CN109646121A - A kind of rotator cuff injury treatment gasket and its application method - Google Patents
A kind of rotator cuff injury treatment gasket and its application method Download PDFInfo
- Publication number
- CN109646121A CN109646121A CN201910116670.2A CN201910116670A CN109646121A CN 109646121 A CN109646121 A CN 109646121A CN 201910116670 A CN201910116670 A CN 201910116670A CN 109646121 A CN109646121 A CN 109646121A
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- filament
- rotator cuff
- wing piece
- gasket
- shim body
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- 208000024288 Rotator Cuff injury Diseases 0.000 title claims abstract description 42
- 206010039227 Rotator cuff syndrome Diseases 0.000 title claims abstract description 41
- 238000000034 method Methods 0.000 title claims abstract description 21
- 238000011282 treatment Methods 0.000 title claims abstract description 20
- 210000000513 rotator cuff Anatomy 0.000 claims abstract description 33
- 210000001519 tissue Anatomy 0.000 claims abstract description 24
- 210000002758 humerus Anatomy 0.000 claims abstract description 10
- 125000006850 spacer group Chemical group 0.000 claims description 11
- 230000007704 transition Effects 0.000 claims description 7
- 208000027418 Wounds and injury Diseases 0.000 claims description 3
- 238000004140 cleaning Methods 0.000 claims description 3
- 210000002435 tendon Anatomy 0.000 abstract description 6
- 210000000988 bone and bone Anatomy 0.000 abstract description 3
- 230000035876 healing Effects 0.000 abstract description 2
- 238000002513 implantation Methods 0.000 abstract 1
- 210000000323 shoulder joint Anatomy 0.000 description 3
- 230000006378 damage Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 239000004696 Poly ether ether ketone Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007850 degeneration Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 229920002530 polyetherether ketone Polymers 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0815—Implantable devices for insertion in between organs or other soft tissues
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Rheumatology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of rotator cuff injury treatment gasket and its application method, it includes a shim body which, which treats gasket, and the both ends of shim body are respectively arranged with left perforation and right perforation;The application method of rotator cuff injury treatment gasket includes implantation holdfast, oblique wear filament, tightening filament, knots and fix.Rotator cuff injury treatment gasket disclosed by the invention uses for reference single band line holdfast and sutures fixation, a piece holdfast is fixed on greater tubercles of humerus, it need not worry that more holdfasts increase holdfast and deviate from risk, the problem of holdfast in especially outside is easily deviate from, two panels rotator cuff injury treats the area coverage that gasket increases rotator cuff tissue, the effective pressure of rotator cuff tissue is improved, tendon and bone healing are convenient for.The product structure of rotator cuff injury treatment gasket disclosed by the invention is small and exquisite, easy to operate, universal convenient for market.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of rotator cuff injury treatment gasket and its application method.
Background technique
Rotator cuff, is one group of muscle and the tendon complex surrounded around humerus head, and humerus head is stable at by these tendons
On shoulder blade, play an important role to the stabilization and shoulder mobility that maintain shoulder joint.Rotator cuff injury is shoulder joint
Common disease usually leads to rotator cuff tissue degeneration due to the repeatedly anteflexion and abduction exercise of shoulder joint, in turn results in rotator cuff and tear
Caused by splitting.
The conventional treatments of rotator cuff injury operation at present have double band line holdfast commissural sutures bridge fixation and single
Band line holdfast sutures two kinds of fixation.Wherein, double band line holdfast commissural sutures bridge fixation is first using interior row with line holdfast
It is fixed on greater tubercles of humerus area, line is passed through into rotator cuff tissue, reapply outlet holdfast and push down line and be fixed on quadrate bone under major tubercle
Cortex, although this method can cover the rotator cuff range of larger area by suture bridge, it is de- that more holdfasts increase holdfast
Risk out is very easy to abjection, if this method to be used to treat the rotator cuff of osteoporosis patient particularly with the holdfast in outside
The probability of damage, operative failure is high;Single band line holdfast suture fixation is that shoulder blade, again is fixed on using single band line holdfast
Line is passed through into rotator cuff tissue, then knot suture, finally rotator cuff tendon suture is fixed on greater tubercles of humerus, though this method
The probability of holdfast abjection is so considerably reduced, but rotator cuff area is small, and the slight crack for damaging rotator cuff cannot be effective since it is covered
Fixation, cause rotator cuff injury slight crack to be difficult to heal, but also will increase the risk that rotator cuff slight crack is broken again.
