CN107822683A - A kind of rotary assembly tool of magnetic force stapler - Google Patents

A kind of rotary assembly tool of magnetic force stapler Download PDF

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Publication number
CN107822683A
CN107822683A CN201711329877.5A CN201711329877A CN107822683A CN 107822683 A CN107822683 A CN 107822683A CN 201711329877 A CN201711329877 A CN 201711329877A CN 107822683 A CN107822683 A CN 107822683A
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CN
China
Prior art keywords
magnetic force
card
bit part
operating parts
assembly tool
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Granted
Application number
CN201711329877.5A
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Chinese (zh)
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CN107822683B (en
Inventor
徐忠法
鲁守堂
孙子雯
王若谷
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AFFILIATED HOSPITAL OF SHANDONG ACADEMY OF MEDICAL SCIENCES
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AFFILIATED HOSPITAL OF SHANDONG ACADEMY OF MEDICAL SCIENCES
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Priority to CN201711329877.5A priority Critical patent/CN107822683B/en
Publication of CN107822683A publication Critical patent/CN107822683A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus

Abstract

The invention discloses a kind of rotary assembly tool of magnetic force stapler,Including magnetic force stapler and its assemble mechanism,Magnetic force stapler includes the first noumenon and the second body being oppositely arranged,The through hole being communicated with the first noumenon and the second body,Assemble mechanism may pass through through hole,Assemble mechanism includes the action bars with second body phase clamping,Action bars is arranged with the operating parts that can be rotated relative to action bars,Operating parts top is provided with some grooves,Sleeve is provided with operating parts,Sleeve is provided with the card-bit part of prominent groove with groove correspondence position,Second body is provided with the neck for accommodating card-bit part,The second state that card-bit part makes the second body be separated with action bars with the first state and disengaging neck for making the second body and action bars phase clamping positioned at neck,Operating parts, which rotatably oppresses card-bit part, makes it collapse on the inside of operating parts so that card-bit part is in the second state.It the advantage is that, the magnetic force stapler in the circular staplers in nail type anastomosis and magnetic force anastomosis is combined.

