CN110038209A - A kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic - Google Patents

A kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic Download PDF

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Publication number
CN110038209A
CN110038209A CN201910285276.1A CN201910285276A CN110038209A CN 110038209 A CN110038209 A CN 110038209A CN 201910285276 A CN201910285276 A CN 201910285276A CN 110038209 A CN110038209 A CN 110038209A
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CN
China
Prior art keywords
conduit
sacculus
liquid inlet
inlet conduit
neurosurgery
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Granted
Application number
CN201910285276.1A
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Chinese (zh)
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CN110038209B (en
Inventor
宋翔
袁成龙
单启鹏
王恩光
席永强
何雪
韩昕玘
宋丽霞
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Xiamei Marmem Co Ltd Lanzhou
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Xiamei Marmem Co Ltd Lanzhou
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Priority to CN201910285276.1A priority Critical patent/CN110038209B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10181Means for forcing inflation fluid into the balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10184Means for controlling or monitoring inflation or deflation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Vascular Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The present invention provides a kind of balloon expandable devices for neurosurgery trigeminal neuralgia transdermal therapeutic, including conduit tube component and Y type to distribute head assembly;Conduit tube component is made of center liquid inlet conduit and external exhaust gas conduit, the front of center liquid inlet conduit is provided with delivery hole, sacculus covers on this section of tube body that delivery hole is distributed with, remaining tube body is sleeved in external exhaust gas conduit, center liquid inlet conduit and sacculus and external exhaust gas conduit formation co-axial return conduit thereon;Y type dispensing head body rear connects with luer lock connector, and side connects switchable valve, and connector is connected with center liquid inlet conduit, and valve is connected with external exhaust gas conduit;Center liquid inlet conduit of the present invention front end is communicated by delivery hole with sacculus, and balloon expandable is made, and by the way that external exhaust gas conduit is arranged, the air for remaining on balloon interior is discharged all, without aspirating repeatedly, to reduce the patients surgery time, improves doctor and uses simplification.

