CN112603735A - Oral cavity maxillofacial surgery tumour resection device - Google Patents

Oral cavity maxillofacial surgery tumour resection device Download PDF

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Publication number
CN112603735A
CN112603735A CN202011527882.9A CN202011527882A CN112603735A CN 112603735 A CN112603735 A CN 112603735A CN 202011527882 A CN202011527882 A CN 202011527882A CN 112603735 A CN112603735 A CN 112603735A
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China
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block
disc
tumor
oral
bolt
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CN202011527882.9A
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Chinese (zh)
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CN112603735B (en
Inventor
张松涛
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Henan Cancer Hospital
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Henan Cancer Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/16Bite blocks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/0053Cabins, rooms, chairs or units for treatment with a hot or cold circulating fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H15/00Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains
    • A61H15/0078Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains power-driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001Body part
    • A61F2007/0002Head or parts thereof
    • A61F2007/0003Face
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0059Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit
    • A61F2007/0063Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit for cooling
    • A61F2007/0068Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit for cooling evaporating on the spot to be cooled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H15/00Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains
    • A61H2015/0007Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains with balls or rollers rotating about their own axis
    • A61H2015/0014Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains with balls or rollers rotating about their own axis cylinder-like, i.e. rollers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • A61H2205/022Face

Abstract

The invention belongs to the technical field of oral medical treatment machinery, and particularly relates to an oral and maxillofacial surgery tumor resection device which comprises a pollution discharge mechanism, an endoscope, a mouth gag, a scalpel and a surgical clip, wherein the endoscope is arranged on the front end of the mouth gag; the sewage discharge mechanism comprises an air pump and an air pipe; one end of the air pipe is connected with the air pump, and the other end of the air pipe is placed in the oral cavity; the device also comprises a cushion block, a disc, a motor and a controller; the cushion block is arranged in a U shape, the opening of the cushion block is upward, the cushion block is clamped on the neck, and a head sleeve is arranged beside the cushion block; the head cover consists of two elastic belts; the two elastic belts are vertically connected, and one of the elastic belts is connected end to end; according to the invention, the motor drives the sliding block to move along the sliding rod and the screw rod to support the disc on the cheek of the patient, so that the stability of the tumor on the oral and maxillofacial surface close to the cheek is improved in the process of removing the tumor, the difficulty of removing the tumor on the oral and maxillofacial surface close to the cheek is further reduced, and meanwhile, the efficiency and the success rate of removing the tumor on the oral and maxillofacial surface by a worker are improved.

Description

Oral cavity maxillofacial surgery tumour resection device
Technical Field
The invention belongs to the technical field of oral medical treatment machinery, and particularly relates to an oral and maxillofacial surgery tumor resection device.
Background
Malignant tumors of the oral cavity, the jaw and the face are common in cancer, and have few sarcomas; the majority of cancers are squamous cell carcinoma, followed by adenocarcinomas, as well as basal cell carcinoma, undifferentiated carcinoma, lymphoepithelial carcinoma, and the like; the treatment measures include surgical excision, radiotherapy, chemical drug therapy, immunotherapy, cryosurgery, laser, Chinese herbal medicine therapy and the like; in most cases, comprehensive treatment is adopted to obtain better curative effect; the purpose of surgical excision is still an important treatment means for oral and maxillofacial surgical tumors; the oral and maxillofacial surgery mainly researches the prevention and treatment of certain diseases of oral organs, facial skin and soft tissues, maxillofacial tissues, mandibular joints and neck, and the removal of maxillofacial tumors is a big problem in the medical field and needs to determine how to remove the maxillofacial tumors through various diagnoses and consultation of doctors; when the existing resection device is used for resecting the tumor on the oral maxillofacial surface close to the cheek, the skin tissue at the position is relatively soft because no skeleton is arranged around the skin tissue at the position, so that the tumor at the position is not fixed well by a scalpel and a clamping tool, and the difficulty in resecting the tumor on the oral maxillofacial surface is increased.
