CN110292465B - Sacral prosthesis with reduced weight, increased strength and bone ingrowth fixation - Google Patents
Sacral prosthesis with reduced weight, increased strength and bone ingrowth fixation Download PDFInfo
- Publication number
- CN110292465B CN110292465B CN201910556547.2A CN201910556547A CN110292465B CN 110292465 B CN110292465 B CN 110292465B CN 201910556547 A CN201910556547 A CN 201910556547A CN 110292465 B CN110292465 B CN 110292465B
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- bone
- weight
- bone growth
- reducing
- spherical
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 117
- 230000008468 bone growth Effects 0.000 claims abstract description 73
- 230000003014 reinforcing effect Effects 0.000 claims description 10
- 208000016261 weight loss Diseases 0.000 claims description 10
- 239000013585 weight reducing agent Substances 0.000 claims description 10
- 210000001503 joint Anatomy 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 2
- 230000004927 fusion Effects 0.000 abstract 1
- 230000021332 multicellular organism growth Effects 0.000 abstract 1
- 230000000694 effects Effects 0.000 description 8
- 206010028980 Neoplasm Diseases 0.000 description 4
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 2
- 230000012010 growth Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000003049 pelvic bone Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 1
- 230000003340 mental effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000004513 sizing Methods 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
- A61F2002/30028—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in tissue ingrowth capacity, e.g. made from both ingrowth-promoting and ingrowth-preventing parts
Abstract
The invention discloses a sacral prosthesis which is used for reducing weight, increasing strength and fixing bone ingrowth, and relates to the technical field of bone prostheses, and solves the problems of insufficient structural strength, large weight and poor bone fusion. The technical key points are as follows: including outer braced frame, bone growth income layer and central authorities subtract heavy body, bone growth income layer edge and bracing piece fixed connection, central authorities subtract heavy body and outer braced frame fixed connection, central authorities subtract heavy body and bone growth income layer butt or fixed connection, bone growth income layer includes a plurality of bone growth income units, bone growth income unit is equipped with spherical bone growth income chamber, spherical bone growth income chamber runs through the lateral wall that bone growth income unit and forms the bone growth income round hole, bone growth income unit is inseparable concatenation each other and adjacent bone growth income unit's bone growth income round hole intercommunication each other, spherical bone growth income chamber's diameter is 100 microns ~ 1000 microns. The weight of the prosthesis is reduced while higher structural strength is achieved, the comfort is improved, the method is suitable for making personalized sacral prosthesis, and the sacral prosthesis can be conveniently used.
Description
Technical Field
The invention relates to the technical field of bone prostheses, in particular to a sacral prosthesis which reduces weight, increases strength and fixes bone ingrowth.
Background
The sacrum is an important bone at the pelvic bone that has important roles in supporting the spine, maintaining the pelvic bone architecture, and transmitting body loads. When a patient with a sacrum tumor is diagnosed, the tumor tends to be large, and during the operation of the sacrum tumor resection, the tumor needs to be resected together with a portion of the sacrum. After the sacrum is partially cut off, the movement of the person after the operation is easily influenced, so that the person is inconvenient to move, and the limit load born by the sacrum is also influenced.
In the prior art, a prosthesis for replacing a sacrum resected during surgery is presented, the prosthesis is contacted with a bone section left by the resecting surgery and supports the rest of the bone, the structural strength and weight of the sacrum prosthesis have great influence on the recovery degree and life experience of a postoperative patient, the weight of the prosthesis is light, the movement of the patient is facilitated, the structural strength of the prosthesis is high, the patient can perform more severe movement, and the service life of the prosthesis is longer. However, the structural strength and weight of the sacral prosthesis often contradict due to the design of the sacral prosthesis in the prior art, if the material is reduced for reducing the weight, the structural strength of the sacrum is seriously affected, if the material is increased for improving the structural strength, the weight of the sacral prosthesis is increased, so that the structural strength and the weight of the prosthesis are difficult to balance, and the structural strength of the prosthesis is insufficient and the weight of the prosthesis is excessive easily. Therefore, the prior art has the problems of insufficient structural strength and large weight.
Disclosure of Invention
In order to overcome the above-mentioned drawbacks of the prior art, it is an object of the present invention to provide a sacral prosthesis that is reduced in weight, increased in strength and bone ingrowth fixation, with the advantages of better structural strength and lighter weight.