Description

A kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic
Technical field
The invention belongs to medical instruments fields, are related to a kind of flexible trigeminal neuralgia extension fixture, and in particular to one kind is used for The balloon expandable device of neurosurgery trigeminal neuralgia transdermal therapeutic.
Background technique
Trigeminal neuralgia is a kind of of short duration severe pain in face trigeminal neuralgia distributed area recurrent exerbation, and also known as pain is taken out It jerks.It is counted according to the country, trigeminal neuralgia illness rate is 182 people/100,000, and annual morbidity is 3-5 people/100,000, mostly occurs in adult And the elderly, age of onset is between 28-89 years old, and 70%-80% case occurs at 40 years old or more, and the peak age was at -59 years old 48 years old Between, average age 55 years old, men and women's prevalence proportions were 1: 1.5.Site of pathological change be mostly it is unilateral, right side pain accounts for 61%, left side 38%, Bilateral 1%.Ith pain 5%, II branch pain 41%, the IIIth pain 37%, the I+II branch pain account for 3%, the IIth+III pain 13%, the I+II+III pain 1%.The pathogenesis of primary trigeminal neuralgia is not still ten clearly demarcated, though there are many theories, does not have still so far There is a theory that can completely explain its Clinical symptoms, what is supported at present for everybody is that trigeminal neuralgia microvascular compression leads to mind Through demyelinate theory and epileptic neuralgia theory.
The therapeutic modality of primary trigeminal neuralgia is broadly divided into following several: 1, drug therapy;2, external physical therapy (is such as pressed It rubs);3, operative treatment.When wherein, using operative treatment mode, Percutaneous microballoon compression for trigeminal art is that primary is treated in intervention ruling by law The prefered method of trigeminal neuralgia.However, there has been no a kind of preferable therapeutic devices at present, blood vessel class is mostly used to intervene sacculus greatly It is treated, having a disadvantage in that can not guarantee that implanting saccule at front end full liquid (cannot exclude conduit and sacculus completely very well when use In air) it is full, expansion shape is inconsistent, full so as to cause needing in surgical procedure repeatedly, increases Infection in operation rate, postoperative Effect is undesirable.
Summary of the invention
The purpose of the invention is to provide it is a kind of convenient for doctor's operation, guarantee skin puncture Micrococcus and Staphylococcus art can smoothly into The balloon expandable device of capable trigeminal neuralgia transdermal therapeutic.
The present invention is achieved by the following technical solutions: a kind of sacculus for neurosurgery trigeminal neuralgia transdermal therapeutic Extension fixture, including conduit tube component and Y type distribute head assembly;
Conduit tube component is made of center liquid inlet conduit and external exhaust gas conduit, and the front of center liquid inlet conduit is provided with delivery hole, ball Cuff is on this section of tube body that delivery hole is distributed with, and remaining center liquid inlet conduit tube body is sleeved in external exhaust gas conduit, outside The front end of portion's exhaust manifolds and sacculus rear end annular are affixed, and sacculus front end and center liquid inlet conduit front end annular are affixed, and to this End pipe mouth blocks, center liquid inlet conduit and sacculus and external exhaust gas conduit formation co-axial return conduit thereon;
Y type distributes head assembly, including Y type dispensing head, the rear end of Y type dispensing head main body connect with luer lock connector, main body Side connects switchable valve, and luer lock connector is connected with center liquid inlet conduit, switchable valve and external exhaust gas conduit phase It connects;Liquid is by luer lock connector injection center liquid inlet conduit, entering sacculus by delivery hole makes its expansion, passes through control Valve extracts emptying sacculus by female Luer.
Further, switchable valve is push type valve or screwing type valve.
Preferably, push type valve includes Valve plug, spool and pressure cap;Spool is tubulose, and interior be equipped with cooperates with it The Valve plug used, spool lower end are threadedly coupled with the side of Y type dispensing head main body, and Valve plug is installed in spool, passes through pressing The on and off of the center conducting tube control flap plug of cap.
Further, sacculus front end is annular with center liquid inlet conduit front end in such a way that part cooperates or is bonded or welded It is affixed.