Some technical solutions related to a tumor resection device for oral and maxillofacial surgery also appear in the prior art, for example, a chinese patent with application number CN202010557869.1 discloses a tumor resection device for oral and maxillofacial surgery, which includes an operating table, a lateral sliding mechanism and a moving mechanism; an operating bed: the operating table is provided with a dirt containing mechanism, a twisting mechanism and an arc pillow block, the twisting mechanism is provided with a tumor resectoscope, the arc pillow block is provided with a binding band, the other end of the binding band is detachably connected with the arc pillow block through a fastening mechanism, the technical scheme can fix the head of a patient through the binding band, the head of the patient is changed into a handheld state of a doctor into an instrument for clamping, the tumor tissue on the jaw face of the patient can be clamped through an electric clamp, the tumor tissue is lifted through the extension and retraction of an electric telescopic rod, and a sliding block can move in an arc shape on an arc sliding column and can drive a detection probe to move, so that the detection probe can move, the direction of the detection probe can be adjusted, and convenience is brought to the operation; however, if the tumor on the oral and maxillofacial surface close to the cheek is cut off, the skin tissue at the position is soft, so that the scalpel and the electric clamp are not fixed well to the tumor, the difficulty of cutting off the tumor on the oral and maxillofacial surface is increased, and the limitation of the technical scheme is further caused.
In view of the above, in order to overcome the above technical problems, the present invention provides an oral and maxillofacial surgical tumor resection device, which adopts a special resection device to solve the above technical problems.
Disclosure of Invention
In order to make up for the defects of the prior art, the invention provides the oral maxillofacial surgery tumor resection device, wherein a motor drives a slide block to move along a slide rod and a screw rod to support a disc at the cheek of a patient, so that the stability of the tumor on the oral maxillofacial close to the cheek in the resection process is improved, the difficulty of resection of the tumor on the oral maxillofacial close to the cheek is further reduced, and the efficiency and the success rate of resection of the tumor on the oral maxillofacial by a worker are improved.
The technical scheme adopted by the invention for solving the technical problems is as follows: the invention relates to an oral and maxillofacial surgery tumor resection device, which comprises a pollution discharge mechanism, an endoscope, a mouth gag, a scalpel and a surgical clip, wherein the mouth gag comprises a suction cup and a suction cup; the sewage discharge mechanism comprises an air pump and a first air pipe; one end of the first air pipe is connected with an air pump, and the other end of the first air pipe is placed in the oral cavity; the device also comprises a cushion block, a disc, a motor and a controller; the cushion block is arranged in a U shape, the opening of the cushion block is upward, the cushion block is clamped on the neck, and a head sleeve is arranged beside the cushion block; the head cover consists of two elastic belts; the two elastic belts are vertically connected, and one of the elastic belts is connected end to end; the head sleeve is fixedly connected with the end surface of the cushion block through a flexible belt; two sides of the cushion block are fixedly connected with trapezoidal blocks; the trapezoid block is connected with the base block in a sliding manner; the upper end of the base block is in threaded connection with a screw; the end of the screw can contact with the trapezoidal block; the upper end of the base block is fixedly connected with a sliding rod; the sliding rod is connected with the sliding block in a sliding manner; the sliding block is positioned right above the base block; the upper end of the base block is rotatably connected with a screw rod, and a motor is arranged in the base block; the output shaft of the motor is connected with one end of the screw rod; the screw rod is in threaded connection with the sliding block; the sliding block is also in threaded connection with a screw rod; the two screw rods are symmetrically arranged and positioned between the corresponding screw rods and the corresponding slide rod, one end of each screw rod is connected with a nut in a threaded mode, and the other end of each screw rod is hinged with the disc; the controller is used for controlling the automatic operation of the cutting device;
