CN109984847A - Real-time monitoring enters and leaves the method and device of water in a kind of art - Google Patents
Real-time monitoring enters and leaves the method and device of water in a kind of art Download PDFInfo
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- CN109984847A CN109984847A CN201910254050.5A CN201910254050A CN109984847A CN 109984847 A CN109984847 A CN 109984847A CN 201910254050 A CN201910254050 A CN 201910254050A CN 109984847 A CN109984847 A CN 109984847A
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- water
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- time monitoring
- woven fabrics
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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
- A61B90/06—Measuring instruments not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/102—Fluid drainage means for collecting bodily fluids from the operating table, e.g. for blood, urine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/123—Lower body, e.g. pelvis, hip, buttocks
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N5/00—Analysing materials by weighing, e.g. weighing small particles separated from a gas or liquid
- G01N5/02—Analysing materials by weighing, e.g. weighing small particles separated from a gas or liquid by absorbing or adsorbing components of a material and determining change of weight of the adsorbent, e.g. determining moisture content
- G01N5/025—Analysing materials by weighing, e.g. weighing small particles separated from a gas or liquid by absorbing or adsorbing components of a material and determining change of weight of the adsorbent, e.g. determining moisture content for determining moisture content
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/34—General characteristics of devices characterised by sensor means for pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/44—General characteristics of devices characterised by sensor means for weight
Abstract
The present invention relates to the monitoring for entering and leaving water in art, real-time monitoring enters and leaves the method and device of water in specifically a kind of art, and method includes that monitoring input enters water；The water yield flowed out in monitoring art；Calculate the difference into water and water yield；Show difference.Method of the present invention by entering and leaving water in real-time monitoring art, can effectively judge the absorption of water in art, conducive to patient for the general control of patient's condition, effectively prevent the generation of TURP；The device for being entered and left water using monitoring simultaneously, is provided to patient and easily and efficiently enters and leaves water amount information, not only save operating time, and improve the safety of operation.
Description
Technical field
The present invention relates to the monitoring for entering and leaving water in art, in specifically a kind of art real-time monitoring enter and leave water method and
Device.
Background technique
The endoscopic surgery of hospital is now more more and more universal, such as Combining Hysteroscopy operation, Urology Surgery per urethra prostate electricity
It cuts, the operation of bladder tumor cutting, percutaneous nephrolithy, ureteroscope etc., in these surgical procedures, doctor must pass through pipe
Road cleans excision position with special liquid to keep the clear of visual area, while liquid is reduced in cutting videoendoscopic surgery
Temperature.But during hysteroscope operation, due to the effect of swollen palace pressure and perfusion medium, perfusate is largely inhaled by surgical wound surface
Receive, into human recycle system, cause a series of clinical symptoms such as fluid overload and (or) dilutional hyponatremia, such as not and
Shi Faxian and processing lethal can die, is one of serious complication of hysteroscope operation.It is comprehensive that this complication is also referred to as TURP
Sign.In terms of the prevention of TURP syndrome mainly includes following four: 1. reasonable intrauterine pressure；It is open to reduce blood sinus；Prison
Survey liquid absorption amount；Control operating time.Calculate the discrepancy amount of liquid accurately during surgery to judge liquid absorption amount
It is particularly important means.It is the swollen palace liquid such as the physiological saline hung or mannitol due to entering amount, and output is then that pollution is useless
Gurry both can not be calculated accurately, therefore at present clinically without effectively calculating the method for entering and leaving water.Therefore it needs
It is a kind of can under hysteroscope can the real-time monitoring system that enters and leaves water, judge patient to the uptake of liquid, it is certain by setting
Warning value prompt doctor and make respective handling, effectively reduce the generation of complication.There is document to point out, for health
Maximum absorption is 1 000 mL when people applies hypotonic fluid non-electrolyte perfusate, and the maximum absorption of isotonic liquid is still not
Understand 2 000 mL of expert advice <, is considered as individual patients situation and the suggestion of Anesthetist.If using hypertonic liquid, most
500 mL, the patient uptake < 300mL that the elderly or cardio-pulmonary function are damaged, for heart function or kidney are not to be exceeded in big uptake
The impaired patient of function, should give highly vigilant of.Warning value can be set with this.
Summary of the invention
In view of the above technical problems, the present invention provides real-time monitoring in a kind of art of effectively prevention TURP generation and enters and leaves water
Method.