Description

A kind of rotary assembly tool of magnetic force stapler
Technical field
The present invention relates to the assembly tool of stapler, more particularly to a kind of rotary assembly tool of magnetic force stapler.
Background technology
Existing more than the 100 years history of gastrointestinal anastomosis, a large amount of different materials applications are in gastrointestinal anastomosis, including silk thread, sheep intestines Line, stainless steel suture, new single fiber line and absorbable thread.In past 30 years, anastomat device is by surgeon Pursue.But how tact anastomosis select to be still many school's the question in dispute with Mechanical Suture.
With the development of anastomosis, postoperative complication gradually decreases, but anastomotic leakage is still most worrying art One of infectious-related complication.The incidence (1% -24%) of anastomotic leakage has very big difference, and low rectal anastomotic leakage (12% - 19%) incidence is higher than Colonic anastomosis mouth fistula (11%).Anastomotic leakage and higher local relapse and relatively low long-term life The rate of depositing has correlation.In addition, long-term gastrointestinal function also can be by the unfavorable of the complication such as methods of anastomosis, method and anastomotic leakage Influence.Closely for over 100 years more than a hundred years, people have carried out persistent exploration to Surgical healing technology, it is therefore an objective to which foundation is more safer than manual suture can Lean on, be more convenient, small anastomosis are influenceed on gut function, new method, new apparatus have been reported that various anastomosis have been demonstrated repeatly It can be coincide with the craft of standard and stapling technique in anus reservation compares favourably.However, most replacement anastomosis and immature.
Existing anastomosis have:1. nail type anastomosis;2. compressed anastomosis art;3rd, magnetic control anastomosis;Wherein pressurization kiss Close the compressed anastomosis device used in art includes Ultimum Ti (SMA), intracavitary compressing anastomosis ring (EndoCAR) again.And its In, coincideing for magnetic control mode is not statistically significant in terms of identical intestinal canal anastomosis complication with tact anastomosis or stapler.Do not draw Rise intestinal tube it is narrow, the intestinal canal anastomosis of magnetic has novelty, has wide practical use, and currently on the market magnetic force is kissed Clutch and existing nail type anastomosis connected applications to the assembly tool in operation.
The content of the invention
For overcome the deficiencies in the prior art, it is an object of the invention to provide a kind of rotary assembling of magnetic force stapler Instrument.
An object of the present invention adopts the following technical scheme that realization:
A kind of rotary assembly tool of magnetic force stapler, including magnetic force stapler and its assemble mechanism, the magnetic force kiss Clutch includes the first noumenon and the second body being oppositely arranged, and the first noumenon and the second body are provided with the magnetic of mutual adhesive The through hole being communicated with body, the first noumenon and the second body, the assemble mechanism may pass through the through hole, the assembling Mechanism includes the action bars with second body phase clamping, and the action bars is arranged with the operation that can be rotated relative to the action bars Part, the operating parts top are provided with some grooves, and sleeve, the sleeve and the groove correspondence position are provided with the operating parts Card-bit part provided with prominent groove, second body are provided with the neck for accommodating the card-bit part, and the card-bit part has position Make the first state of second body and the action bars phase clamping in the neck and depart from the neck to make described second The second state that body separates with the action bars, the operating parts, which rotatably oppresses the card-bit part, makes it collapse in the behaviour So that the card-bit part is in the second state on the inside of workpiece.
Further, the card-bit part is to be connected with elastic component on the shell fragment for carrying deformation function, or, the card-bit part, The card-bit part is set to collapse on the inside of the operating parts after the elastic component compression.
Further, described shell fragment one end is connected with the sleeve, and the other end is vacantly set.
Further, the shell fragment uses the flake structure with arc or inclined-plane.
Further, the quantity of the shell fragment is corresponding with the groove, is circumferentially provided on the sleeve top, the set Elongated drive shaft, the sleeve and the elongated drive shaft Joint are provided with cylinder.
Further, the elongated drive shaft top is provided with puncture awl and nail bin groupware, and the nail bin groupware is positioned at described In second body, the puncture awl can be driven through second body in the elongated drive shaft.
Further, some lug bosses are circumferentially with operating parts outer surface.
Further, the neck is annular slot, is arranged on the through-hole wall of second body.
Further, second body is provided with housing and magnet installed part, and the bottom of the magnet installed part is provided with Annular groove, the housing bottom are provided with the annular boss towards internal projection, and the annular groove forms institute with the annular boss State annular slot.
Further, the quantity of the neck is corresponding with the card-bit part quantity to be multiple, is circumferentially distributed in described the On the through-hole wall of two bodies.
Compared with prior art, the beneficial effects of the present invention are:
Magnetic force stapler in circular staplers in nail type anastomosis and magnetic force anastomosis is combined, by circular anastomosis Assembly tool of the device as magnetic force stapler, by second body phase clamping of the action bars of circular staplers and magnetic force stapler, It is the connection and separation that circular staplers and magnetic force stapler can be achieved by action bars, combines that magnetic force is coincide and nail type is coincide Advantage, avoid easily the shortcomings that causing anastomotic stricture that nail type is coincide, expand indication scope, nearly anus can be carried out The anastomosis operation of side, the intestinal tube of more anal sides can be retained, save anal function from damage.