In short, existing in current rotator cuff injury treatment, either holdfast is easily deviate from or rotator cuff tissue coverage area is small
Problem.
Summary of the invention
The purpose of the present invention is to provide a kind of rotator cuff injury treatment gasket and its application methods, to solve current shoulder
There are problems that rotator cuff tissue coverage area is small and holdfast is easily deviate from sleeve injury in treating.
The present invention provides a kind of rotator cuff injury treatment gasket, including a shim body, and the middle part of the shim body is length
Rectangular, both ends be semicircle, the both ends of the shim body be respectively arranged with it is left perforation and right perforation, it is described it is left perforation and it is described
The outer end and inner end of right perforation are respectively set to orthodrome end and small arc-shaped end, between the orthodrome end and the small arc-shaped end
It is connected by transition.
Preferably, the width of the transition is from the junction with more than half circular arc to the connection with the smaller part circular arc
Place is gradually reduced.
Preferably, spacer portion is provided in the middle part of the shim body, the left perforation and the right perforation are set to institute
The two sides of spacer portion are stated, and the left perforation and the right perforation are symmetrical about the middle line in the shim body width direction.
Preferably, the both ends of the spacer portion of the shim body are respectively arranged with left wing's axis and right flank axis, left wing's axis
On be cased with the first left wing piece and the second left wing piece, the first right wing piece and the second right wing piece are cased on the right flank axis.
Preferably, the described first left wing piece, the second left wing piece, the first right wing piece and second right side
Wing piece includes axis hole nose circle and gasket contact jaw, the axis hole nose circle of the first left wing piece and the second left wing piece
It is sheathed on left wing's axis, the gasket contact jaw of the first left wing piece and the second left wing piece is erected on institute respectively
State the top edge on the left of shim body and lower edge;The axis hole nose circle set of the first right wing piece and the second right wing piece
Set on the right wing on piece, the gasket contact jaw of the first right wing piece and the second right wing piece is erected on the pad
Top edge and lower edge on the right side of piece ontology.
Preferably, the top and bottom of the shim body are respectively set to joint Cavity surface and rotator cuff tissue surface, the pass
Section Cavity surface is shiny surface, and the rotator cuff tissue surface is frosting.
The present invention provides a kind of application method of rotator cuff injury treatment gasket, treats gasket using above-mentioned rotator cuff injury,
The application method the following steps are included:
Be implanted into holdfast: holdfast is fixed on greater tubercles of humerus, winds on the holdfast by the gap at cleaning rotator cuff injury
There are the first filament and the second filament;
It is oblique to wear filament: first by the both ends of the first filament respectively obliquely through exposing both ends after rotator cuff tissue, then by second
The both ends of filament are respectively obliquely through exposing both ends after rotator cuff tissue;
The both ends of first filament: being first each passed through the left perforation and right perforation of the first shim body by tightening filament, by the
The both ends of two filaments are each passed through the left perforation and right perforation of the second shim body, then by first shim body and described
Two shim bodies are individually positioned in rotator cuff tissue surface, then firmly push down first shim body and tighten the first filament,
Final force pushes down second shim body and tightens the second filament;
It knots and fixes: knotting to the first filament and the second filament, the first filament and the second filament are individually fixed in
In first shim body and second shim body.
Preferably, the middle part of the holdfast is wrapped in the middle part of first filament and second filament and expose respectively
Both ends.
Preferably, the both ends of first shim body and the both ends of second shim body are respectively arranged with left wing's axis
With right flank axis, the first left wing piece and the second left wing piece are cased on left wing's axis, is cased with the first right butterfly on the right flank axis
Fin and the second right wing piece,
It is further comprising the steps of between the tightening filament and the knotting are fixed: when tightening first filament,
The the first left wing piece and the second left wing piece of first shim body is unfolded, blocks the both ends of the first filament;In tightening the
When two filaments, while the first right wing piece and the second right wing piece of second shim body is unfolded, blocks the second filament
Both ends.
Preferably, the application method is further comprising the steps of: cutting first filament and second filament respectively
Redundance.