The technical scheme adopted for solving the technical problems is as follows:
the sacrum prosthesis comprises an outer support frame, a bone ingrowth layer and a central weight-reducing body, wherein the outer support frame comprises a plurality of support rods, the edge of the bone ingrowth layer is fixedly connected with the support rods positioned on one side of the outer support frame, the outer edge of the central weight-reducing body is fixedly connected with the outer support frame, the central weight-reducing body is abutted or fixedly connected with the bone ingrowth layer,
the bone growth layer comprises a plurality of bone growth units, the external outline of each bone growth unit is in a cube, each bone growth unit is provided with a spherical bone growth cavity, the diameter of each spherical bone growth cavity is larger than the width of each bone growth unit and penetrates through the side wall of each bone growth unit to form a bone growth round hole, the bone growth units are tightly spliced with each other, the bone growth round holes of the adjacent bone growth units are mutually communicated, the diameter of each spherical bone growth cavity is 100-1000 microns,
the central weight-reducing body comprises a plurality of weight-reducing units, the outer outline of each weight-reducing unit is in a cube shape, each weight-reducing unit is provided with a spherical weight-reducing cavity, the diameter of each spherical weight-reducing cavity is larger than the width of each weight-reducing unit, weight-reducing round holes are formed through the side wall of each weight-reducing unit, the weight-reducing units are tightly spliced with each other, the weight-reducing round holes of the adjacent weight-reducing units are mutually communicated, and the diameter of each spherical weight-reducing cavity is larger than the diameter of each spherical bone growth cavity.
As a further improvement of the invention: and 4 layers of bone ingrowth units are tightly spliced in the thickness direction of the bone ingrowth layer.
As a further improvement of the invention: bone ingrowth layers are arranged on three different side surfaces of the outer support frame.
As a further improvement of the invention: the outer support frame is fixedly connected with a connecting sleeve, and the connecting sleeve penetrates through the interior of the central weight-reducing body.
As a further improvement of the invention: the connecting sleeves are provided with 3 connecting sleeves, the 3 connecting sleeves are parallel to each other and have coplanar axes, a reinforcing rod is arranged between the adjacent connecting sleeves, and two ends of the reinforcing rod are respectively and fixedly connected with the two adjacent connecting sleeves.
As a further improvement of the invention: the support rod fixedly connected with the bone ingrowth layer is provided with a width extension section, and the width extension section extends along the thickness direction of the support rod.
As a further improvement of the invention: the arrangement direction of the plurality of bone in-growth units is the same as the arrangement direction of the plurality of weight-reduction units.
Compared with the prior art, the invention has the beneficial effects that:
because bone can grow in the spherical bone ingrowth cavity to form a mass having a width greater than the bone ingrowth circular aperture, the sacral prosthesis can achieve better bone attachment through the bone mass located in the spherical bone ingrowth cavity than if the prosthesis surface were provided with protrusions or if the prosthesis surface were provided with a spherical surface. And each bone growth unit is through adjacent bone growth round hole intercommunication each other for the skeleton can be through adjacent bone growth round hole growth to adjacent spherical bone growth into the intracavity after growing into spherical bone growth into the intracavity, makes different spherical bones grow into the intracavity the skeleton can interconnect, further improves the dependent effect of skeleton, simultaneously, interconnect's skeleton also can provide stable support for bone growth income layer, thereby can effectually improve the structural strength of bone growth income layer. And because bone growth goes into the layer to have a plurality of inside bone growth unit that has spherical bone growth and goes into the chamber, consequently the weight of bone growth income layer that reduces that can be great to reduce the effect of prosthetic weight when playing to improve structural strength, and then improved the comfort level.
By arranging the spherical weight-reducing cavity in the weight-reducing unit, the weight of the weight-reducing unit is effectively reduced. Meanwhile, the central weight-reducing body can provide more reliable supporting force for the outer supporting frame and the bone growth layer, so that the overall weight is greatly reduced while the structural strength is ensured. The multiple weight-reducing units and the multiple bone ingrowth units which are tightly spliced can bear load more stably, so that the effect of improving the structural strength can be achieved. The weight-reducing unit is similar to the overall shape of the bone ingrowth unit, is beneficial to the design and production of the product size, is particularly suitable for making personalized sacral prostheses, and is convenient for the use of the sacral prostheses.
