CN111741726A - 用于焦点消融的系统、设备和方法 - Google Patents

用于焦点消融的系统、设备和方法 Download PDF

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Publication number
CN111741726A
CN111741726A CN201980013103.2A CN201980013103A CN111741726A CN 111741726 A CN111741726 A CN 111741726A CN 201980013103 A CN201980013103 A CN 201980013103A CN 111741726 A CN111741726 A CN 111741726A
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China
Prior art keywords
splines
electrodes
spline
distal
electrode
Prior art date
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Pending
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CN201980013103.2A
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English (en)
Chinese (zh)
Inventor
R·维斯瓦纳萨安
A·齐恩格勒尔
G·朗
J-L·帕雅尔
B·哈谢伊
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Boston Scientific Scimed Inc
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Farapulse Inc
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Publication date
Priority claimed from US15/874,721 external-priority patent/US10130423B1/en
Priority claimed from PCT/US2018/029938 external-priority patent/WO2018201037A1/en
Application filed by Farapulse Inc filed Critical Farapulse Inc
Publication of CN111741726A publication Critical patent/CN111741726A/zh
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/16—Indifferent or passive electrodes for grounding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/0025—Multiple balloons
    • A61B2018/00261—Multiple balloons arranged in a line
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00357—Endocardium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00375—Ostium, e.g. ostium of pulmonary vein or artery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00613—Irreversible electroporation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/327—Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
CN201980013103.2A 2018-01-18 2019-01-18 用于焦点消融的系统、设备和方法 Pending CN111741726A (zh)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US15/874,721 2018-01-18
US15/874,721 US10130423B1 (en) 2017-07-06 2018-01-18 Systems, devices, and methods for focal ablation
USPCT/US2018/029938 2018-04-27
PCT/US2018/029938 WO2018201037A1 (en) 2017-04-28 2018-04-27 Systems, devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
US201862744495P 2018-10-11 2018-10-11
US62/744,495 2018-10-11
US201862769407P 2018-11-19 2018-11-19
US62/769,407 2018-11-19
PCT/US2019/014226 WO2019143960A1 (en) 2018-01-18 2019-01-18 Systems, devices, and methods for focal ablation

Publications (1)

Publication Number Publication Date
CN111741726A true CN111741726A (zh) 2020-10-02

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201980013103.2A Pending CN111741726A (zh) 2018-01-18 2019-01-18 用于焦点消融的系统、设备和方法

Country Status (4)

Country Link
EP (1) EP3740148A1 (https=)
JP (2) JP7394766B2 (https=)
CN (1) CN111741726A (https=)
WO (1) WO2019143960A1 (https=)

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CN113100916A (zh) * 2020-10-19 2021-07-13 伯恩森斯韦伯斯特(以色列)有限责任公司 使用单极配置用于不可逆电穿孔（ire）
CN114903586A (zh) * 2021-02-09 2022-08-16 杭州德诺电生理医疗科技有限公司 消融导管
CN115844521A (zh) * 2023-02-15 2023-03-28 四川锦江电子医疗器械科技股份有限公司 具有可变形态的电极导管及肺静脉前庭消融隔离的方法
CN116407249A (zh) * 2021-12-31 2023-07-11 深圳市先健呼吸科技有限公司 消融装置