Brief description of the drawings
Fig. 1 is the structural representation of the assembly tool of the embodiment of the present invention;
Fig. 2 is in cross-sectional view during first state for the operating parts of the embodiment of the present invention;
Fig. 3 is the structural representation of the magnet installed part of the second body of the embodiment of the present invention;
Fig. 4 is the structural representation of the housing of the second body of the embodiment of the present invention;
Fig. 5 is the structural representation of the sleeve of the embodiment of the present invention;
Fig. 6 is the structural representation of the operating parts of the embodiment of the present invention.
In figure:10th, magnetic force stapler;11st, the first noumenon;12nd, the second body;13rd, through hole;14th, neck;15th, housing; 16th, annular boss;17th, magnet installed part;18th, annular groove;20th, assemble mechanism;21st, action bars;22nd, elongated drive shaft;23、 Puncture awl;24th, nail bin groupware;30th, operating parts;31st, groove;32nd, sleeve;33rd, card-bit part;34th, shell fragment;35th, lug boss.
Embodiment
Below, with reference to accompanying drawing and embodiment, the present invention is described further, it is necessary to which explanation is, not Under the premise of afoul, new implementation can be formed between various embodiments described below or between each technical characteristic in any combination Example.
In the description of the invention, it is necessary to which explanation, for the noun of locality, " " center ", " transverse direction ", " is indulged if any term To ", " length ", " width ", " thickness ", " on ", " under ", "front", "rear", "left", "right", " vertical ", " level ", " top ", The indicating position such as " bottom ", " interior ", " outer ", " clockwise ", " counterclockwise " and position relationship are based on orientation shown in the drawings or position Relation is put, it is of the invention necessary with simplified description, rather than the device or element of instruction or hint meaning to be for only for ease of narration Construct and operate with specific orientation, with particular orientation, it is impossible to be interpreted as the specific protection domain of the limitation present invention.
In addition, be only used for describing purpose if any term " first ", " second ", and it is not intended that indicating or implying relatively heavy The property wanted or the implicit quantity for indicating technical characteristic.Thus, " first " is defined, " second " feature can be expressed or implicit include One or more this feature, in the present description, " several " are meant that two or more, unless otherwise clearly having The restriction of body.
In the present invention, except as otherwise clear stipulaties and restriction, should make if any term " assembling ", " connected ", " connection " term Broad sense is gone to understand, for example, it may be being fixedly connected or being detachably connected, or is integrally connected;Can also be that machinery connects Connect;Can be joined directly together or be connected by intermediary, can be that two element internals are connected.For ability For the those of ordinary skill of domain, the concrete meaning of above-mentioned term in the present invention can be understood as the case may be.
As shown in figs 1 to 6, a kind of rotary assembly tool of magnetic force stapler 10, including magnetic force stapler 10 and its dress Fitting mechanism 20, magnetic force stapler 10 include the body 12 of the first noumenon 11 and second that is oppositely arranged, the first noumenon 11 and second Body 12 is provided with the magnet of mutual adhesive, the through hole 13 being communicated with the body 12 of the first noumenon 11 and second, assemble mechanism 20 Through hole 13 is may pass through, assemble mechanism 20 includes the action bars 21 with the phase clamping of the second body 12, and action bars 21 is arranged with can be relative The operating parts 30 that action bars 21 rotates, the top of operating parts 30 are provided with some grooves 31, sleeve 32, sleeve 32 are provided with operating parts 30 The card-bit part 33 of prominent groove 31 is provided with the correspondence position of groove 31, the second body 12 is provided with the neck for accommodating card-bit part 33 14, card-bit part 33 has makes the first state of the second body 12 and the phase clamping of action bars 21 and disengaging neck 14 positioned at neck 14 The second state that second body 12 separates with action bars 21, operating parts 30, which rotatably oppresses card-bit part 33, makes it collapse in operating parts 30 inner sides are so that card-bit part 33 is in the second state.
Magnetic force stapler 10 in circular staplers in nail type anastomosis and magnetic force anastomosis is combined, circle is kissed Assembly tool of the clutch as magnetic force stapler 10, by the action bars 21 of circular staplers and the second body of magnetic force stapler 10 12 phase clampings, it is the connection and separation that circular staplers and magnetic force stapler 10 can be achieved by action bars 21, combines magnetic force The advantage that identical and nail type is coincide, easy the shortcomings that causing anastomotic stricture that nail type is coincide is avoided, expands indication model Enclose, the anastomosis operation of nearly anus side can be carried out, the intestinal tube of more anal sides can be retained, save anal function from damage.
Specific snap fit is that the card-bit part 33 on the inner sleeve 32 of operating parts 30 passes the groove 31 on operating parts 30, Be caught in the clamping that the body 12 of action bars 21 and second is realized in the neck 14 on the second body 12, when need release action bars 21 With the connection of the second body 12, when removing assemble mechanism 20, rotary operating member 30, the side wall of groove 31 is oppressed card-bit part 33, make It is collapsed in the inner side of operating parts 30, is separated with neck 14, and the second body 12 does not reconnect with action bars 21, action bars 21 with to Nail seat exits magnetic force stapler 10, leaves gastrointestinal anastomosis position, magnetic force stapler 10 clamps previous anastomotic, stayed in the body, to be anastomosed After mouth healing, excrete.