when the device works, when the existing resection device resects the tumor on the oral and maxillofacial surfaces close to the cheek, the skin tissue at the position is softer because no skeleton is arranged around the skin tissue at the position, so that a scalpel and a clamping tool are not easy to fix the tumor at the position, and the difficulty of resecting the tumor on the oral and maxillofacial surfaces is increased; therefore, in the invention, the staff firstly cleans and disinfects the oral cavity of the patient, then the patient lies on the operating table, then the mouth gag is clamped on the mouth of the patient, thereby the oral cavity of the patient is opened, then the other end of the trachea I is placed in the oral cavity of the patient, after the patient lies on the operating table, the staff clamps the cushion block on the neck of the patient, and then fixes the head of the patient by the headgear, thereby ensuring that the patient does not move around in the operation engineering, improving the stability of the tumor excision of the staff, because the two sides of the cushion block are fixedly connected with the trapezoidal block which is connected with the base block in a sliding way, the staff controls the base block to slide along the trapezoidal block, thereby controlling the base block to be close to the chin of the patient, because the upper end of the base block is connected with the screw by the screw thread, the base block is fixed on the trapezoidal block by the screw, thereby preventing the base block from shaking to influence, the controller is started to control the motor to rotate, the motor drives the screw rod to rotate because the output shaft of the motor is connected with one end of the screw rod, the slide rod is fixedly connected with the upper end of the base block and is connected with the slide block in a sliding mode, the slide block is connected with the screw rod in a threaded mode, the screw rod, the slide rod and the slide block form a screw rod slide block pair, the slide block is driven to move along the slide rod by the motor until the slide block moves to the same height with the tumor, the screw rod is connected with the screw rod in a threaded mode by the slide block, a worker twists the screw rod to rotate, the other end of the screw rod is close to the tumor, the disc is hinged to the other end of the screw rod, the screw rod is supported on the cheek of a patient through the disc, the worker twists the nut at one end of the screw rod and simultaneously enables one end face of the nut to be in contact with the slide block, so that the screw, the endoscope is matched with the endoscope to observe the position of the tumor, so that a worker clamps the tumor through the surgical clip, and the tumor on the oral maxillofacial surface close to the cheek group is pressed by the disc, so that skin tissues cannot shake in the clamping process of the surgical clip, the tumor can be conveniently cut off by the scalpel, and in the operation process of the worker, the controller controls the air pump to work, so that effusion generated in the operation in the oral cavity is sucked away through the first air pipe, and the cleanness in the oral cavity is ensured; according to the invention, the motor drives the sliding block to move along the sliding rod and the screw rod to support the disc on the cheek of the patient, so that the stability of the tumor on the oral and maxillofacial surface close to the cheek is improved in the process of removing the tumor, the difficulty of removing the tumor on the oral and maxillofacial surface close to the cheek is further reduced, and meanwhile, the efficiency and the success rate of removing the tumor on the oral and maxillofacial surface by a worker are improved.
Preferably, the disc is in threaded connection with a bolt; the bolts are uniformly distributed on the disc, and the bolts are sleeved with springs; the spring is positioned between the disc and one end of the bolt; when the operation clamp works, part of the tumor is positioned in the maxillofacial region, so that the tumor in the maxillofacial region is difficult to clamp by the operation clamp, and the difficulty of tumor cutting on the maxillofacial region is increased; therefore, after the disc is abutted against the cheek by the screw rod, the screw bolt is connected to the disc through the threads, so that a worker twists the screw bolt to rotate, the other end of the screw bolt jacks up a tumor through skin, the tumor on the maxillofacial area protrudes, an operation clamp can conveniently clamp the tumor inside the maxillofacial area, the screw bolt is sleeved with a spring, the screw bolt is prevented from loosening through the spring, and the principle of the screw bolt is the same as that of a spring washer; according to the invention, the disc is abutted against the cheek side through the screw rod and the bolt jacks up the skin with the tumor, so that the tumor on the maxillofacial surface can be conveniently removed by a worker, and the practicability of the oral and maxillofacial surgical tumor removal device is further enhanced.