The technical scheme of the invention to solve the technical problem is: real-time monitoring enters and leaves the side of water in a kind of art
Method comprising following steps:
(1) what monitoring inputted enters water；
(2) water yield flowed out in art is monitored；
(3) difference into water and water yield is calculated；
(4) difference is shown.
Preferably, it is described enter water and water yield be all made of weight mode and calculate.
The present invention also provides the devices that real-time monitoring in a kind of art enters and leaves water, including monitoring the monitor into water, receiving
Acquisition means and the collection membrane contacted with patient, the collection device are collected in art by the collection membrane and are discharged and monitor water yield,
The monitor and collection device will enter water amount information respectively and water yield information occurs to central processing unit, the central processing unit
Received information is carried out to obtain the difference into water and water yield after processing calculating, the difference is then sent to monitoring screen display
It shows and.
Preferably, the monitor includes weighing apparatus, the suspension that can be hung on operation bracket is equipped on the upside of the weighing apparatus
Ring, weighing apparatus downside are equipped at least one hook, which weighs in real time to the packed medicinal water hung on the hook,
And the data of weighing are occurred to the central processing unit.
Preferably, the weighing apparatus includes shell, the load mechanism connected with the hook and is arranged inside the shell
Sensor, packed medicinal water trigger the sensor by load mechanism, which is transmitted signals to by bluetooth equipment
The central processing unit.
Preferably, the collection membrane includes being adapted on the downside of the buttocks that can be padded in patient's clinostatism and with buttocks shape
Laminating apparatus, the laminating apparatus lower end are provided with the waterproof membrane that water outlet in art can be oriented to the collection device, the laminating apparatus
Lower end is connected with non-woven fabrics, offers surgical portal on non-woven fabrics on this, can cover patients abdomen to non-woven fabrics on this is turned over.
Preferably, the laminating apparatus includes middle part non-woven fabrics, sponge, middle part nothing are bonded on the downside of the middle part non-woven fabrics
The hydrogel that can be contacted with buttocks is provided on the upside of woven fabric.
Preferably, being respectively connected with side non-woven fabrics at left and right sides of the laminating apparatus.
Preferably, the collection device includes the collecting vessel for collecting the water outlet flowed out from the collection membrane, the collection
Bucket bottom is equipped with interlayer, and installation has sensing equipment in interlayer, which will be discharged weight signal and be transferred to institute in collecting vessel
State central processing unit.
Preferably, being equipped with aseptic plastic bag in the collecting vessel, the swollen palace liquid stream flowed out from the collection membrane enters the nothing
In bacterium polybag.
As can be known from the above technical solutions, method of the present invention by entering and leaving water in real-time monitoring art, can be in art effectively
Judge the absorption of water, conducive to patient for the general control of patient's condition, effectively prevents the generation of TURP；Simultaneously using monitoring
The device for entering and leaving water provides to patient and easily and efficiently enters and leaves water amount information, not only saves operating time, and improve
The safety of operation.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of preferred embodiment of the present invention.
Fig. 2 is the gathering structural schematic diagram of collection membrane in Fig. 1.
Fig. 3 is the principle of the present invention block diagram.
Specific embodiment
The present invention is discussed in detail below with reference to Fig. 1, Fig. 2 and Fig. 3, illustrative examples of the invention and illustrates to use herein
Explain the present invention, but not as a limitation of the invention.
The present invention provides the methods that real-time monitoring in a kind of art enters and leaves water comprising following steps:
(1) what monitoring inputted enters water；
(2) water yield flowed out in art is monitored；
(3) difference into water and water yield is calculated；
(4) difference is shown.
The above method can be applied to Combining Hysteroscopy operation, Urology Surgery transurethral resection of prostate, per urethra bladder swell
In the operation such as tumor cutting, percutaneous nephrolithy operation, ureteroscope, various ways can be taken to be calculated wherein monitoring enters and leaves water,
It is measured including various ways such as weighting manner, flow sensor mode, infrared survey modes.Of the invention enters water and goes out
Water is all made of weight mode and calculates, and this mode error is small, and it is more accurate to measure, and cost is relatively low, convenient for popularizing.
Water is entered and left to real-time monitoring in art of the invention for below using palace swollen in hysteroscope operation liquid as Water Exit
Device be described in detail, other operations can refer to execution.