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US10905329B2 (en) 2016-06-09 2021-02-02 Biosense Webster (Israel) Ltd. Multi-function conducting elements for a catheter
US12029545B2 (en) 2017-05-30 2024-07-09 Biosense Webster (Israel) Ltd. Catheter splines as location sensors
US11426111B2 (en) 2018-03-13 2022-08-30 St. Jude Medical, Cardiology Division, Inc. Variable density mapping catheter
WO2019195439A1 (en) 2018-04-05 2019-10-10 St. Jude Medical, Cardiology Division, Inc. High density electrode mapping catheter
US20190314083A1 (en) 2018-04-11 2019-10-17 Biosense Webster (Israel) Ltd. Flexible Multi-Arm Catheter with Diametrically Opposed Sensing Electrodes
US20190350649A1 (en) 2018-05-21 2019-11-21 St. Jude Medical, Cardiology Division, Inc. Radio-frequency ablation and direct current electroporation catheters
US11045628B2 (en) 2018-12-11 2021-06-29 Biosense Webster (Israel) Ltd. Balloon catheter with high articulation
US11207016B2 (en) 2018-12-28 2021-12-28 Biosense Webster (Israel) Ltd. Mapping ECG signals using a multipole electrode assembly
US11850051B2 (en) 2019-04-30 2023-12-26 Biosense Webster (Israel) Ltd. Mapping grid with high density electrode array
US11712172B2 (en) 2019-07-18 2023-08-01 Biosense Webster (Israel) Ltd. Visual guidance for positioning a distal end of a medical probe
US11759150B2 (en) 2019-08-27 2023-09-19 Biosense Webster (Israel) Ltd. Accurate basket catheter tracking
US10625080B1 (en) 2019-09-17 2020-04-21 Farapulse, Inc. Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation
EP4054460A4 (en) 2019-11-05 2022-12-07 Sirona Medical Technologies, Inc. Multi-modal catheter for improved electrical mapping and ablation
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US11950930B2 (en) 2019-12-12 2024-04-09 Biosense Webster (Israel) Ltd. Multi-dimensional acquisition of bipolar signals from a catheter
US11517218B2 (en) 2019-12-20 2022-12-06 Biosense Webster (Israel) Ltd. Selective graphical presentation of electrophysiological parameters
US20210369132A1 (en) 2020-05-29 2021-12-02 Biosense Webster (Israel) Ltd. Intraluminal reference electrode for cardiovascular treatment apparatus
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JP7585454B2 (ja) * 2020-07-16 2024-11-18 ボストン サイエンティフィック サイムド，インコーポレイテッド 不可逆電気穿孔法による局所心臓アブレーションのためのカテーテル及び方法
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CN116157084A (zh) * 2020-07-24 2023-05-23 波士顿科学医学有限公司 电穿孔消融导管
WO2022020478A1 (en) * 2020-07-24 2022-01-27 Boston Scientific Scimed Inc Electric field application for single shot cardiac ablation by irreversible electroporation
JP7515637B2 (ja) 2020-08-18 2024-07-12 セント・ジュード・メディカル，カーディオロジー・ディヴィジョン，インコーポレイテッド 磁気位置の追跡を伴う高密度電極カテーテル
US12048479B2 (en) 2020-09-10 2024-07-30 Biosense Webster (Israel) Ltd. Surface mounted electrode catheter
US11950840B2 (en) 2020-09-22 2024-04-09 Biosense Webster (Israel) Ltd. Basket catheter having insulated ablation electrodes
US11950841B2 (en) 2020-09-22 2024-04-09 Biosense Webster (Israel) Ltd. Basket catheter having insulated ablation electrodes and diagnostic electrodes
US12082875B2 (en) 2020-09-24 2024-09-10 Biosense Webster (Israel) Ltd Balloon catheter having a coil for sensing tissue temperature and position of the balloon
US11974803B2 (en) 2020-10-12 2024-05-07 Biosense Webster (Israel) Ltd. Basket catheter with balloon
US12201786B2 (en) 2020-12-17 2025-01-21 Biosense Webster (Israel) Ltd. Measurement of distal end dimension of catheters using magnetic fields
