CN108210074A - Personalized type femoral bone end prosthesis is implanted into top rake guider - Google Patents

Personalized type femoral bone end prosthesis is implanted into top rake guider Download PDF

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Publication number
CN108210074A
CN108210074A CN201810190457.1A CN201810190457A CN108210074A CN 108210074 A CN108210074 A CN 108210074A CN 201810190457 A CN201810190457 A CN 201810190457A CN 108210074 A CN108210074 A CN 108210074A
Authority
CN
China
Prior art keywords
bone
guide plate
guider
prosthese
plate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810190457.1A
Other languages
Chinese (zh)
Inventor
孙业青
张英琪
陈雷
张锦程
饶志涛
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.)
Shanghai Tongji Hospital
Original Assignee
Shanghai Tongji Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Shanghai Tongji Hospital filed Critical Shanghai Tongji Hospital
Priority to CN201810190457.1A priority Critical patent/CN108210074A/en
Publication of CN108210074A publication Critical patent/CN108210074A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • 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
    • A61F2/30Joints
    • A61F2/30721Accessories
    • A61F2/30734Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
    • 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
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/102Modelling of surgical devices, implants or prosthesis
    • 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
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30948Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
    • 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
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2002/30985Designing or manufacturing processes using three dimensional printing [3DP]

Abstract

The present invention relates to a kind of personalized type femoral bone end prosthesis implantation top rake guiders, which is characterized in that the guider includes patch bone plate and guide plate;The patch bone plate and guide plate are Integratively formed;The shape of the patch bone plate is designed with reference to the outer surface of femur being bonded therewith;The patch bone plate is curved-surface structure;The curved surface of the patch bone plate matches with the outer surface of near end of thighbone;The guide surface is bonded with osteotomy surface;The guide surface matches with the prosthese side of preoperative setting;The guide plate is bonded to form placing groove with osteotomy surface.Its advantage is shown:It is designed by personalized bone, can be accurately positioned in art, determine that prosthese places that forward leaning angle is accurate, and the relationship of guide surface and prosthese is clear and definite, using being with a wide range of applications in artificial hip joint replacing operation.

