CN108135599B - 用于利用套管针通道形成钉线的设备和方法 - Google Patents
用于利用套管针通道形成钉线的设备和方法 Download PDFInfo
- Publication number
- CN108135599B CN108135599B CN201680056026.5A CN201680056026A CN108135599B CN 108135599 B CN108135599 B CN 108135599B CN 201680056026 A CN201680056026 A CN 201680056026A CN 108135599 B CN108135599 B CN 108135599B
- Authority
- CN
- China
- Prior art keywords
- tissue
- staples
- staple
- staple cartridge
- anvil
- 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.)
- Expired - Fee Related
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- 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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/10—Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods 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
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00862—Material properties elastic or resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00946—Material properties malleable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61B2017/07221—Stapler heads curved
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1103—Approximator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1142—Purse-string sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B2017/1157—Staplers for performing anastomosis, e.g. in a single operation applying the staples radially
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physiology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/864,310 | 2015-09-24 | ||
| US14/864,310 US10485548B2 (en) | 2015-09-24 | 2015-09-24 | Apparatus and method for forming a staple line with trocar passageway |
| PCT/US2016/052105 WO2017053188A1 (en) | 2015-09-24 | 2016-09-16 | Apparatus and method for forming a staple line with trocar passageway |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108135599A CN108135599A (zh) | 2018-06-08 |
| CN108135599B true CN108135599B (zh) | 2020-12-18 |
Family
ID=56990367
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201680056026.5A Expired - Fee Related CN108135599B (zh) | 2015-09-24 | 2016-09-16 | 用于利用套管针通道形成钉线的设备和方法 |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US10485548B2 (enExample) |
| EP (1) | EP3146910B1 (enExample) |
| JP (1) | JP6907194B2 (enExample) |
| CN (1) | CN108135599B (enExample) |
| BR (1) | BR112018005716B1 (enExample) |
| WO (1) | WO2017053188A1 (enExample) |
Families Citing this family (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10695068B2 (en) | 2017-04-28 | 2020-06-30 | Ethicon Llc | Hysteresis removal feature in surgical stapling instrument |
| US10729444B2 (en) | 2017-04-28 | 2020-08-04 | Ethicon Llc | Liquid-immune trigger circuit for surgical instrument |
| US10709452B2 (en) | 2013-09-23 | 2020-07-14 | Ethicon Llc | Methods and systems for performing circular stapling |
| US10492790B2 (en) * | 2015-09-24 | 2019-12-03 | Ethicon Llc | Apparatus and method for cinching a straight staple line |
| US10085745B2 (en) * | 2015-10-29 | 2018-10-02 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
| US10542981B2 (en) | 2016-11-14 | 2020-01-28 | Ethicon Llc | Atraumatic stapling head features for circular surgical stapler |
| US10603041B2 (en) * | 2016-11-14 | 2020-03-31 | Ethicon Llc | Circular surgical stapler with angularly asymmetric deck features |
| US11701109B2 (en) | 2018-12-28 | 2023-07-18 | Cilag Gmbh International | Surgical stapler with sloped staple deck for varying tissue compression |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5441193A (en) * | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
| US7708180B2 (en) * | 2006-11-09 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application |
| EP2233080A1 (en) * | 2009-03-27 | 2010-09-29 | Tyco Healthcare Group LP | Soft tissue graft preparation devices and methods |
| CN103037782A (zh) * | 2010-07-30 | 2013-04-10 | 伊西康内外科公司 | 具有可选择性地脱离的切割构件的线性切割及缝合装置 |
| CN103429171A (zh) * | 2011-03-15 | 2013-12-04 | 伊西康内外科公司 | 具有用于操纵分离的组织的组织拴系件的外科钉仓及其使用方法 |
| CN103945776A (zh) * | 2011-09-23 | 2014-07-23 | 伊西康内外科公司 | 用于缝合器械的弯曲的端部执行器 |
Family Cites Families (61)
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| US4508253A (en) * | 1983-10-04 | 1985-04-02 | United States Surgical Corporation | Surgical fastener applying apparatus |
| US4805823A (en) | 1988-03-18 | 1989-02-21 | Ethicon, Inc. | Pocket configuration for internal organ staplers |
| US5040715B1 (en) * | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
| US5014899A (en) * | 1990-03-30 | 1991-05-14 | United States Surgical Corporation | Surgical stapling apparatus |
| US5333773A (en) | 1991-08-23 | 1994-08-02 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
| US5350104A (en) | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
| GR920100358A (el) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
| US5314435A (en) * | 1992-05-19 | 1994-05-24 | United States Surgical Corporation | Anvil delivery system |
| US5397324A (en) * | 1993-03-10 | 1995-03-14 | Carroll; Brendan J. | Surgical stapler instrument and method for vascular hemostasis |
| US5415334A (en) | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
| US5597107A (en) | 1994-02-03 | 1997-01-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
| US5833695A (en) * | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
| US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
| US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
| US6638285B2 (en) * | 2001-04-16 | 2003-10-28 | Shlomo Gabbay | Biological tissue strip and system and method to seal tissue |