The concrete structure of card-bit part 33 has many kinds, and one of which is that card-bit part 33 is as the bullet for carrying deformation function Piece 34, another kind are that elastic component is connected with card-bit part 33, card-bit part 33 is collapsed in operating parts 30 after elastic component compression Side, operating parts 30 oppress elastic component when rotating, so that card-bit part 33 is retracted into the inner side of operating parts 30, as shown in figure 4, the present embodiment The middle card-bit part 33 used is carries the shell fragment 34 of deformation function.
The concrete structure of shell fragment 34 has a variety of, and in the present embodiment, the one end of shell fragment 34 is connected with sleeve 32, and the other end is hanging Set, therefore operating parts 30 rotates and should be noted direction when collapsing card-bit part 33, should turn to free end from the linkage section of shell fragment 34, Card-bit part 33 can be made to collapse in the inner side of operating parts 30.
In order that the gathering when rotating of operating parts 30 is more smooth, shell fragment 34 uses the flake structure with arc or inclined-plane, shape Change ability is good.
The quantity of shell fragment 34 is corresponding with groove 31, is circumferentially provided on the top of sleeve 32, and size is also adapted with groove 31, Elongated drive shaft 22, sleeve 32 and the elongated Joint of drive shaft 22 are provided with sleeve 32.Make sleeve 32 and elongated drive shaft 22 it Between relative displacement is not present, keep the stability used.In particular, the lower end of sleeve 32 is provided with screw hole, by screw with The elongated Joint of drive shaft 22.
The elongated top of drive shaft 22 is provided with puncture awl 23 and nail bin groupware 24, and nail bin groupware 24 is located in the second body 12, Puncture awl 23 can be driven through the second body 12 in elongated drive shaft 22.
Specifically mode of operation is:The through hole 13 first resist-nailed seat (not shown) being put on the first noumenon 11, with first The phase clamping of body 11, is put into a tissue interruptive port to be anastomosed, then inserts the top of action bars 21 logical on second body 12 Hole 13, by neck 14 and the phase clamping of card-bit part 33, the top of action bars 21 is then put into another treat together with the second body 12 In anastomosed tissue interruptive port, the puncture awl 23 on the top of action bars 21 is connected with resist-nailed seat, it is gradual by elongated drive shaft 22 Make resist-nailed seat close with action bars, until the body 12 of the first noumenon 11 and second clamp the two tissue broken ends of fractured bone to be anastomosed, then with operate The nail bin groupware 24 on the top of bar 21 cuts off the suture mouth of inside, and the nail in nail bin groupware stretches out, the inflection under resist-nailed seat stop, While stickfast tissue, the cast blade in nail bin groupware cuts off the inner ring tissue of nails driven, then rotating operation part 30, by Card-bit part 33 is gradually collapsed into the inner side of operating parts 30, card-bit part 33 is departed from neck 14, releases the second body 12 and action bars 21 Connection, then action bars 21 and resist-nailed seat are exited from through hole 13, magnetic force stapler 10 stays in the body, and assemble mechanism 20 moves Go out in vitro, complete to coincide.
The concrete structure of neck 14 can have a variety of, Yi Zhongshi, and neck 14 is annular slot, is arranged on the second body 12 On the inwall of through hole 13.As shown in accompanying drawing 2, Fig. 3, Fig. 4, the second body 12 is provided with housing 15 and magnet installed part 17, magnet peace The bottom of piece installing 17 is provided with annular groove 18, and the bottom of housing 15 is provided with the annular boss 16 towards internal projection, annular groove 18 and ring Shape boss 16 forms annular slot;Another kind is that neck 14 is the groove that width is adapted with card-bit part, and quantity is multiple, with card The position quantity of part 33 is corresponding, is circumferentially distributed on the inwall of through hole 13 of the second body 12.
Grip for the convenience of the user and rotating operation part 30, be circumferentially with some lug bosses 35 on the outer surface of operating parts 30, increase Greatly with the frictional force of hand, in addition, the identification strip of rotation direction can be put on operating parts 30, maloperation is prevented.
Magnet on magnetic force stapler 10 has the magnetic force of 2000-3000 Gausses, both can guarantee that it is identical complete close, again Can smoothly be come off discharge after the completion of coincideing, and ball surrounding tissue of coincideing is influenceed without magnetic force.Magnet ring thickness is only 2mm;Its The outer surface of housing 15 is smooth surface, should not damage gastrointestinal mucosa, not easy damaged enteron aisle when being moved in the intestine after coming off, is easy to Exclude external, no incarceration occurs, and body is reacted without falling inflation etc. is uncomfortable when not falling off, and will not cause intestinal tube angulation, narrow, viscous Even, the obstruction even complication such as perforation.Housing is made of medical polyethylene plastics, and surface is smooth, and installed part uses stainless steel Material is made, and magnet ring uses magnetic Nd-Fe-B ring, and the gross weight of whole magnetic force stapler is only 25g, and foreign reacts, tissue compatible Property is good.
Above-mentioned embodiment is only the preferred embodiment of the present invention, it is impossible to the scope of protection of the invention is limited with this, The change and replacement for any unsubstantiality that those skilled in the art is done on the basis of the present invention belong to institute of the present invention Claimed scope.