Description

Personalized type femoral bone end prosthesis is implanted into top rake guider
Technical field
The present invention relates to orthopedic medical device technical field, specifically, being before a kind of personalized type femoral bone end prosthesis is implanted into Inclination angle guider.
Background technology
Type femoral bone end prosthesis is a part for hip joint artificial prosthesis, is to be used in artificial hip joint replacing operation, with weight The anatomical structure of human hip is built, and it is made to obtain normal mechanical property and restores or completes certain physiological function, thus Achieve the purpose that relieve pain, improve function and quality of life.Artificial hip joint is made of components such as femoral stem and femorals head, Wherein femoral stem plays the role of fixing and supporting as human femur under loading and the connecting component of human body distal end is connected in human body, Placement location is directly related to the therapeutic effect of hip replacement surgery.
The angle that type femoral bone end prosthesis is placed determines whether anteversion of femoral neck can restore normal, if placing forward leaning angle It is excessive, then easy anterior dislocation, conversely, then easy backward dislocation.Inaccurate femoral prosthesis, which leans forward, is unfavorable for post-operative recovery.In order to Type femoral bone end prosthesis is placed in suitable angle, firstly, it is necessary to which neck of femur carries out osteotomy operation, the step is (a kind of a by patent Property type femoral bone end prosthesis implantation guider application number:201621206362.7) realize.Secondly, it needs before being carried out to prosthesis handle Degree of tilt adjusts, however, in the prior art, is had the following disadvantages about top rake adjustment and defect.
The technological means that top rake is taken in the prior art is:It is planned by doctor by preoperative two dimension, manually according to warp in art Operation is tested, using bone anatomical structure as reference, error is larger, and forward leaning angle is caused to restore undesirable.Its error is mainly reflected in Following aspect:1. forward leaning angle adjustment is inaccurate;2. prosthese and the adjustment of femoral shaft angle are inaccurate.Also the way having is based on light The device of navigation is learned, somewhat expensive, assembling is complicated, inconvenient for use or universal models the adjusting apparatus of leaning forward, and is not personalized Setting, precision are inadequate.
Chinese patent literature:CN201420854393.8, the applying date:2014.12.29, patent name is:Femoral stem is false Body.A kind of type femoral bone end prosthesis is disclosed, it is remote which includes integrally formed neck of femur, femur handle proximal end and femoral stem End, the cross section of neck of femur are ellipse, and the cross section of femoral stem distal end is rectangle, and the cross section on the inside of femur handle proximal end is circle Slip circle shape, the cross section of femoral stem proximal lateral are formed with the rectangular of chamfering for both sides.
A kind of type femoral bone end prosthesis of above patent document makes hip joint scope of activities big, and Using prosthesis is stable, facilitating operation, Abrasion is reduced, there is good Bone Ingrowth and the good blood fortune of femoral bone cavitas medullaris is kept to extend the prosthese service life.But about a kind of needle To bone personalized designs, angle can be accurately determined in art, with patent (it is a kind of personalization type femoral bone end prosthesis implantation guider, Application number:201621206362.7) a kind of personalized type femoral bone end prosthesis being used in combination is implanted into top rake guider at present then There is no relevant report.
In conclusion there is an urgent need for one kind to be directed to bone personalized designs, angle can be accurately determined in art, it is (a kind of a with patent Property type femoral bone end prosthesis implantation guider, application number:201621206362.7) a kind of personalized femoral stem for being used in combination is false Body is implanted into top rake guider.
Invention content
The purpose of the present invention is being directed to deficiency of the prior art, a kind of for bone personalized designs, energy in art is provided Accurately determining angle, with patent (a kind of personalization type femoral bone end prosthesis implantation guider, application number:201621206362.7) connection Close a kind of personalized type femoral bone end prosthesis implantation top rake guider used.
To achieve the above object, the technical solution adopted by the present invention is that:
A kind of personalization type femoral bone end prosthesis implantation top rake guider, which is characterized in that the guider includes patch Bone plate and guide plate;The patch bone plate and guide plate are Integratively formed;The shape of the patch bone plate is with reference to therewith The outer surface of the femur of fitting designs;The patch bone plate is curved-surface structure;The curved surface and near end of thighbone of the patch bone plate Outer surface matches;The guide surface is bonded with osteotomy surface;The guide surface matches with the prosthese side of preoperative setting;Institute The guide plate stated is bonded to form placing groove with osteotomy surface.
As a kind of perferred technical scheme, the guide plate matches with prosthese side.
As a kind of perferred technical scheme, the patch bone plate and guide plate are made of titanium alloy material.
The invention has the advantages that:
1st, a kind of personalized type femoral bone end prosthesis implantation top rake guider, is designed by personalized bone, can essence in art It determines position, determines that prosthese placement forward leaning angle is accurate, the relationship of guide surface and prosthese is clear and definite, in artificial hip joint replacing operation Using being with a wide range of applications;
2nd, by accurate preoperative planning, Design assistant surgical instrument reaches the effect for accurately placing top rake in art according to plan Fruit improves anteversion of femoral neck degree and restores precision;
3rd, by preoperative three-dimensional planning, according to prosthese spatial position, guide surface is determined;Using can be sudden and violent near end of thighbone art The bone face of dew, design patch bone conduction plate, meet prosthese lean forward guiding requirement;
4th, using prosthese side, corresponding guide surface is generated, guide surface chooses best guide angle according to preoperative three-dimensional planning Degree;
5th, in surgical procedure, directly implement operation by guide surface, convenient for disposably finding top rake orientation accurately, be oriented to Face protrudes from guider body lateral surface and accurate top rake, surgical procedure is found in patient's surgical procedure convenient for operating doctor It is more accurate, improve operation safety.
Description of the drawings
Attached drawing 1 is that a kind of personalized type femoral bone end prosthesis implantation top rake guider guider of the present invention is laterally illustrated Figure.
Attached drawing 2 is the virtual schematic diagram of femur of the present invention.