Preferably, the other end of the bolt is rotatably connected with the flexible block; the flexible block is circular in cross section, bulges are arranged on one surface, contacting with skin, of the flexible block, the bulges are uniformly distributed on one surface of the flexible block, and the bulges are semicircular; when the skin-scraping device works, a worker directly screws the bolt, and the other end of the bolt is in contact with the skin, so that the skin is scratched by the other end of the bolt; therefore, in the rotating process of screwing the bolt by a worker, the other end of the bolt is rotatably connected with the flexible block, so that the soft contact between the bolt and the skin is realized, the friction force between the other end of the bolt and the skin is reduced, the skin is prevented from being scratched by the other end of the bolt, and the contact area between the flexible block and the skin is reduced through the protrusion due to the protrusion arranged on the surface of the flexible block in contact with the skin, so that the friction force between the flexible block and the skin is increased, the flexible block cannot move on the skin under the action of the friction force, and meanwhile, the bolt is rotatably connected with the flexible block, so that the bolt cannot drive the flexible block to rotate on the skin, the skin of a patient is further protected from being damaged, and the actual application effect of the flexible; according to the invention, the other end of the bolt is rotatably connected with the flexible block, and the protrusion is arranged on one surface of the flexible block and matched with the other surface of the bolt, so that the flexible block cannot be driven to rotate on the skin by the rotation of the bolt, and the facial skin of a patient is protected from being damaged.
Preferably, a pressing rod is arranged on the side surface of the disc; the pressing rods are uniformly distributed around the disc, and one end of each pressing rod is twisted on the disc through a torsion spring; during operation, the screw rod drives the disc and is close to the chin upper in-process, the screw rod can drive the disc and rotate, because of the side of disc is equipped with presses the stick, the event disc can drive and press the stick to rotate, press the one end of stick to pass through the torsional spring kink on the disc, the event presses the stick to contact with the chin upper earlier under the effect of torsional spring for the other end that presses the stick slides on the chin upper, thereby reached and pressed the stick to the effect of chin upper massage, promoted the blood circulation around the chin upper, and then made skin tissue around the tumour relax, improved the effect that the staff amputated the tumour on the jaw face.
Preferably, the other end of the pressing rod is fixedly connected with a pressing block; the pressing block is arranged into a finger shape and is made of flexible materials; when the device works, the disc drives the pressing rod to massage on the cheek side, and the pressing rod drives the pressing block to slide on the cheek side because the other end of the pressing rod is fixedly connected with the pressing block, and meanwhile, the pressing block is arranged in a finger shape, so that the massage effect of the pressing rod on skin tissues around the cheek side is further improved, and the comfort level of the pressing rod on the cheek side massage is further improved because the pressing block is made of flexible materials.
Preferably, one surface of the disc, which is far away from the flexible block, is provided with an annular groove; the annular groove surrounds the bolt; one end of the spring is clamped in the annular groove; an air bag is also arranged in the annular groove; the air bag is positioned between the spring and the bottom of the annular groove; a cavity is arranged in the flexible block; the interior of the air bag is communicated with the cavity through a second air pipe; one surface of the flexible block, which is contacted with the skin, is provided with a through hole; the through hole is communicated with the cavity; alcohol is filled in the air bag; during operation, sweat and water stains on the surface of the upper cheek can influence the adhesion of the disc and the upper cheek, so that skin slips on the disc when a worker performs an operation, and the fixation of skin tissues around a tumor is influenced; therefore, in the process of screwing the bolt by a worker, the bolt can compress the spring because the spring is positioned between the disc and one end of the bolt, the annular groove is formed in the surface, away from the flexible block, of the disc, one end of the spring is clamped in the annular groove, the spring can apply pressure to the annular groove, meanwhile, the annular groove also plays a role in guiding the spring, the air bag is arranged in the annular groove and is positioned between the spring and the bottom of the annular groove, the spring can apply force to the air bag, liquid pressure is generated after the air bag is extruded by the spring because the air bag is filled with alcohol, the cavity is formed in the flexible block, the interior of the air bag is communicated with the cavity through the second air pipe, the alcohol in the air bag can enter the cavity along the second air pipe, the through hole is formed in the surface, in contact with the skin, the alcohol in the cavity can be sprayed out along the through, alcohol has the volatilization effect to sweat and the water stain rapid evaporation of face through alcohol, the frictional force of disc with skin contact has been increased, and then make the phenomenon that skin can not appear skidding in the operation process on the disc, the stability of cavity maxillofacial surgery tumour excision has been improved, reached the sterile effect to patient face and resection device simultaneously through alcohol, and then prevent facial bacterial infection between patient and the patient, make oral cavity maxillofacial surgery tumour resection device's practical application effect obtain the reinforcing.