Preferably, the tube wall of sacculus front end is in the pipe of tip, by tip pipe by it in the front end of center liquid inlet conduit Tube wall is fixed together, and the end pipe mouth of center liquid inlet conduit is blocked by front end plug.
Further, sacculus rear end cooperates by part or is bonded or welded the front end of mode and external exhaust gas conduit annular It is affixed.
Preferably, inner sleeve is fixed in the pipe of sacculus rear end, is then loaded by the tube wall housing in sacculus rear end outer Sacculus rear end tube wall and the front end of external exhaust gas conduit are fixed together by casing by outer tube, wherein the inner sleeve is It is sleeved in the liquid inlet conduit of center, and there is gap between the two.
The sacculus is made of elastic material, is compliant balloon, non-compliance sacculus or semi-compliant sacculus;The ball Round, olive ball-type or cylinder are formed after capsule expansion.
Further, the Y type dispensing head, wherein radial outer is equipped with dispensing mouth, the front end for Y type dispensing head main body Bonding with center liquid inlet conduit rear end and external exhaust gas rear end of conduit, the type dispensing head port Y is equipped with conduit protective pipe sleeve.
Preferably, conduit protective pipe sleeve is made of macromolecule transparent material, has excellent bending.
Beneficial effects of the present invention are as follows:
1, center liquid inlet conduit of the present invention front end is communicated by delivery hole with sacculus, makes balloon expandable, by the way that external exhaust gas is arranged The air for remaining on balloon interior is discharged all in conduit, without aspirating repeatedly, to reduce the patients surgery time, improves doctor It is raw to use simplification.
2, the air of balloon interior of the present invention is all discharged, and is that single liquid phase is situated between since it is internal after sacculus intervenes human body Matter (no gas) can make sacculus shape keep isotone, and then keep equivalent fitting with body structures space, to improve Surgical quality.
3, the present invention can facilitate gas in discharge conduit, meeting is effective again after closing by the way that valve is arranged in Y type dispensing head Liquid is prevented to be discharged, to improve the ease for use of product.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of this balloon expandable device;
Fig. 2 is implanting saccule at front end component sectional structure chart;
Fig. 3 is rear end Y type dispensing head component structure diagram;
Fig. 4 is that Y type in rear end distributes head assembly explosion relation schematic diagram;
Fig. 5 is switchable valve assembling schematic diagram;
Fig. 6 is the rear end Y type dispensing head dispensing mouth Nian Jie with center liquid inlet conduit and outer exhaust duct respectively;
Fig. 7 is connected to schematic diagram with female Luer for center liquid inlet conduit;
Fig. 8 is connected to schematic diagram with switchable valve for external exhaust gas conduit
Fig. 9 is the magnified partial view in Fig. 8.
Appended drawing reference: 1, sacculus assembly;2, conduit tube component;3, Y type connection distribution head assembly;11, outer tube;12, inner sleeve Pipe;13, sacculus;14, delivery hole;15, tip is managed;16, front end plug;21, center liquid inlet conduit;22, external exhaust gas conduit; 31, conduit protective pipe sleeve;32, Y type dispensing head;321, dispensing mouth;33, push type valve;331, Valve plug;332, spool;333, Pressure cap;4, it connects at female Luer.
Specific embodiment
Structure and the course of work of the invention are described in further detail with reference to the accompanying drawing.
As shown in figs 1-9, a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic, including conduit group Part 2 and Y type distribute head assembly 3;Conduit tube component 2 includes center liquid inlet conduit 21 and external exhaust gas conduit 22;Center liquid inlet conduit Delivery hole is distributed on the tube body of 21 fronts, sacculus covers on this section of tube body that delivery hole is distributed with, and remaining center feed liquor is led 21 tube body of pipe is sleeved in external exhaust gas conduit 22, and sacculus rear end cooperates by part or be bonded or welded mode and external row The front end of airway 22 is connected;Sacculus front end is in such a way that part cooperates or is bonded or welded and before the liquid inlet conduit of center The nozzle of end connection, center liquid inlet conduit front end is blocked by metal or non-metal workpiece bonding or by fusion mode;In Heart liquid inlet conduit 21 and sacculus and the formation co-axial return conduit of external exhaust gas conduit 22 thereon.