The device that real-time monitoring enters and leaves water in art of the invention includes monitoring the monitor 3 into water, 2 and of collection device
The collection membrane 1 contacted with patient, the collection device 2 are collected in art by the collection membrane and are discharged and monitor water yield, the prison
It surveys instrument and collection device will enter water amount information respectively and water yield information occurs to central processing unit 6, central processing unit docking
The information of receipts carries out obtaining the difference into water and water yield after processing calculating, and the difference is then sent to 5 display of monitoring screen
Out, patient is given to provide real-time uptake data, and when difference data is more than a threshold value, it can be by central processing unit to report
Alarm device 7 sends alarm signal, to remind in art, it is ensured that the safety of operation, so that the intelligence of operation is realized, when saving operation
Between, it improves efficiency.
Monitor 3 of the invention includes weighing apparatus 31, weighing apparatus such as electronic crane scale etc., and guarantees weighing precision not less than hundred
/ mono-, whole device supporting power at least 7kg, weighing apparatus upside is equipped with the hanging ring 32 that can be hung on operation bracket, convenient
At least one hook 33 is equipped on the downside of operation indoor suspension, weighing apparatus, the packed swollen palace liquid hung on the hook passes through
The weighing apparatus is weighed in real time.Preferably, the hook is 4, it is evenly distributed.Because leading to during hysteroscope operation
It often uses 2 bags of physiological saline as swollen palace liquid simultaneously, swollen palace liquid is hung on diagonal hook at this time；It also can be swollen by 4 bags simultaneously
Palace liquid is hung on respectively on 4 hooks, and the dosage that can be performed the operation with all promising policy guarantees that operation is more convenient.Start in operation
Before, weighing apparatus can weigh up the initial weight of swollen palace liquid, and in the course of surgery with the consumption of swollen palace liquid, weighing apparatus is to remaining swollen
Palace liquid is weighed, and the difference of the two is the consumption of swollen palace liquid, and the difference real-time display is come out, to reach monitoring
The purpose of swollen palace liquid dosage.The weighing apparatus includes shell, the load mechanism 34 connected with the hook, is arranged inside the shell
Sensor 35, the packed swollen palace liquid being suspended on the hook trigger the sensor by load mechanism, and the sensor will
Signal is sent to central processing unit 6 by blue-tooth device 36, and can come out in monitoring screen display, to realize entering for swollen palace liquid
Measure real-time intelligent monitoring.
The swollen palace liquid flowed out in operation is oriented to collection device 2 by collection membrane 1 of the invention, and the collection device is to the swollen of collection
Palace liquid is weighed and is shown in real time, and patient is made effectively to judge the uptake of swollen palace liquid, conducive to patient for overall of patient's condition
It holds, effectively prevents the generation of TURP, improve the safety of operation.Collection membrane 1 includes on the downside of the buttocks that can be padded in patient's clinostatism
And the laminating apparatus 11 being adapted with buttocks shape, guarantee tight between buttocks and operating bed, prevents swollen palace liquid from revealing, the patch
Attach together set lower end be provided with can by swollen palace liquid be oriented to collecting vessel waterproof membrane 12, which is connected with non-woven fabrics
13, hysteroscope operation entrance 3 is offered on this on non-woven fabrics, patients abdomen can be covered to non-woven fabrics on this is turned over, can not only be protected
Card patient undergos surgery under safety, comfortable environment, and will not influence the operation of patient, more existing sterile-cloth laying side
Formula is simpler, conveniently.The length and laminating apparatus of upper non-woven fabrics are adapted, and width is 30-40cm or so, cross tripe in art middle cover
Subject to navel, guarantee sterile in art.
Preferably, it is swollen to be arranged with prevention on the hysteroscope when hysteroscope is operated across the surgical portal
The baffle 4 of palace liquid spluttering, several also settable grooves on baffle not only can guarantee swollen palace liquid of the spluttering on baffle along groove stream
To collection membrane, also can avoid swollen palace liquid spluttering to patient on hand or with.Laminating apparatus 11 of the invention includes middle part non-woven fabrics,
It is bonded with sponge on the downside of the middle part non-woven fabrics, is provided with the hydrogel that can be contacted with buttocks on the upside of the non-woven fabrics of middle part.Laminating apparatus
Using three-decker, downside sponge can be bonded operating bed well, guarantee tight between buttocks and operating bed, can not only prevent
Swollen palace liquid leakage, and patient is more comfortable；Middle part non-woven fabrics can mutually be pasted with side non-woven fabrics makes entire collection membrane become one
It is whole, it processes simpler；Upside hydrogel directly fits with human skin, is not easy to slip, and further avoids swollen palace liquid leakage.