Drawings
Fig. 1 is a schematic structural view of the present embodiment;
fig. 2 is a schematic structural view of a bone ingrowth unit and a weight reduction unit in the present embodiment;
fig. 3 is a cross-sectional view of the connecting sleeve and connecting rod in this embodiment.
Reference numerals: 11. an outer support frame; 12. a support rod; 13. a width extension; 14. connecting sleeves; 15. a reinforcing rod; 21. bone ingrowth layer; 22. a bone ingrowth unit; 23. spherical bone ingrowth cavity; 24. bone grows into the round hole; 31. a central weight-reducing body; 32. a weight reduction unit; 33. a spherical weight-reducing cavity; 34. and a weight-reducing round hole.
Detailed Description
The invention will now be further described with reference to the accompanying drawings and examples:
examples:
a sacral prosthesis for reducing weight, increasing strength and securing in-growth of bone, as shown in fig. 1, 2 and 3, comprising an outer support frame 11, an in-growth layer 21 and a central weight-reducing body 31, the outer support frame 11 comprising a plurality of support rods 12, the edge of the in-growth layer 21 being fixedly connected to the support rods 12 located on one side of the outer support frame 11, the outer edge of the central weight-reducing body 31 being fixedly connected to the outer support frame 11, the central weight-reducing body 31 being fixedly connected to the in-growth layer 21,
the bone in-growth layer 21 comprises a plurality of bone in-growth units 22, the outer outline of the bone in-growth units 22 is in a cube shape as a whole, the bone in-growth units 22 are provided with spherical bone in-growth cavities 23, the diameter of the spherical bone in-growth cavities 23 is larger than the width of the bone in-growth units 22 and bone in-growth round holes 24 are formed through the side walls of the bone in-growth units 22, the plurality of bone in-growth units 22 are tightly spliced with each other and the bone in-growth round holes 24 of adjacent bone in-growth units 22 are communicated with each other, the diameter of the spherical bone in-growth cavities 23 is 250 micrometers,
the central weight-reducing body 31 comprises a plurality of weight-reducing units 32, the outer outline of the weight-reducing units 32 is in a cube shape as a whole, the weight-reducing units 32 are provided with spherical weight-reducing cavities 33, the diameter of each spherical weight-reducing cavity 33 is larger than the width of each weight-reducing unit 32, weight-reducing round holes 34 are formed through the side wall of each weight-reducing unit 32, the weight-reducing units 32 are tightly spliced with each other, the weight-reducing round holes 34 of the adjacent weight-reducing units 32 are mutually communicated, and the diameter of each spherical weight-reducing cavity 33 is larger than the diameter of each spherical bone growth cavity 23.
The bone can grow into the spherical bone growth cavity 23 in the bone growth unit 22 in the growth process, and the bone in the spherical bone growth cavity 23 can grow and increase, so that the bone in the spherical bone growth cavity 23 and the width are larger than the bone growth round hole 24, the bone is clamped with the inner wall of the bone growth unit 22, and the bone is stably attached to the bone growth layer 21.
The bone in-growth layer 21 is closely spliced with 4 layers of bone in-growth units 22 in the thickness direction. The 4-layer bone in-growth unit 22 can improve the structural strength of the bone in-growth layer 21, and bones can pass through the 4-layer bone in-growth unit 22 through the adjacent bone in-growth round holes 24, so that the bones and the bone in-growth layer 21 have better attaching effect, and the structural strength of the bone in-growth layer 21 can be further improved.
Bone ingrowth layers 21 are provided at three different sides of the outer support frame 11.
The outer supporting frame 11 is fixedly connected with a connecting sleeve 14, and the connecting sleeve 14 penetrates through the interior of the central weight-reducing body 31. Screws for connecting the bone may be passed through the connection sleeve 14 to effect a secure mounting of the sacral prosthesis to the bone. The connecting sleeve 14 can provide support to the outer support frame 11 and the central weight-reducing body 31 to further increase the overall structural strength of the sacral prosthesis.
The connecting sleeves 14 are provided with 3 connecting sleeves 14, the 3 connecting sleeves 14 are parallel to each other and have coplanar axes, a reinforcing rod 15 is arranged between the adjacent connecting sleeves 14, and two ends of the reinforcing rod 15 are respectively fixedly connected with the two adjacent connecting sleeves 14. The overall structural strength of the sacral prosthesis is further enhanced by the 3 connection sleeves 14.