Above-mentioned preferred sacculus rear end is connected in such a way that part cooperates with the front end of external exhaust gas conduit 22, as follows: Inner sleeve 12 is fixed in the pipe of 13 rear end of sacculus, outer tube 11 is then loaded by the tube wall housing in 13 rear end of sacculus, is led to It crosses outer tube 11 13 rear end tube wall of sacculus and the front end of external exhaust gas conduit 22 are fixed together, wherein the inner sleeve 12 It is to be sleeved in center liquid inlet conduit 21, and there is gap between the two.
The front end of above-mentioned preferred sacculus is connect in such a way that part cooperates with the front end of center liquid inlet conduit, preferred center The nozzle of liquid inlet conduit front end is blocked by metal or non-metal workpiece;As follows: the tube wall of 13 front end of sacculus is mounted in tip pipe 15 In, its front end tube wall in center liquid inlet conduit is fixed together by tip pipe 15, the end pipe of center liquid inlet conduit 21 Mouth is blocked by front end plug 16.
It includes Y type dispensing head 32 and valve 33 that Y type, which distributes head assembly 3, and Y type dispensing head 32 is macromolecule transparent material system At, the rear termination luer lock connector of main body, the side of main body connects valve 33, and female Luer is communicated with center liquid inlet conduit, As shown in fig. 6, switchable valve is communicated with external exhaust gas conduit, as shown in Figure 8,9,;The radial outer of the Y type dispensing head 32 Dispensing mouth is set, it is Nian Jie with the front end of Y type dispensing head main body for center liquid inlet conduit rear end, external exhaust gas rear end of conduit.Y type Distribution head assembly 3 further includes the abutting edge that conduit protective pipe sleeve 31 is mounted on two conduits Yu Y type dispensing head, is protected by catheter sheath pipe 31 Shield.
The sacculus 13 is made of elastic material, can be compliant balloon, non-compliance sacculus and semi-compliant sacculus;Institute Shape can be round, olive ball-type or cylinder after stating balloon expandable.
Valve can be divided into push type or screwing type;Push type valve 33 is by Valve plug 331, spool 332 and 333 groups of pressure cap At;332 pipe of spool is provided with Valve plug 331 used in conjunction with, the side of 332 lower end of spool and 32 main body of Y type dispensing head It is threadedly coupled, Valve plug 331 is installed in 332 upper end of spool, and pressure cap 333 can carry out pressing or pull lift action in certain distance, lead to Crossing the pressing pressure cap 333 is connected Valve plug, closes Valve plug by lifting pressure cap 333, as shown in Figure 5.
In use, liquid is injected into center liquid inlet conduit 21 by female Luer, sacculus 13 is entered by catheter 14, Expand sacculus 13, the gas in sacculus 13 makes it into external exhaust gas conduit 22 and center liquid inlet conduit by control valve 21 channels formed.
Embodiment
3 delivery holes 14 are equipped in center liquid inlet conduit 21 at sacculus 13, the body rear of Y type dispensing head connects Rule and connects Head is laterally push type valve 33;Center liquid inlet conduit 21 is communicated with female Luer, external exhaust gas conduit 22 and push type valve 33 communicate;In the operation of trigeminal neuralgia transdermal therapeutic, it is prepared work in advance, presses or press pressure cap 333, takes note of substituting the bad for the good The syringe for penetrating liquid is connect with the female Luer of Y type dispensing head body rear, slow bolus infusion liquid, to have in Y type dispensing head It can be seen that injection, lifts or lift pressure cap 333, preparation is completed.
Dorsal position is taken after patient's general anesthesia intubation, anterior approach method is punctured using Trigeminal Semilunar Ganglion, puncture needle inserting needle clicks 2~3 cm outside Ipsilateral bicker, another 2 reference points are respectively 3 before ipsilateral pupil 1 cm of lower section and the horizontal external auditory canal of zygomatic arch Cm punctures referring to bony structures such as remporomandibular joint, petrous bone and slopes under C-arm side potential head cranium perspective, arrives at oval Sacculus 13 is imported by Meckel chamber by puncture needle behind hole, by even syringe of the good female Luer with developer solution slowly to ball Injection is in capsule 13 with Filled Balloon, and with reference to the bone mark of surrounding, marginal not penetrates frontier inspection and looks into shape and the position of sacculus, once pay no attention to Think, lifting syringe empties sacculus 13 immediately and adjusts 1 position of sacculus assembly, until filling into cream near posterior clinoid process and sella turcica Head is convex to ideal fall pyriform appearances of Posterior fossa, and sacculus 13 fills 0.2~0.9 mL of capacity, oppress semilunar ganglion 3~ Sacculus is emptied after 7min, and withdraws from several minutes of point of puncture of compressing simultaneously with puncture needle.