The beneficial effects of the present invention are:
Rotator cuff injury treatment gasket disclosed by the invention is on the basis of using for reference single band line holdfast suture fixation, by one
Root holdfast is fixed on greater tubercles of humerus, and without more holdfasts increase holdfasts abjection risks are worried, the especially holdfast in outside is easily de-
Out the problem of, two panels rotator cuff injury treat the area coverage that gasket increases rotator cuff tissue, improve the effective pressure of rotator cuff tissue,
Convenient for tendon and bone healing.The product structure of rotator cuff injury treatment gasket disclosed by the invention is small and exquisite, easy to operate, is convenient for city
Field is universal.
Detailed description of the invention
Fig. 1 is the top view for the top surface that the rotator cuff injury that inventive embodiments 1 provide treats gasket.
Fig. 2 is the bottom view for the bottom surface that the rotator cuff injury that inventive embodiments 1 provide treats gasket;
Fig. 3 is the front view for the side that the rotator cuff injury that inventive embodiments 1 provide treats gasket;
Fig. 4 is the rearview for the side that the rotator cuff injury that inventive embodiments 1 provide treats gasket;
Fig. 5 is the left view for the side that the rotator cuff injury that inventive embodiments 1 provide treats gasket;
Fig. 6 is the side view that the holdfast that inventive embodiments 2 provide is fixed on greater tubercles of humerus;
Fig. 7 is the front view for the oblique threading that inventive embodiments 2 provide;
Fig. 8 is that the rotator cuff injury that inventive embodiments 2 provide treats the schematic diagram that gasket is covered on rotator cuff tendon.
Specific embodiment
The following examples are intended to illustrate the invention, but is not limited to protection scope of the present invention.
In the description of the embodiment of the present invention, it should be noted that term " left side " is the side based on attached drawing description with " right side "
Position or positional relationship, the purpose is to the convenience of the invention for description.Term " first ", " second " etc. for descriptive purposes, no
It can be interpreted as indication or suggestion relative importance or implicitly indicate the quantity of indicated technical characteristic.
Embodiment 1
Embodiment 1 provides a kind of rotator cuff injury treatment gasket, its structure is described in detail below.
With reference to Fig. 1 and Fig. 5, it includes a shim body 1 which, which treats gasket, and the middle part of shim body 1 is rectangular
Shape, both ends are semicircle, and the middle part of shim body 1 is provided with spacer portion 13, and the two sides of spacer portion 13 are provided with 11 Hes of left perforation
Right perforation 12, i.e., the both ends that left perforation 11 and right perforation 12 are respectively arranged at shim body 1, left perforation 11 and right perforation 12 about
Middle line in 1 width direction of shim body is symmetrical.
Wherein, the top and bottom of shim body 1 are respectively set to joint Cavity surface and rotator cuff tissue surface, and shim body 1 is adopted
It is made of polyether-ether-ketone, joint Cavity surface is shiny surface, and rotator cuff tissue surface is frosting.
The outer end and inner end of left perforation 11 and right perforation 12 are respectively set to orthodrome end 101 and small arc-shaped end 102, great circle
It is connected between arc end 101 and small arc-shaped end 102 by transition 103;
Transition 103 arise from from more than half circular arc 13 junction, terminate in junction with smaller part circular arc 14, and transition
103 width is gradually reduced to end from.
Referring to figs. 2 to Fig. 4, the both ends of the spacer portion 13 of shim body 1 are respectively arranged with left wing's axis 21 and right flank axis 31, left
It is cased with the first left wing piece 22 and the second left wing piece 23 on wing axis 21, is cased with the first right wing piece 32 and second on right flank axis 31
Right wing piece 33.
Further, the first left wing piece 22, the second left wing piece 23, the first right wing piece 32 and the second right wing piece 33
Be strip, and include axis hole nose circle and gasket contact jaw,
The axis hole nose circle of first left wing piece 22 and the second left wing piece 23 is sheathed on left wing's axis 21 and can be in left wing's axis
It is rotated on 21, the gasket contact jaw of the first left wing piece 22 and the second left wing piece 23 is erected on 1 left side of shim body respectively
Top edge and lower edge;
The axis hole nose circle of first right wing piece 32 and the second right wing piece 33 is sheathed on right wing piece 32 and can be in right flank
It is rotated on axis 31, the gasket contact jaw of the first right wing piece 32 and the second right wing piece 33 is erected on the upper of 1 right side of shim body
Edge and lower edge.