The support rod 12 fixedly connected to the bone in-growth layer 21 is provided with a width extension 13, and the width extension 13 extends in the thickness direction of the support rod 12.
The arrangement direction of the plurality of bone in-growth units 22 is the same as the arrangement direction of the plurality of weight-reduction units 32. The load transmission direction of the weight-reduction unit 32 is made the same as the load transmission direction of the bone in-growth unit 22, thereby improving the structural stability between the bone in-growth unit 22 and the weight-reduction unit 32.
This embodiment has the following advantages:
the outer support frame 11 can be in direct contact with the bone, bearing most of the load experienced by the entire sacral prosthesis. The bone ingrowth layer 21 is in direct contact with the bone for ingrowth of bone and attachment to the bone ingrowth layer 21. The central weight-reducing body 31 fills the gap in the outer support frame 11, can bear a part of the load received by the sacral prosthesis, can provide stable support for the bone in-growth layer 21, serves to improve the overall structural stability of the outer support frame 11, the bone in-growth layer 21 and the central weight-reducing body 31, and can maintain a stable connection of the bone in-growth layer 21 and the bone.
Since bone can grow in the spherical bone ingrowth cavity 23 to form a mass having a width greater than the bone ingrowth round hole 24, the sacral prosthesis can achieve better bone attachment by the bone mass located in the spherical bone ingrowth cavity 23 than by providing a protrusion on the surface of the prosthesis or providing the surface of the prosthesis with a spherical surface. And each bone growth unit 22 is mutually communicated through the adjacent bone growth round holes 24, so that bones can grow into the adjacent spherical bone growth cavity 23 through the adjacent bone growth round holes 24 after growing into the spherical bone growth cavity 23, bones in different spherical bone growth cavities 23 can be mutually connected, the attaching effect of the bones is further improved, and meanwhile, the interconnected bones can also provide stable support for the bone growth layer 21, so that the structural strength of the bone growth layer 21 can be effectively improved. And because the bone in-growth layer 21 is provided with a plurality of bone in-growth units 22 with spherical bone in-growth cavities 23, the weight of the bone in-growth layer 21 can be greatly reduced, so that the effect of reducing the weight of the prosthesis while improving the structural strength is achieved, and the comfort level is further improved.
The inner surface of the bone in-growth unit 22 is an arc with a diameter of 250 micrometers, so that the bone in-growth cavity 23 can form a wide enough body, and the bone in-growth layer 21 can form proper porosity, thereby ensuring the attachment effect of the bone and the structural stability of the bone in-growth layer 21.
By providing the spherical weight-reducing cavity 33 in the weight-reducing unit 32, the mass of the weight-reducing unit 32 is effectively reduced. At the same time, the central weight-reducing body 31 can also provide a more reliable supporting force for the outer supporting frame 11 and the bone in-growth layer 21, and the overall weight is greatly reduced while the structural strength is ensured. The closely spliced plurality of weight-reduction units 32 and the plurality of bone in-growth units 22 can more stably bear load, thereby improving structural strength. The weight-reduction unit 32 approximates the overall shape of the bone ingrowth unit 22, facilitating product sizing and production, and is particularly well suited for tailoring a personalized sacral prosthesis for ease of use.
By the bone ingrowth layer 21 at three different sides of the outer support frame 11, the contact surface of the bone and the bone ingrowth layer 21 is increased, and the attachment effect of the bone is improved. Forces exerted on the sacral prosthesis from three different sides can cancel each other out, further improving the structural stability of the sacral prosthesis.
Since the connecting sleeve 14 penetrates through the interior of the central weight-reducing body 31, the reinforcing rod 15 fixed with the connecting sleeve 14 is also positioned in the interior of the central connecting sleeve 14, and the structural strength of the connecting sleeve 14 is improved through the reinforcing rod 15, and meanwhile, the structural strength of the central weight-reducing body 31 is also improved through the reinforcing rod 15, so that the overall structural strength of the sacral prosthesis is further improved.
Since the support rod 12 connected to the bone in-growth layer 21 is required to provide a supporting force to the bone in-growth layer 21, the width extension section 13 is provided on the support rod 12 connected to the bone in-growth layer 21, and the structural strength of the support rod 12 connected to the bone in-growth layer 21 is improved by the width extension section 13, so that the structural strength of the whole sacrum can be more effectively improved by the extension section with smaller weight.
