical mold 62 and braiding cup body cylindrical mold 63, spiral groove is provided with, the spiral groove starts from the outer end of braiding cup round-ended cylinder shape mould 61, extends to braiding cup The outer end of body cylindrical mold 63, turns back and is converted into reverse acting spiral connected in star, extends to braiding cup round-ended cylinder shape mould 61 Outer end, extends up to form spiral groove net, and the spiral type in braiding cup handle cylindrical mold 62 with this repeatedly The lead of helix of groove is more than braiding cup round-ended cylinder shape mould 61 and the helical pitch of braiding cup body cylindrical mold 63, the braiding The length of cup round-ended cylinder shape mould 61 is corresponding with the cup bottom disk radial dimension of wine cup shape network, weaves cup handle cylindrical shape The length of mould 62 is highly corresponding with the cup handle of wine cup shape network, weaves the length and wineglass of cup body cylindrical mold 63 The cup body of shape network is highly corresponding.
Embodiment 4- support inserting device tool
Support inserting device tool of the present invention is the apparatus of inserting for conveying duodenal stent, and support of the present invention is inserted Apparatus can bundle duodenal stent proximally and distally respectively using a lashing wire, and now, the core pipe for inserting apparatus is adopted The main chamber of double lumen tube, i.e., one 84 and i.e. one, a secondary chamber binding line passage, the such as first binding line passage 851.Below with one Root lashing wire is illustrated as a example by carrying out two ends binding to duodenal stent by a binding line passage:
Embodiment 4.1
A kind of support inserting device tool of duodenal stent, referring to Figure 12, including:Core pipe 8 and core pipe 8 are used to carry described 12 Duodenum 12 support, is provided with the first binding line passage 851 and first support binding linear window 82, on the tube wall of core pipe 8 in the first bundle The first lashing wire 87 that the duodenal stent is tied up for fixation is provided with wiring passage 851, on the core pipe wall of core pipe 8 Raidal drainage hole 88 is provided with, and the raidal drainage hole 88 is connected with the main chamber 84 of core pipe.
In the present embodiment, another support is opened up in the first binding line passage 851 of core pipe 8 bundle linear window 83, After then the binding of duodenal stent distal end being carried out using the first lashing wire 87 at first support binding linear window 82, then The near-end binding of duodenal stent is carried out at the second support binding linear window 83.
Embodiment 4.2
A kind of support inserting device tool of duodenal stent, referring to Fig. 9, including:Core pipe 8 and core pipe 8 are used to carry described 12 Duodenum 12 support, is provided with the first binding line passage 851 and first support binding linear window 82, on the core pipe wall of core pipe 8 first The first lashing wire 87 that the duodenal stent is tied up for fixation is provided with binding line passage 851, in the core pipe wall of core pipe 8 Raidal drainage hole 88 is provided with, and the raidal drainage hole 88 is connected with the main chamber of core pipe, the first support bundlees linear window 82 distal ends for being located at the core pipe 8, are additionally provided with the second binding line passage 852 and second support binding on the core pipe wall of core pipe 8 Linear window 83, and second support binding linear window 83, are located at its near-end relative to first support binding linear window 82, The second lashing wire 86 that the duodenal stent is tied up for fixation is provided with second binding line passage 852.
Soft 81 being provided with the distal tip of core pipe 8, handle 9 being connected with the near-end afterbody of core pipe 8, the handle 9 is wrapped Include supervisor 93, the first tail pipe 94 and the second tail pipe 95, handle supervisor 93 and the main chamber 84 of the core pipe of core pipe 8 and secondary chamber 851,852 Communicate, the first tail pipe 94 with first binding line passage 851 be connected, and first lashing wire 87 pass through the first tail pipe 94, second Tail pipe 95 is connected with the second binding line passage 852, and second lashing wire 86 passes through the second tail pipe 95, in 94 He of the first tail pipe The end of the second tail pipe 95 is respectively equipped with female Luer 91, is provided with closure 92 in female Luer 91.