As a kind of specific embodiment, the length of shim body 1 is 15mm, width 5mm, 1 end of shim body
Semicircular diameter be 5mm;
The diameter at the orthodrome end 101 in 12 outside of left perforation 11 and right perforation is 2mm, 12 inside of left perforation 11 and right perforation
Small arc-shaped end 102 diameter be 1mm,
The semicircular distance of orthodrome end 101 and 1 end of shim body is 1.5mm, left to perforate in 11 and right perforation 12
The length of spacer portion 13 between the small arc-shaped end 102 of side is 3.5mm;
1 both ends of shim body with a thickness of 4mm, the spacer portion 13 at 1 middle part of shim body with a thickness of 2mm;
First left wing piece 22, the second left wing piece 23, the first right wing piece 32 and the second right wing piece 33 gasket connect
Contravention with a thickness of 2mm, axis hole nose circle with a thickness of 1mm;
The aperture of left wing's axis 21 and right flank axis 31 is 0.8mm.
Embodiment 2
Embodiment 2 provides a kind of application method of rotator cuff injury treatment gasket, is controlled using the rotator cuff injury of two embodiments 1
Treat gasket, respectively include the first shim body 4 and the second shim body 5, the application method the following steps are included:
Be implanted into holdfast 100: holdfast 100 is fixed on greater tubercles of humerus, holdfast 100 by the gap at cleaning rotator cuff injury
On be wound with the first filament 101 and the second filament 102, the middle part of the first filament 101 and the second filament 102 is wrapped in holdfast 100
Middle part and expose both ends respectively, as shown in Figure 6;
It is oblique to wear filament: first by the both ends of the first filament 101 respectively obliquely through exposing both ends after rotator cuff tissue, then by
The both ends of two filaments 102 are respectively obliquely through both ends are exposed after rotator cuff tissue, as shown in Figure 7;
Tightening filament: the both ends of the first filament 101 are first each passed through to the left perforation 11 and right perforation of the first shim body 4
12, the both ends of the second filament 102 are each passed through to the left perforation 11 and right perforation 12 of the second shim body 5, then by the first gasket
Ontology 4 and the second shim body 5 are individually positioned in rotator cuff tissue surface, then firmly push down the first shim body 4 and tighten the
One filament 101, final force push down the second shim body 5 and tighten the second filament 102;
Wing piece is unfolded: when tighten the first filament 101, the first left wing piece 22 and the of the first shim body 4 of expansion
Two left wing pieces 23, block the both ends of the first filament 101;When tightening the second filament 102, while the second shim body 5 is unfolded
The first right wing piece 32 and the second right wing piece 33, block the both ends of the second filament 102;
It knots and fixes: knotting respectively to the first filament 101 and the second filament 102, the first filament 101 and second is thin
Line 102 is individually fixed in the first shim body 4 and the second shim body 5, as shown in Figure 8;
The redundance of the first filament 101 and the second filament 102 is cut respectively.
Although above having used general explanation and specific embodiment, the present invention is described in detail, at this
On the basis of invention, it can be made some modifications or improvements, this will be apparent to those skilled in the art.Therefore,
These modifications or improvements without departing from theon the basis of the spirit of the present invention are fallen within the scope of the claimed invention.
Claims (10)
1. a kind of rotator cuff injury treats gasket, which is characterized in that including a shim body (1),
The middle part of the shim body (1) is rectangle, both ends are semicircle,
The both ends of the shim body (1) are respectively arranged with left perforation (11) and right perforation (12),
The outer end and inner end of the left perforation (11) and the right perforation (12) are respectively set to orthodrome end (101) and small arc-shaped
It holds (102), is connected between the orthodrome end (101) and the small arc-shaped end (102) by transition (103).
2. rotator cuff injury as described in claim 1 treats gasket, which is characterized in that
The width of the transition (103) is from the junction with more than half circular arc (13) to the company with the smaller part circular arc (14)
The place of connecing is gradually reduced.
3. rotator cuff injury as described in claim 1 treats gasket, which is characterized in that
It is provided with spacer portion (13) in the middle part of the shim body (1), the left perforation (11) and right perforation (12) setting
In the two sides of the spacer portion (13), and the left perforation (11) and the right perforation (12) are about the shim body (1) width
The middle line spent on direction is symmetrical.
4. rotator cuff injury as claimed in claim 3 treats gasket, which is characterized in that
The both ends of the spacer portion (13) of the shim body (1) are respectively arranged with left wing's axis (21) and right flank axis (31),
The first left wing piece (22) and the second left wing piece (23) are cased on left wing's axis (21),
The first right wing piece (32) and the second right wing piece (33) are cased on the right flank axis (31).