In view of the above, after reading the present document, those skilled in the art should make various other corresponding changes without creative mental effort according to the technical scheme and the technical conception of the present invention, which are all within the scope of the present invention.
Claims (4)
1. A sacral prosthesis for weight reduction, strength enhancement, and bone ingrowth fixation, characterized by: comprises an outer support frame (11), a bone growth layer (21) and a central weight-reducing body (31), wherein the outer support frame (11) comprises a plurality of support rods (12), the edge of the bone growth layer (21) is fixedly connected with the support rods (12) positioned at one side of the outer support frame (11), the outer edge of the central weight-reducing body (31) is fixedly connected with the outer support frame (11), the central weight-reducing body (31) is in butt joint or fixed connection with the bone growth layer (21),
the bone growth layer (21) comprises a plurality of bone growth units (22), the outer outline of each bone growth unit (22) is in a cube, each bone growth unit (22) is provided with a spherical bone growth cavity (23), the diameter of each spherical bone growth cavity (23) is larger than the width of each bone growth unit (22) and penetrates through the side wall of each bone growth unit (22) to form a bone growth round hole (24), the bone growth units (22) are tightly spliced with each other, the bone growth round holes (24) of the adjacent bone growth units (22) are communicated with each other, the diameter of each spherical bone growth cavity (23) is 100-1000 microns,
the central weight-reducing body (31) comprises a plurality of weight-reducing units (32), the whole external outline of each weight-reducing unit (32) is cubic, each weight-reducing unit (32) is provided with a spherical weight-reducing cavity (33), the diameter of each spherical weight-reducing cavity (33) is larger than the width of each weight-reducing unit (32), weight-reducing round holes (34) are formed through the side wall of each weight-reducing unit (32), the weight-reducing units (32) are tightly spliced with each other, the weight-reducing round holes (34) of the adjacent weight-reducing units (32) are mutually communicated, and the diameter of each spherical weight-reducing cavity (33) is larger than the diameter of each spherical bone growth cavity (23);
the outer support frame (11) is fixedly connected with a connecting sleeve (14), and the connecting sleeve (14) penetrates through the interior of the central weight-reducing body (31);
the connecting sleeves (14) are provided with 3 connecting sleeves (14), the 3 connecting sleeves (14) are parallel to each other and have coplanar axes, a reinforcing rod (15) is arranged between the adjacent connecting sleeves (14), and two ends of the reinforcing rod (15) are fixedly connected with the two adjacent connecting sleeves (14) respectively;
the support rod (12) fixedly connected with the bone ingrowth layer (21) is provided with a width extension section (13), and the width extension section (13) extends along the thickness direction of the support rod (12).
2. The weight-reducing, strength-enhancing, and bone ingrowth-securing sacral prosthesis of claim 1, wherein: the thickness direction of the bone ingrowth layer (21) is tightly spliced with 4 layers of bone ingrowth units (22).
3. The weight-reducing, strength-enhancing, and bone ingrowth-securing sacral prosthesis of claim 1, wherein: bone ingrowth layers (21) are arranged on three different side surfaces of the outer support frame (11).
4. The weight-reducing, strength-enhancing, and bone ingrowth-securing sacral prosthesis of claim 1, wherein: the arrangement direction of the plurality of bone in-growth units (22) is the same as the arrangement direction of the plurality of weight-reduction units (32).
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CN201910556547.2A CN110292465B (en) | 2019-06-25 | 2019-06-25 | Sacral prosthesis with reduced weight, increased strength and bone ingrowth fixation |
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CN201910556547.2A CN110292465B (en) | 2019-06-25 | 2019-06-25 | Sacral prosthesis with reduced weight, increased strength and bone ingrowth fixation |
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CN113349989A (en) * | 2021-06-24 | 2021-09-07 | 广州诺曼数字化医疗科技有限公司 | Long-term implantable acetabular prosthesis and application thereof |
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US8979911B2 (en) * | 2009-10-13 | 2015-03-17 | The Royal Institution For The Advancement Of Learning/Mcgill University | Porous bone screw |
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CN107049559A (en) * | 2016-11-30 | 2017-08-18 | 北京爱康宜诚医疗器材有限公司 | Periacetabular borrowed structure |
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