Claims (10)

1. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic, it is characterised in that: including conduit tube component Head assembly (3) are distributed with Y type;
Conduit tube component (2) is made of center liquid inlet conduit (21) and external exhaust gas conduit (22), before center liquid inlet conduit (21) Portion is provided with delivery hole, and sacculus covers on this section of tube body that delivery hole is distributed with, remaining center liquid inlet conduit (21) tube body suit In external exhaust manifolds (22), the front end of external exhaust gas conduit and sacculus rear end annular are affixed, sacculus front end and center feed liquor Conduit (21) front end annular is affixed, and to the end pipe mouth block, center liquid inlet conduit (21) with thereon sacculus (13) and outside Exhaust manifolds (22) form co-axial return conduit;
Y type distributes head assembly (3), including Y type dispensing head (32), the rear end of Y type dispensing head (32) main body and luer lock connector Connect, the side of main body connects switchable valve, and luer lock connector is connected with center liquid inlet conduit, switchable valve and outside Exhaust manifolds (22) are connected;Liquid is by entering ball by delivery hole in luer lock connector injection center liquid inlet conduit (21) Capsule (13) makes its expansion, empties sacculus by control valve.
2. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic according to claim 1, special Sign is: switchable valve (33) is push type valve or screwing type valve.
3. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic according to claim 1 or 2, Be characterized in that: push type valve (33) includes Valve plug (331), spool (332) and pressure cap (333);Spool (332) is pipe Shape, interior to be equipped with Valve plug used in conjunction with (331), the side spiral shell of spool (332) lower end and Y type dispensing head (32) main body Line connection, spool (332) upper end install Valve plug (331), pass through the on and off of pressure cap (333) control valve plug.
4. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic according to claim 3, special Sign is: sacculus (13) front end is affixed with center liquid inlet conduit front end annular in such a way that part cooperates or is bonded or welded.
5. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic according to claim 4, special Sign is: the tube wall of sacculus (13) front end is in tip pipe (15), by tip pipe (15) by it in center liquid inlet conduit Front end tube wall is fixed together, and the end pipe mouth of center liquid inlet conduit (21) is blocked by front end plug (16).
6. a kind of according to claim 1, balloon expandable dress for neurosurgery trigeminal neuralgia transdermal therapeutic described in 4 or 5 It sets, it is characterised in that: sacculus (13) rear end cooperates by part or be bonded or welded the front end ring of mode Yu external exhaust gas conduit Shape is affixed.
7. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic according to claim 6, special Sign is: inner sleeve (12) is fixed in the pipe of sacculus (13) rear end, then by being set with outside the tube wall of sacculus (13) rear end The front end of sacculus (13) rear end tube wall and external exhaust gas conduit (22) is fixed in one by outer tube (11) by upper outer tube (11) It rises, wherein the inner sleeve (12) is to be sleeved on center liquid inlet conduit (21), and have gap between the two.
8. a kind of according to claim 1, balloon expandable for neurosurgery trigeminal neuralgia transdermal therapeutic described in 4,5 or 7 Device, it is characterised in that: the sacculus (13) is made of elastic material, is compliant balloon, non-compliance sacculus or semi-compliant Property sacculus;Round, olive ball-type or cylinder are formed after the balloon expandable.
9. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic according to claim 8, special Sign is: the Y type dispensing head (32), wherein radial outer is equipped with dispensing mouth, front end and center for Y type dispensing head main body The bonding of liquid inlet conduit rear end and external exhaust gas rear end of conduit, abutting edge are equipped with conduit protective pipe sleeve (31).
10. a kind of balloon expandable device for neurosurgery trigeminal neuralgia transdermal therapeutic according to claim 9, special Sign is: conduit protective pipe sleeve (31) is made of macromolecule transparent material.
CN201910285276.1A 2019-04-10 2019-04-10 Balloon dilation device for neurosurgery trigeminal nerve percutaneous treatment Active CN110038209B (en)

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CN201910285276.1A CN110038209B (en) 2019-04-10 2019-04-10 Balloon dilation device for neurosurgery trigeminal nerve percutaneous treatment

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CN201910285276.1A CN110038209B (en) 2019-04-10 2019-04-10 Balloon dilation device for neurosurgery trigeminal nerve percutaneous treatment

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CN110038209B CN110038209B (en) 2024-04-26

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112156335A (en) * 2020-10-16 2021-01-01 法志强 Instrument for performing trigeminal semilunar ganglion sacculus compression
CN114796809A (en) * 2022-03-30 2022-07-29 深圳市顺美医疗股份有限公司 Balloon guide catheter

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112156335A (en) * 2020-10-16 2021-01-01 法志强 Instrument for performing trigeminal semilunar ganglion sacculus compression
CN114796809A (en) * 2022-03-30 2022-07-29 深圳市顺美医疗股份有限公司 Balloon guide catheter

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