It is respectively connected with side non-woven fabrics 15 at left and right sides of laminating apparatus, can be integrated into upper non-woven fabrics, middle part non-woven fabrics
Type structure is cut by one block of non-woven fabrics.Side non-woven fabrics is rectangle, and length is about 20-30cm, and width is about 40-
60cm is adhered to patient's bilateral thigh, and aseptic towel when performing the operation is compacted in patient two sides, is more than patient's knee in art, can
It to prevent swollen palace liquid from overflowing outside collection membrane during outflow, can preferably help to collect swollen palace liquid, also be conducive to guarantee patient
The clearly visual field in art is conducive to patient and operates.Preferably, that the waterproof membrane 12 is long in upside, downside is short is trapezoidal, mainly
Plaing a part of to collect swollen palace liquid, left and right sides are about 50-70cm, and are equipped with crimping 16, involute function is made it have, to prevent
Spillage when only swollen palace liquid stream goes out guarantees the accuracy for collecting swollen palace liquid so that swollen palace liquid is accurately oriented to collecting vessel.
It include the collecting vessel 21 for collecting the swollen palace liquid flowed out from collection membrane, the collecting vessel the present invention provides collection device 2
Bottom is equipped with interlayer 22, and installation has sensing equipment 23 in interlayer, which passes the inductive signal of palace swollen in collecting vessel liquid
Central processing unit 6 is passed, to realize the collection and intelligent display of swollen palace liquid in endoscope-assistant surgery, guarantees that patient grasps patient's suction at any time
Receive the amount of swollen palace liquid, it is ensured that TURP phenomenon does not occur, to improve operation safety.In implementation process, collecting vessel be can be used
Plastics can be recycled in cylinder, material, and diameter range is 40 ± 10cm, and altitude range 30-60cm, compartment thickness range is 5
± 1cm is not only suitable for the needs of endoscope-assistant surgery, but also cost is relatively low.
The sensing apparatus of the invention uses pressure sensor, and such as piezoresistive pressure sensor is based on semiconductor
Sensor made of the piezoresistive effect principle of material is exactly to utilize integrated circuit technology directly on silicon flat diaphragm by certain crystal orientation
Diffusion varistor is made, pressure-sensing device and elastic element are integrated, and eliminate mechanical hysteresis and creep, improve biography
The performances such as miniaturization, high precision int, the base of sensor.When the silicon diaphragm of sensor is pressurized, the deformation of diaphragm will make to spread
The resistance value of resistance changes.Not only high sensitivity, frequency response are high；And measurement range is wide, can survey the minute-pressure down to 10Pa
To the up to high pressure of 60Mpa；Precision is high, reliable operation, precision reachable ± 0.2%~0.02%；It is easy to microminaturization, is raw
It is also ideal detection instrument in terms of object medicine.Other pressure sensors can also be used in implementation process.Pressure sensor
Bluetooth equipment 25 can be used and transmit signals to central processing unit.Since whole device is arranged in operating room, set using bluetooth
Standby to carry out accurate delivery, not only cost is relatively low, but also signal stabilization.In implementation process, sterile modeling is equipped in collecting vessel
Material bag 26, the swollen palace liquid stream flowed out from collection membrane enter in the aseptic plastic bag, not only can guarantee that collecting vessel is reusable, but also
The swollen palace liquid for facilitating processing to collect.The present invention uses the aseptic plastic bag of Pasting, can be affixed on collecting vessel, be flowed with collecting in art
Swollen palace liquid out is used, is convenient for disassembly.The collecting vessel is arranged on chassis 27, collecting vessel can be made to be in always
Horizontal position guarantees the preparatory of measurement.Preferably, the chassis bottom is equipped with several idler wheels 28, it can be used 6, edge
Collecting vessel bottom is symmetrical, can 360 ° of rotations, be moved easily collecting vessel, be at and best collect position.
Central processing unit 6 of the invention, by specially designing, with monitoring screen connection.The design of central processing unit two sides has more
There are electric source line interface in a USB interface and RS232 data line interface, side.Can receive simultaneously two electronic scales carry out it is wired or
The data of wireless transmission, and the software by specially designing is analyzed and processed real-time reception data, and weight value is scaled
Bulking value substantially judges the capacity of the swollen palace liquid of absorption of human body by calculating into the volume differences of amount and output, and on monitoring screen
Real-time display water yield enters water data, difference, every 5 minutes difference amounts, accumulative uptake, rate (entering water value per minute),
And with voice broadcast, warning value alarm, data storage function.By be arranged certain warning value (volume include 500ml,
1000ml, 2000ml, 3000ml, 4000ml, 5000ml), warn patient to make respective handling more than after warning value.And it can be by state
The data input central processing unit of interior TURP syndrome diagnosis and treatment guide and patient is arranged different according to the health condition of different patients
Warning value, handled in time, realize individuation, precision treatment.