5. rotator cuff injury as claimed in claim 4 treats gasket, which is characterized in that
The first left wing piece (22), the second left wing piece (23), the first right wing piece (32) and described second
Right wing piece (33) include axis hole nose circle and gasket contact jaw,
The axis hole nose circle of the first left wing piece (22) and the second left wing piece (23) is sheathed on left wing's axis (21)
On, the gasket contact jaw of the first left wing piece (22) and the second left wing piece (23) is erected on the gasket sheet respectively
Top edge and lower edge on the left of body (1);
The axis hole nose circle of the first right wing piece (32) and the second right wing piece (33) is sheathed on the right wing piece
(32) on, the gasket contact jaw of the first right wing piece (32) and the second right wing piece (33) is erected on the gasket sheet
Top edge and lower edge on the right side of body (1).
6. rotator cuff injury as described in claim 1 treats gasket, which is characterized in that
The top and bottom of the shim body (1) are respectively set to joint Cavity surface and rotator cuff tissue surface, and the joint Cavity surface is
Shiny surface, the rotator cuff tissue surface are frosting.
7. a kind of application method of rotator cuff injury treatment gasket, provides two rotator cuff injuries as described in claim 1 to 6 is any
Gasket is treated, the first shim body (4) and the second shim body (5) are respectively included, which is characterized in that the application method includes
Following steps:
Be implanted into holdfast (100): holdfast (100) is fixed on greater tubercles of humerus, the holdfast by the gap at cleaning rotator cuff injury
(100) the first filament (101) and the second filament (102) are wound on;
It is oblique to wear filament: first by the both ends of the first filament (101) respectively obliquely through exposing both ends after rotator cuff tissue, then by second
The both ends of filament (102) are respectively obliquely through exposing both ends after rotator cuff tissue;
Tightening filament: the both ends of the first filament (101) are first each passed through the left perforation (11) of the first shim body (4) and the right side is worn
Hole (12), by the both ends of the second filament (102) be each passed through the second shim body (5) left perforation (11) and right perforation (12),
First shim body (4) and second shim body (5) are individually positioned in rotator cuff tissue surface again, then with forcing
Residence states the first shim body (4) and tightens the first filament (101), and final force is pushed down second shim body (5) and received
Tight second filament (102);
It knots and fixes: knotting respectively to first filament (101) and second filament (102), by first filament
(101) it is individually fixed in first shim body (4) and second shim body (5) with second filament (102).
8. the application method of rotator cuff injury treatment gasket as claimed in claim 7, which is characterized in that first filament
(101) and in the middle part of second filament (102) it is wrapped in the middle part of the holdfast (100) and exposes both ends respectively.
9. the application method of rotator cuff injury treatment gasket as claimed in claim 8, which is characterized in that
The both ends of first shim body (4) and the both ends of second shim body (5) are respectively arranged with left wing's axis (21)
With right flank axis (31), the first left wing piece (22) and the second left wing piece (23), the right flank are cased on left wing's axis (21)
The first right wing piece (32) and the second right wing piece (33) are cased on axis (31),
It is further comprising the steps of between the tightening filament and the knotting are fixed:
When tightening the first filament (101), the first left wing piece (22) and second of first shim body (4) is unfolded
Left wing piece (23), blocks the both ends of the first filament (101);
When tightening the second filament (102), while the first right wing piece (32) and second of second shim body (5) is unfolded
Right wing piece (33), blocks the both ends of the second filament (102).
10. the application method of rotator cuff injury treatment gasket as claimed in claim 7, which is characterized in that the application method is also
The following steps are included: cutting the redundance of first filament (101) and second filament (102) respectively.
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CN201910116670.2A CN109646121B (en) | 2019-02-15 | 2019-02-15 | Rotator cuff injury treatment pad and using method thereof |
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CN201910116670.2A CN109646121B (en) | 2019-02-15 | 2019-02-15 | Rotator cuff injury treatment pad and using method thereof |
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CN109646121B CN109646121B (en) | 2024-05-24 |
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CN118078355A (en) * | 2024-04-17 | 2024-05-28 | 北京天星医疗股份有限公司 | Multifunctional anchor with wire |
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---|---|---|---|---|
CN118078355A (en) * | 2024-04-17 | 2024-05-28 | 北京天星医疗股份有限公司 | Multifunctional anchor with wire |
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