The invention has the following beneficial effects:
1. according to the invention, the motor drives the sliding block to move along the sliding rod and the screw rod to support the disc on the cheek of the patient, so that the stability of the tumor on the oral and maxillofacial surface close to the cheek is improved in the process of removing the tumor, the difficulty of removing the tumor on the oral and maxillofacial surface close to the cheek is further reduced, and meanwhile, the efficiency and the success rate of removing the tumor on the oral and maxillofacial surface by a worker are improved.
2. According to the invention, the disc is abutted against the cheek side through the screw rod and the bolt jacks up the skin with the tumor, so that the tumor on the maxillofacial surface can be conveniently removed by a worker, and the practicability of the oral and maxillofacial surgical tumor removal device is further enhanced.
3. According to the invention, the other end of the bolt is rotatably connected with the flexible block, and the protrusion is arranged on one surface of the flexible block and matched with the other surface of the bolt, so that the flexible block cannot be driven to rotate on the skin by the rotation of the bolt, and the facial skin of a patient is protected from being damaged.
Drawings
The invention is further described with reference to the following figures and embodiments.
FIG. 1 is a perspective view of the present invention;
FIG. 2 is a structural view of a disc in the present invention;
FIG. 3 is a block and stick diagram according to the present invention;
FIG. 4 is a cross-sectional view of the bladder and flexible block of the present invention;
in the figure: the device comprises a cushion block 1, a trapezoidal block 11, a base block 12, a screw 13, a sliding rod 14, a sliding block 15, a screw 16, a screw rod 17, a nut 18, a disc 2, a bolt 21, a spring 22, a flexible block 23, a cavity 231, a second air pipe 232, a through hole 233, a protrusion 24, a pressing rod 25, a torsion spring 26, a pressing block 27, an annular groove 28, an air bag 29, a motor 3, a head cover 4, an elastic belt 41 and a flexible belt 42.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.
As shown in figures 1 to 4, the oral and maxillofacial surgical tumor resection device comprises a pollution discharge mechanism, an endoscope, an mouth gag, a scalpel and a surgical clip; the sewage discharge mechanism comprises an air pump and a first air pipe; one end of the first air pipe is connected with an air pump, and the other end of the first air pipe is placed in the oral cavity; the device also comprises a cushion block 1, a disc 2, a motor 3 and a controller; the cushion block 1 is arranged in a U shape, the opening of the cushion block 1 faces upwards, the cushion block 1 is clamped on a neck, and a head sleeve 4 is arranged beside the cushion block 1; the head cover 4 is composed of two elastic bands 41; the two elastic belts 41 are vertically connected, wherein one elastic belt 41 is connected end to end; the head sleeve 4 is fixedly connected with the end surface of the cushion block 1 through a flexible belt 42; two sides of the cushion block 1 are fixedly connected with trapezoidal blocks 11; the trapezoidal block 11 is connected with a base block 12 in a sliding way; the upper end of the base block 12 is in threaded connection with a screw 13; the end of the screw 13 can be in contact with the trapezoidal block 11; the upper end of the base block 12 is fixedly connected with a sliding rod 14; the sliding rod 14 is connected with a sliding block 15 in a sliding manner; the slide block 15 is positioned right above the base block 12; the upper end of the base block 12 is rotatably connected with a screw 16, and a motor 3 is arranged in the base block 12; the output shaft of the motor 3 is connected with one end of a screw 16; the screw 16 is in threaded connection with the sliding block 15; the slide block 15 is also in threaded connection with a screw rod 17; the two screw rods 17 are symmetrically arranged, the screw rods 17 are positioned between the corresponding screw rods 16 and the corresponding slide rods 14, one end of each screw rod 17 is connected with a nut 18 in a threaded manner, and the other end of each screw rod 17 is hinged with the disc 2; the controller is used for controlling the automatic operation of the cutting device;