| US6503257B2 (en) * | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
| EP2623043B1 (en) * | 2001-10-05 | 2016-04-06 | Covidien LP | Surgical stapling device |
| US7128748B2 (en) * | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
| WO2003088844A1 (en) * | 2002-04-15 | 2003-10-30 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
| US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US7000818B2 (en) | 2003-05-20 | 2006-02-21 | Ethicon, Endo-Surger, Inc. | Surgical stapling instrument having separate distinct closing and firing systems |
| US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
| US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
| US7303108B2 (en) | 2003-09-29 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack |
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| ES2627615T3 (es) * | 2006-10-26 | 2017-07-28 | Covidien Lp | Dispositivo que utiliza aleaciones con memoria de forma para conexión de contrafuerte |
| US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
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| US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
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| US8308041B2 (en) * | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
| FR2968533B1 (fr) | 2010-12-08 | 2013-09-06 | Brothier Lab | Dispositif medical de renfort |
| US8733615B2 (en) | 2011-05-19 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Circular stapler with frictional reducing member |
| JP6105041B2 (ja) * | 2012-03-28 | 2017-03-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 低圧環境を画定するカプセルを含む組織厚コンペンセーター |
| US9498222B2 (en) | 2012-11-29 | 2016-11-22 | Ethicon Endo-Surgery, Llc | Pivoting anvil for surgical circular stapler |
| US9289207B2 (en) | 2012-11-29 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical staple with integral pledget for tip deflection |
| US9724100B2 (en) | 2012-12-04 | 2017-08-08 | Ethicon Llc | Circular anvil introduction system with alignment feature |
| US9572573B2 (en) | 2012-12-04 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Trans-oral circular anvil introduction system with dilation feature |
| US20140158747A1 (en) | 2012-12-06 | 2014-06-12 | Ethicon Endo-Surgery, Inc. | Surgical stapler with varying staple widths along different circumferences |
| US9532783B2 (en) | 2012-12-17 | 2017-01-03 | Ethicon Endo-Surgery, Llc | Circular stapler with selectable motorized and manual control, including a control ring |
| US9597081B2 (en) | 2012-12-17 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with modular end effector |
| US9463022B2 (en) | 2012-12-17 | 2016-10-11 | Ethicon Endo-Surgery, Llc | Motor driven rotary input circular stapler with lockable flexible shaft |
| US9561029B2 (en) | 2013-08-15 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Surgical stapler with rolling anvil |
| US20150083772A1 (en) | 2013-09-23 | 2015-03-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with rotary cam drive and return |
| US9713469B2 (en) | 2013-09-23 | 2017-07-25 | Ethicon Llc | Surgical stapler with rotary cam drive |
| US9936949B2 (en) | 2013-09-23 | 2018-04-10 | Ethicon Llc | Surgical stapling instrument with drive assembly having toggle features |
| US9907552B2 (en) | 2013-09-23 | 2018-03-06 | Ethicon Llc | Control features for motorized surgical stapling instrument |
| WO2015138760A1 (en) | 2014-03-12 | 2015-09-17 | Conextions, Inc. | Soft tissue repair devices, systems, and methods |
| US10172611B2 (en) | 2014-06-10 | 2019-01-08 | Ethicon Llc | Adjunct materials and methods of using same in surgical methods for tissue sealing |
| US10271842B2 (en) | 2015-06-26 | 2019-04-30 | Ethicon Llc | Anvil stabilization features for surgical stapler |
| US10456134B2 (en) | 2015-06-26 | 2019-10-29 | Ethicon Llc | Surgical stapler with reversible motor |
-
2015
- 2015-09-24 US US14/864,310 patent/US10485548B2/en active Active
-
2016
- 2016-09-16 BR BR112018005716-9A patent/BR112018005716B1/pt not_active IP Right Cessation
- 2016-09-16 JP JP2018515630A patent/JP6907194B2/ja active Active
- 2016-09-16 WO PCT/US2016/052105 patent/WO2017053188A1/en not_active Ceased
- 2016-09-16 CN CN201680056026.5A patent/CN108135599B/zh not_active Expired - Fee Related
- 2016-09-23 EP EP16190452.9A patent/EP3146910B1/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5441193A (en) * | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
| US7708180B2 (en) * | 2006-11-09 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application |
| EP2233080A1 (en) * | 2009-03-27 | 2010-09-29 | Tyco Healthcare Group LP | Soft tissue graft preparation devices and methods |
| CN103037782A (zh) * | 2010-07-30 | 2013-04-10 | 伊西康内外科公司 | 具有可选择性地脱离的切割构件的线性切割及缝合装置 |
| CN103429171A (zh) * | 2011-03-15 | 2013-12-04 | 伊西康内外科公司 | 具有用于操纵分离的组织的组织拴系件的外科钉仓及其使用方法 |
| CN103945776A (zh) * | 2011-09-23 | 2014-07-23 | 伊西康内外科公司 | 用于缝合器械的弯曲的端部执行器 |
Also Published As
| Publication number | Publication date |
|---|---|
| BR112018005716A2 (enExample) | 2018-10-02 |
| US20170086848A1 (en) | 2017-03-30 |
| JP6907194B2 (ja) | 2021-07-21 |
| JP2018532477A (ja) | 2018-11-08 |
| EP3146910B1 (en) | 2022-07-20 |
| US10485548B2 (en) | 2019-11-26 |
| EP3146910A1 (en) | 2017-03-29 |
| CN108135599A (zh) | 2018-06-08 |
| WO2017053188A1 (en) | 2017-03-30 |
| BR112018005716B1 (pt) | 2023-03-21 |
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