Attached drawing 3 is the present invention to be virtually put into prosthese schematic diagram.
Attached drawing 4 is a kind of schematic diagram of personalized type femoral bone end prosthesis implantation top rake guider guide plate of the present invention.
Attached drawing 5 is that a kind of personalized type femoral bone end prosthesis implantation top rake guider of the present invention is bonded bone face using guide plate, Guide plate determines the schematic diagram of placed angle.
Attached drawing 6 is that a kind of personalized type femoral bone end prosthesis implantation top rake guider of the present invention establishes prosthese using guide plate The schematic diagram of placing groove.
Attached drawing 7 is that a kind of personalized type femoral bone end prosthesis implantation top rake guider prosthese of the present invention is implanted into bone along guide plate Schematic diagram in bone.
Specific embodiment
It elaborates below in conjunction with the accompanying drawings to specific embodiment provided by the invention.
Reference numeral and component part involved in attached drawing is as follows:
1. paste 2. guide plate of bone plate
3. 4. guide surface of femur
5. 6. prosthese of osteotomy surface
7. placing groove
Embodiment 1
Attached drawing 1 is please referred to, Fig. 1 is that a kind of personalized type femoral bone end prosthesis implantation top rake guider of the present invention is laterally illustrated Figure, a kind of personalization type femoral bone end prosthesis implantation top rake guider, which is characterized in that the guider includes patch bone plate 1 With guide plate 2;The patch bone plate 1 and guide plate 2 are Integratively formed;The shape of the patch bone plate 1 is with reference to therewith The outer surface of the femur 3 of fitting designs;The patch bone plate 1 is curved-surface structure;The curved surface and femur 3 of the patch bone plate 1 are near The outer surface at end matches;The guide surface 4 is bonded with osteotomy surface 5;The guide surface 4 and 6 side of prosthese of preoperative setting It matches;The guide plate 2 is bonded to form placing groove 7 with osteotomy surface 5.
Fig. 2-7 are please referred to, the method for the model foundation of guider is as follows:1) preoperative CT scan establishes 3 proximal end three of femur Dimension module, and virtual operation:2) 7 position of prosthese in virtual operation, determines best osteotomy surface 4:3) according to 3 proximal end of femur The visual field that can be exposed in threedimensional model and operation determines the fence portion of fitting bone:4) using 3D printing or other technologies, Guide plate is quickly generated:5) in art behind exposure bone face, by guide plate docile in bone, operator presses the accurate osteotomy of notch of design, By patent, (a kind of personalization type femoral bone end prosthesis is implanted into guider, application number to the step:201621206362.7) realize; 6) using guide plate fitting bone face, guide plate determines prosthese placed angle;7) it fits in osteotomy surface using guide plate and forms placing groove, Prosthese is accurately implanted into bone by operator by the placing groove of design along guide plate.
It should be noted that:The determining of the guide surface 4 is by simulating 3 handle prosthese 6 of virtual bone and femur Corresponding and determining, then on the basis of guide surface 4, corresponding Using prosthesis guider is formed, it, can by 3D printing technique The physical model of guider is obtained, the Using prosthesis guider so as to which the virtual location information of guide surface 4 is passed through entity It showing, during operation, doctor directly can form 6 placing groove 7 of prosthese according to the guider fitting osteotomy surface 5 printed, For doctor by prosthese 6 along in guide plate implantation bone, 6 placed angle of prosthese is accurate, is grasped with conventionally employed unarmed experience in art It compares, 6 implant angle of Using prosthesis guider prosthese using the present invention is suitable, accurate, the pass of guide surface 4 and prosthese 6 System is clear and definite.In addition, it is according to simulation that different subjects bones and guide surface 4, which are different, of the invention Using prosthesis guiders, The bone of patient's reality and to establish guide surface 4 molding, the characteristics of embodying personalization, can be derived that for different trouble corresponding Using prosthesis guider, it is with strong points.
The shape for pasting bone plate 1 is curved-surface structure, can be matched when in use with skeleton, doctor is using entity in art During the Using prosthesis guider of model, stability is good, in addition, curved patch bone plate 1 has guide plate 2 in the work of positioning With, if that is, in use, by it is curved patch bone plate 1 match with skeleton when, the corresponding position that guide plate 2 is determined It puts, polarization is good.
Guide plate 2 is Integratively formed with patch bone plate 1, matches with skeleton after fixation, leads convenient for patch bone plate 1 The placing groove 7 for being formed and being implanted into convenient for prosthese 6 is bonded with osteotomy surface 5 to plate 2, and 2 front end of guide plate matches with 6 side of prosthese. In surgical procedure, directly directly implement operation by guide surface 4, convenient for disposably finding top rake orientation accurately, guide surface 4 protrudes Accurate top rake is found in patient's surgical procedure convenient for operating doctor in guider body lateral surface, surgical procedure is more accurate Really, operation safety is improved.
A kind of personalized type femoral bone end prosthesis implantation top rake guider of the present invention, is designed, art by personalized bone In can be accurately positioned, determine prosthese place forward leaning angle it is accurate, the relationship of guide surface and prosthese is clear and definite, in artificial hip joint replacing Using being with a wide range of applications in operation;By accurate preoperative planning, Design assistant surgical instrument reaches in art according to plan The accurate effect for placing top rake improves anteversion of femoral neck degree and restores precision;By preoperative three-dimensional planning, according to prosthese space Position determines guide surface;Using the bone face that can be exposed near end of thighbone art, design patch bone conduction plate meets prosthese and leans forward guiding It is required that;Using prosthese side, corresponding guide surface is generated, guide surface chooses best guide angle according to preoperative three-dimensional planning;In hand During art, directly implement operation by guide surface, convenient for disposably finding top rake orientation accurately, guide surface protrudes from guider Accurate top rake is found in outer body face convenient for operating doctor in patient's surgical procedure, and surgical procedure is more accurate, improves Operation safety.
The above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art Member, under the premise of the method for the present invention is not departed from, can also make several improvement and supplement, these are improved and supplement also should be regarded as Protection scope of the present invention.