Embodiment 5
It is a kind of that duodenal stent is fixed on into the binding method on support inserting device tool, duodenal stent is enclosed within and is arranged On the support inserting device tool of lashing wire, then duodenal stent is bundled in into support with duodenal stent binding method inserts On apparatus, described duodenal stent binding method is comprised the following steps:
Step A:The distal end that lashing wire is coiled into a fake 71 and lashing wire is crushed on into the lower section of lashing wire, then lashing wire is existed The external rings of duodenal stent are around then by the near-end of lashing wire through being secondary fake 72 further around a ring after the fake And the near-end of lashing wire is again passed through into a fake 71, while by the secondary fake 72 as secondary new fake,
Step B:Lashing wire is surround outside duodenal stent again, it is then that the near-end of lashing wire is new through described time Described time new fake is again passed through further around a new ring and by the near-end of lashing wire after fake,
Step C:The new fake that step B is obtained enters step D after a string of rings are formed as secondary new fake, return to step B,
Step D:Last new fake is pushed down with line ball circle 7, then lashing wire is passed through into binding line passage and is inserted from support The afterbody of apparatus is passed.
In the present embodiment, in order to shorten binding length of the duodenal stent on apparatus is inserted, in duodenal branchess Before frame binding, axial intussusception is carried out to the sleeve pipe of duodenal stent or is axially folded, axial intussusception or the axially mode of folding As shown in FIG. 16 and 17.The core pipe of inserter can adopt two-chamber or three lumens, respectively with single line or two-wire to duodenal stent Bundled, this is single line or two-wire axial direction intussusception binding mode of movement and single line or two-wire axially folds binding conveying side Formula, this kind of binding mode still bundle duodenal stent proximally and distally respectively, but the scope of near-end binding coil will be covered Support remainder of the lid in addition to tied distal end.
Binding method of the present invention is in order at the purpose for conveniently inserting the duodenal stent with long and soft sleeve pipe, This binding method stays in support by pull after to be bundled in Insert the lashing wire of apparatus afterbody, you can realize the dismounting of lashing wire, duodenal stent departs from support inserting device tool immediately.
More detailed description is made to the real-time mode of the present invention below:
The metal base portion of duodenal stent is closed with the 0.16 mm NiTi shape memories of φ containing 54.5 ~ 57.0 wt %Ni Spun gold material weaves, and sleeve pipe macromolecular material selects medical polyurethane.The length of whole support is 450mm.Wherein metal rack Length L=48, cup body length L1=20 of metal rack, cup handle length L2=10, cup bottom length L3=7, cup body, cup handle and cup bottom The diameter of three parts is φ 1=25, φ 2=15 and φ 3=35 respectively.From a diameter of φ 20 three sections of assembling dies as braiding Mould, the head number of each section of upper left-right rotary helix are identical, be 18, and helical pitch is different, the helical pitch respectively 68 of three parts, 116 and 36mm, it is corresponding with cup bottom, cup handle and cup body respectively.Woven webmaster blank is banded on shaping mould, shaping mould Webmaster blank is strutted, it is ensured that metal rack shape and size reach the contour shape and size of design.By shaping mould together with The wire netting pipe holder blank tied up is put in the cabinet-type electric furnace that furnace temperature is 500 ± 5 DEG C together, and 30 ± 2 are incubated in stove Minute.After insulation, shaping mould is cooled down in water together with metal rack, after cooling by metal rack from shaping mould Remove, as long as ambient temperature is higher than 25 DEG C, the metal rack after setting just has shape and size during initial design, and is receiving After if external force removes external force after deforming, the shape and chi of the initial design that metal rack has after recovering at once to shape It is very little.
Medical polyurethane is made into polyaminoester emulsion standby by sleeve pipe making material medical polyurethane material in advance.
Again the metal net support of wine cup shape after setting is enclosed within glass tubular mould, glass tubular mould will also guarantee The set metal rack thereon still shape and size with initial design.By glass mold together with metal rack one thereon With immersion polyaminoester emulsion in, then by glass mold together with metal rack by lifting out in emulsion, metal base portion exists On, glass mold vertically to be placed, unnecessary emulsion is down trickled, the cladding scope of polyaminoester emulsion on glass mold, its length Degree to be exceeded the design length 450mm of sleeve pipe.Then, the glass mold of polyaminoester emulsion will be coated with(There is wine cup shape gold thereon Category network)Vulcanizing treatment is carried out in putting baking oven into, the temperature of vulcanizing treatment is 180 ± 15 DEG C, and the time is 60 ± 15 minutes. After vulcanizing treatment cooling, support is removed together with sleeve pipe from glass mold, pruned by the casing length of design, it is ensured that whole The length of frame is 500 ± 2mm.
Support mode of movement, using simple transport mode.