Claims (10)

1. a kind of rotary assembly tool of magnetic force stapler, it is characterised in that including magnetic force stapler and its assemble mechanism, institute The first noumenon and the second body that magnetic force stapler includes being oppositely arranged are stated, the first noumenon and the second body are provided with mutual The through hole being communicated with the magnet of adhesive, the first noumenon and the second body, the assemble mechanism may pass through the through hole, The assemble mechanism includes the action bars with second body phase clamping, and the action bars, which is arranged with, to be rotated relative to the action bars Operating parts, the operating parts top is provided with some grooves, sleeve, the sleeve and the groove pair is provided with the operating parts Position is answered to be provided with the card-bit part of prominent groove, second body is provided with the neck for accommodating the card-bit part, the card-bit part Make institute with the first state and the disengaging neck for making second body and the action bars phase clamping positioned at the neck The second state that the second body separates with the action bars is stated, the operating parts, which rotatably oppresses the card-bit part, collapses it So that the card-bit part is in the second state on the inside of the operating parts.
2. the rotary assembly tool of magnetic force stapler as claimed in claim 1, it is characterised in that the card-bit part is to carry Elastic component is connected with the shell fragment of deformation function, or, the card-bit part, collapses the card-bit part after the elastic component compression On the inside of the operating parts.
3. the rotary assembly tool of magnetic force stapler as claimed in claim 2, it is characterised in that described shell fragment one end and institute State sleeve to be connected, the other end is vacantly set.
4. the rotary assembly tool of magnetic force stapler as claimed in claim 2, it is characterised in that the shell fragment uses band arc The flake structure of shape or inclined-plane.
5. the rotary assembly tool of magnetic force stapler as claimed in claim 2, it is characterised in that the quantity of the shell fragment with The groove is corresponding, is circumferentially provided on the sleeve top, is provided with elongated drive shaft in the sleeve, the sleeve with it is described Elongated drive shaft Joint.
6. the rotary assembly tool of magnetic force stapler as claimed in claim 5, it is characterised in that the elongated drive shaft top End is provided with puncture awl and nail bin groupware, and the nail bin groupware is located in second body, and the puncture awl can be described elongated Drive shaft is driven through second body.
7. the rotary assembly tool of the magnetic force stapler as described in claim 1-6 any bars, it is characterised in that outside operating parts Some lug bosses are circumferentially with surface.
8. the rotary assembly tool of the magnetic force stapler as described in claim 1-6 any bars, it is characterised in that the neck For annular slot, it is arranged on the through-hole wall of second body.
9. the rotary assembly tool of magnetic force stapler as claimed in claim 8, it is characterised in that set on second body There are housing and magnet installed part, the bottom of the magnet installed part is provided with annular groove, and the housing bottom is provided with towards internal projection Annular boss, the annular groove and the annular boss form the annular slot.
10. the rotary assembly tool of the magnetic force stapler as described in claim 1-6 any bars, it is characterised in that the card The quantity of groove is corresponding with the card-bit part quantity to be multiple, is circumferentially distributed on the through-hole wall of second body.
CN201711329877.5A 2017-12-13 2017-12-13 Rotary assembling tool of magnetic force anastomat Active CN107822683B (en)

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CN107822683B CN107822683B (en) 2024-02-02

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110051397A (en) * 2019-05-21 2019-07-26 李�杰 Novel heel string stapling apparatus

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201414817Y (en) * 2009-03-13 2010-03-03 马剑文 Osculating component interchanging device of tubular stapler
CN101716089A (en) * 2009-12-15 2010-06-02 李东瑞 Assembly of guide shaft and cabin sleeve of tubular anastomat
CN202619753U (en) * 2012-03-23 2012-12-26 北京中法派尔特医疗设备有限公司 Esophagus cervical segment stapler
CN203379172U (en) * 2013-07-24 2014-01-08 无锡市神康医疗器械设备有限公司 Anorectal split-type anastomat nail supporting base connector
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN208756057U (en) * 2017-12-13 2019-04-19 山东省医学科学院附属医院 A kind of rotary assembly tool of magnetic force stapler

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201414817Y (en) * 2009-03-13 2010-03-03 马剑文 Osculating component interchanging device of tubular stapler
CN101716089A (en) * 2009-12-15 2010-06-02 李东瑞 Assembly of guide shaft and cabin sleeve of tubular anastomat
CN202619753U (en) * 2012-03-23 2012-12-26 北京中法派尔特医疗设备有限公司 Esophagus cervical segment stapler
CN203379172U (en) * 2013-07-24 2014-01-08 无锡市神康医疗器械设备有限公司 Anorectal split-type anastomat nail supporting base connector
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN208756057U (en) * 2017-12-13 2019-04-19 山东省医学科学院附属医院 A kind of rotary assembly tool of magnetic force stapler

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110051397A (en) * 2019-05-21 2019-07-26 李�杰 Novel heel string stapling apparatus

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