Claims (4)

1. a kind of personalization type femoral bone end prosthesis implantation top rake guider, which is characterized in that the guider includes patch bone Plate and guide plate;The patch bone plate and guide plate are Integratively formed;The shape reference of the patch bone plate is pasted therewith The outer surface of the femur of conjunction designs;The patch bone plate is curved-surface structure;The curved surface of the patch bone plate and near end of thighbone it is outer Surface matches;The guide surface is bonded with osteotomy surface;The guide surface matches with the prosthese side of preoperative setting;It is described Guide plate be bonded to form placing groove with osteotomy surface.
2. top rake guider according to claim 1, which is characterized in that the guide plate and prosthese side kissing It closes.
3. top rake guider according to claim 1, which is characterized in that the patch bone plate and guide plate are by titanium Alloy material is made.
4. a kind of personalization type femoral bone end prosthesis implantation top rake guider, the guider method for establishing model:1) art Preceding CT scan establishes near end of thighbone threedimensional model, and virtual operation;
2) the prosthese position in virtual operation, determines best osteotomy surface;
3) according to the visual field that can be exposed in 3 proximal end threedimensional model of femur and operation, the fence portion of fitting bone is determined;
4) using 3D printing or other technologies, guide plate is quickly generated;
5) in art behind exposure bone face, by guide plate docile in bone, operator is by the accurate osteotomy of notch designed;
6) using guide plate fitting bone face, guide plate determines prosthese placed angle;
7) it fits in osteotomy surface using guide plate and forms placing groove, operator is accurate along guide plate by prosthese by the placing groove of design It is implanted into bone.
CN201810190457.1A 2018-03-08 2018-03-08 Personalized type femoral bone end prosthesis is implanted into top rake guider Pending CN108210074A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810190457.1A CN108210074A (en) 2018-03-08 2018-03-08 Personalized type femoral bone end prosthesis is implanted into top rake guider

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810190457.1A CN108210074A (en) 2018-03-08 2018-03-08 Personalized type femoral bone end prosthesis is implanted into top rake guider

Publications (1)

Publication Number Publication Date
CN108210074A true CN108210074A (en) 2018-06-29

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CN201810190457.1A Pending CN108210074A (en) 2018-03-08 2018-03-08 Personalized type femoral bone end prosthesis is implanted into top rake guider

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111870329A (en) * 2020-07-31 2020-11-03 北京市春立正达医疗器械股份有限公司 Device and method for femoral angle recovery and verification

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5728128A (en) * 1997-02-11 1998-03-17 Wright Medical Technology, Inc. Femoral neck anteversion guide
CN104983486A (en) * 2015-05-14 2015-10-21 青岛大学附属医院 System for customizing individualized artificial total hip joint replacement operation femur preparation template
CN206443798U (en) * 2016-11-09 2017-08-29 上海市同济医院 A kind of personalized type femoral bone end prosthesis implantation guider
CN208677574U (en) * 2018-03-08 2019-04-02 上海市同济医院 A kind of personalization type femoral bone end prosthesis implantation top rake guiding device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5728128A (en) * 1997-02-11 1998-03-17 Wright Medical Technology, Inc. Femoral neck anteversion guide
CN104983486A (en) * 2015-05-14 2015-10-21 青岛大学附属医院 System for customizing individualized artificial total hip joint replacement operation femur preparation template
CN206443798U (en) * 2016-11-09 2017-08-29 上海市同济医院 A kind of personalized type femoral bone end prosthesis implantation guider
CN208677574U (en) * 2018-03-08 2019-04-02 上海市同济医院 A kind of personalization type femoral bone end prosthesis implantation top rake guiding device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111870329A (en) * 2020-07-31 2020-11-03 北京市春立正达医疗器械股份有限公司 Device and method for femoral angle recovery and verification
CN111870329B (en) * 2020-07-31 2021-07-27 北京市春立正达医疗器械股份有限公司 Device and method for femoral angle recovery and verification

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