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AU2022254861B2 (en) 2021-04-07 2024-01-18 Btl Medical Development A.S. Pulsed field ablation device and method
US12064170B2 (en) 2021-05-13 2024-08-20 Biosense Webster (Israel) Ltd. Distal assembly for catheter with lumens running along spines
CN117396149A (zh) 2021-05-28 2024-01-12 波士顿科学医学有限公司 点脉冲场消融导管
WO2023276080A1 (ja) * 2021-06-30 2023-01-05 日本ライフライン株式会社 カテーテル
CN117597080A (zh) 2021-07-02 2024-02-23 波士顿科学医学有限公司 具有可折叠元件的局灶消融设备及其系统和方法
IL309432B2 (en) 2021-07-06 2025-02-01 Btl Medical Dev A S Device and method for ablation (burning) by electric pulse field
US12364426B2 (en) 2021-08-12 2025-07-22 Biosense Webster (Israel) Ltd. Electro-anatomical mapping and annotation presented in electrophysiological procedures
US12004804B2 (en) * 2021-09-09 2024-06-11 Biosense Webster (Israel) Ltd. Basket catheter with mushroom shape distal tip
US12478424B2 (en) 2021-09-10 2025-11-25 Biosense Webster (Israel) Ltd. Staggered pairs of biased ablation electrodes on basket catheter
US12011280B2 (en) 2021-10-04 2024-06-18 Biosense Webster (Israel) Ltd. Electrophysiological mapping in the presence of injury current
US12533489B2 (en) 2021-10-08 2026-01-27 Biosense Webster (Israel) Ltd. Measuring tissue proximity for multi-electrode catheter
US12419683B2 (en) 2021-12-22 2025-09-23 Biosense Webster (Israel) Ltd. Irreversible electroporation with shorted electrodes
US12484961B2 (en) 2022-01-20 2025-12-02 Biosense Webster (Israel) Ltd. Mechanical retainer systems for electrodes of a basket catheter, and methods of the same
US12440263B2 (en) 2022-01-20 2025-10-14 Biosense Webster (Israel) Ltd. Systems and methods for tripodic spines forming a spherical basket for improved tissue contact and current delivery
US12446946B2 (en) 2022-01-20 2025-10-21 Biosense Webster (Israel) Ltd. Systems and methods for a single spiral electrode assembly forming a spherical basket for improved tissue contact and current delivery
WO2023158283A1 (ko) * 2022-02-21 2023-08-24 가톨릭대학교 산학협력단 전기적 자극을 이용하는 절제용 수술 도구
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider
US20230329769A1 (en) * 2022-04-19 2023-10-19 St. Jude Medical, Cardiology Division, Inc. Systems and methods for electroporation using arbitrary electrode addressing
US12471989B2 (en) 2022-04-28 2025-11-18 Biosense Webster (Israel) Ltd. Strengthened expandable baskets for medical probes and medical probes containing strengthen expandable baskets
CN115252103B (zh) * 2022-07-15 2025-04-01 杭州睿笛生物科技有限公司 具有高精度消融边界的消融导管、消融设备
WO2024075034A1 (en) 2022-10-05 2024-04-11 Btl Medical Technologies S.R.O. Pulsed field ablation device and method
JP7778677B2 (ja) * 2022-12-13 2025-12-02 日本ライフライン株式会社 電極カテーテル
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US12521035B2 (en) 2022-12-29 2026-01-13 Biosense Webster (Israel) Ltd. Cylindrical cage systems and methods for distributed tissue contact for mapping and ablation
WO2025128876A1 (en) * 2023-12-12 2025-06-19 University Of South Florida Contactless electrotransfer
JP2026022877A (ja) * 2024-07-31 2026-02-13 日本ライフライン株式会社 アブレーションシステム

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113100916A (zh) * 2020-10-19 2021-07-13 伯恩森斯韦伯斯特(以色列)有限责任公司 使用单极配置用于不可逆电穿孔（ire）
CN114903586A (zh) * 2021-02-09 2022-08-16 杭州德诺电生理医疗科技有限公司 消融导管
CN114903586B (zh) * 2021-02-09 2025-10-28 杭州德诺电生理医疗科技有限公司 消融导管
CN116407249A (zh) * 2021-12-31 2023-07-11 深圳市先健呼吸科技有限公司 消融装置
CN115844521A (zh) * 2023-02-15 2023-03-28 四川锦江电子医疗器械科技股份有限公司 具有可变形态的电极导管及肺静脉前庭消融隔离的方法

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