φ 0.15 mm NiTi shape-memory alloy wire of the metal base portion of support containing 54.5 ~ 57.0 wt %Ni Material weaves, and sleeve pipe macromolecular material selects medical grade silicon rubber.The length of whole duodenal stent is 350mm.Wherein metal is propped up Length L=46 of frame, cup body length L1=20 of metal rack, cup handle length L2=12, cup bottom length L3=6, cup body, cup handle and The diameter of cup three part of bottom is φ 1=24, φ 2=14 and φ 3=34 respectively.From three sections of assembling die conducts of a diameter of φ 20 Braiding mould, the head number of each section of upper left-right rotary helix are identical, be 18, and helical pitch is different, the helical pitch difference of three parts It is for 66,114 and 34, corresponding with cup bottom, cup handle and cup body respectively.Woven webmaster blank is banded on shaping mould, setting Webmaster blank is strutted by mould, it is ensured that metal rack shape and size reach the contour shape and size of design.By shaping mould It is put in the cabinet-type electric furnace that furnace temperature is 500 ± 5 DEG C together with the wire netting pipe holder blank tied up, and 30 is incubated in stove ± 2 minutes.After insulation, shaping mould is cooled down in water together with metal rack, by metal rack from setting mould after cooling Remove on tool, as long as ambient temperature is higher than 25 DEG C, the metal rack after setting just has shape and size during initial design, and If after removing external force after being deformed by external force, the shape of the initial design that metal rack has after recovering at once to shape And size.
Medical grade silicon rubber is made into emulsion standby by duodenal sleeve making material medical grade silicon rubber material in advance With.
Again the wine cup shape metal net support after setting is enclosed within glass tubular mould, glass tubular mould will also guarantee The set metal rack thereon still shape and size with initial design.By glass mold together with metal rack one thereon With immersion silicone rubber emulsion in, then by glass mold together with metal rack by lifting out in emulsion, metal base portion exists On, glass mold vertically to be placed, unnecessary emulsion is down trickled, the cladding scope of silicone rubber emulsion on glass mold, its length Degree to be exceeded the design length 350mm of sleeve pipe.Then, the glass mold of silicone rubber emulsion will be coated with(There is metal rack thereon) Vulcanizing treatment is carried out in putting baking oven into, the temperature of vulcanizing treatment is 180 ± 15 DEG C, and the time is 60 ± 15 minutes.Vulcanizing treatment is cold But after, support is removed together with sleeve pipe from glass mold, is pruned by the casing length of design, it is ensured that entirely the length of support is 396±2mm.Support mode of movement is using two-wire axial direction intussusception binding mode of movement or axially folds binding mode of movement.

Claims (3)

1. a kind of binding method that duodenal stent is fixed on support inserting device tool, it is characterised in that by duodenal branchess Frame is enclosed within and is provided with the support inserting device tool of lashing wire, then ties duodenal stent with duodenal stent binding method It is tied on support inserting device tool, described duodenal stent binding method is comprised the following steps:
Step A:By lashing wire around lopping(71)And the distal end of lashing wire is crushed on the lower section of lashing wire, then by lashing wire 12 The external rings of duodenum 12 support around, then by the near-end of lashing wire through after the circle further around a ring(72)And by the near of lashing wire End again passes through the circle(71), while by the ring(72)As secondary new ring,
Step B:Lashing wire is surround again in the outside of duodenal stent, then by the near-end of lashing wire through described time Described newly ring is again passed through further around a new ring and by the near-end of lashing wire after new ring,
Step C:The new ring that step B is obtained enters step D after a string of rings are formed as secondary new ring, return to step B,
Step D:Use press strip(7)Last new ring is pushed down, then by lashing wire through binding line passage and from support inserting device The afterbody of tool is passed.
2. the binding method that duodenal stent is fixed on support inserting device tool according to claim 1, its feature exist In with duodenal stent binding method being proximally and distally all bundled in duodenal stent on support inserting device tool, far End binding 1 ~ 5 is enclosed, and metal net support part is bundled by near-end completely.
3. binding method according to claim 1 and 2, it is characterised in that before binding duodenal stent, refer to 12 The sleeve pipe of intestinal ceca frame carries out axial intussusception or axially folds.
CN201611067848.1A 2015-06-03 2015-06-03 Binding method for fixing duodenum stent to stent implantation instrument Pending CN106510895A (en)

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