Claims (10)
1. in a kind of art real-time monitoring enter and leave water method, feature the following steps are included:
(1) what monitoring inputted enters water；
(2) water yield flowed out in art is monitored；
(3) difference into water and water yield is calculated；
(4) difference is shown.
2. according to claim 1 in art real-time monitoring enter and leave water method, it is characterised in that: it is described enter water and water outlet
Amount is all made of weight mode and calculates.
3. real-time monitoring enters and leaves the device of water in a kind of art using method as claimed in claim 1 or 2, including monitors into water
Monitor, collection device and the collection membrane contacted with patient, it is characterised in that: the collection device is collected by the collection membrane
Water yield is discharged and monitored in art, and the monitor and collection device will enter water amount information respectively and water yield information occurs into
Central processor, the central processing unit carry out received information to obtain the difference into water and water yield after processing calculating, then
The difference is sent to monitoring screen to show.
4. according to claim 3 in art real-time monitoring enter and leave water device, it is characterised in that: the monitor include claim
Treasure, weighing apparatus upside are equipped with the hanging ring that can be hung on operation bracket, at least one hook are equipped on the downside of weighing apparatus, this claims
Treasure weighs in real time to the packed medicinal water hung on the hook, and the data of weighing are occurred to the central processing
Device.
5. real-time monitoring enters and leaves the device of water in art according to claim 4, it is characterised in that: the weighing apparatus includes outer
Shell, the sensor of the load mechanism and setting connected with the hook inside the shell, packed medicinal water are triggered by load mechanism
The sensor, the sensor transmit signals to the central processing unit by bluetooth equipment.
6. according to claim 4 in art real-time monitoring enter and leave water device, it is characterised in that: the collection membrane include can
The laminating apparatus for padding on the downside of the buttocks in patient's clinostatism and being adapted with buttocks shape, which, which is provided with, to incite somebody to action
Water outlet is oriented to the waterproof membrane of the collection device in art, which is connected with non-woven fabrics, opens on non-woven fabrics on this
Equipped with surgical portal, patients abdomen can be covered to non-woven fabrics on this is turned over.
7. real-time monitoring enters and leaves the device of water in art according to claim 6, it is characterised in that: the laminating apparatus includes
Middle part non-woven fabrics, middle part non-woven fabrics downside are bonded with sponge, are provided with the water-setting that can be contacted with buttocks on the upside of the non-woven fabrics of middle part
Glue.
8. according to claim 7 in art real-time monitoring enter and leave water device, it is characterised in that: described laminating apparatus or so
Two sides are respectively connected with side non-woven fabrics.
9. real-time monitoring enters and leaves the device of water in the art according to any one of claim 3 to 8, it is characterised in that: institute
Stating collection device includes the collecting vessel for collecting the water outlet flowed out from the collection membrane, which is equipped with interlayer, interlayer
Interior installation has sensing equipment, which will be discharged weight signal and be transferred to the central processing unit in collecting vessel.
10. according to claim 9 in art real-time monitoring enter and leave water device, it is characterised in that: set in the collecting vessel
There is aseptic plastic bag, the swollen palace liquid stream flowed out from the collection membrane enters in the aseptic plastic bag.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910254050.5A CN109984847A (en) | 2019-04-01 | 2019-04-01 | Real-time monitoring enters and leaves the method and device of water in a kind of art |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910254050.5A CN109984847A (en) | 2019-04-01 | 2019-04-01 | Real-time monitoring enters and leaves the method and device of water in a kind of art |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109984847A true CN109984847A (en) | 2019-07-09 |
Family
ID=67132001
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910254050.5A Withdrawn CN109984847A (en) | 2019-04-01 | 2019-04-01 | Real-time monitoring enters and leaves the method and device of water in a kind of art |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109984847A (en) |
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2019
- 2019-04-01 CN CN201910254050.5A patent/CN109984847A/en not_active Withdrawn
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Application publication date: 20190709 |