when the device works, when the existing resection device resects the tumor on the oral and maxillofacial surfaces close to the cheek, the skin tissue at the position is softer because no skeleton is arranged around the skin tissue at the position, so that a scalpel and a clamping tool are not easy to fix the tumor at the position, and the difficulty of resecting the tumor on the oral and maxillofacial surfaces is increased; therefore, in the invention, a worker firstly cleans and disinfects the oral cavity of a patient, then lays the patient on an operating table, then clamps a mouth gag on the mouth of the patient, so as to open the oral cavity of the patient, then puts the other end of a trachea into the oral cavity of the patient, after the patient lies on the operating table, the worker clamps the cushion block 1 at the neck of the patient, and then fixes the head of the patient by the head cover 4, thereby ensuring that the patient does not move around in the operation engineering, improving the stability of the tumor resection of the worker, because the two sides of the cushion block 1 are fixedly connected with the trapezoidal blocks 11, the trapezoidal blocks 11 are slidably connected with the base block 12, the worker controls the base block 12 to slide along the trapezoidal blocks 11, thereby controlling the base block 12 to be close to the chin of the patient, because the upper end of the base block 12 is connected with the screw 13 by the screw thread, the base block 12 is fixed on the trapezoidal blocks 11 by the screw 13, thereby preventing the base block 12 from shaking to influence on, the starting controller controls the motor 3 to rotate, the output shaft of the motor 3 is connected with one end of a screw 16, the motor 3 drives the screw 16 to rotate, the upper end of the base block 12 is fixedly connected with a slide rod 14, the slide rod 14 is connected with a slide block 15 in a sliding manner, the slide block 15 is connected with the screw 16 in a threaded manner, the screw 16, the slide rod 14 and the slide block 15 form a screw-rod slide block pair, the slide block 15 is driven to move along the slide rod 14 by the rotation of the motor 3 until the slide block 15 moves to the same height with the tumor, a screw rod 17 is also connected with the slide block 15 in a threaded manner, a worker twists the screw rod 17 to rotate, so that the other end of the screw rod 17 is close to the tumor, the disc 2 is hinged at the other end of the screw rod 17, the screw rod 17 abuts against the cheek of the patient through the disc 2, the worker twists the nut 18 at one end of the screw rod 17, and simultaneously makes one end face of the nut 18 contact, the skin tissue around the tumor is locally anesthetized by a worker, the tumor is clamped by the worker through the surgical clip in cooperation with the observation of the endoscope on the tumor position, and the tumor on the maxillofacial surface close to the cheek is pressed by the disc 2, so that the skin tissue cannot shake in the clamping process of the surgical clip, a scalpel can conveniently cut off the tumor, and the controller controls the air pump to work in the operation process of the worker, so that effusion generated in the operation in the oral cavity is sucked away through the first air pipe, and the cleanness in the oral cavity is ensured; according to the invention, the motor 3 drives the slide block 15 to move along the slide rod 14 and the screw rod 17 supports the disc 2 against the cheek of the patient, so that the stability of the tumor on the oral maxillofacial surface close to the cheek in the resection process is improved, the difficulty of the tumor resection on the oral maxillofacial surface close to the cheek is further reduced, and meanwhile, the efficiency and the success rate of the tumor resection of the oral maxillofacial surface by a worker are improved.
In one embodiment of the present invention, the disc 2 is screwed with a bolt 21; the bolts 21 are uniformly distributed on the disc 2, and the bolts 21 are sleeved with springs 22; the spring 22 is positioned between the disc 2 and one end of the bolt 21; when the operation clamp works, part of the tumor is positioned in the maxillofacial region, so that the tumor in the maxillofacial region is difficult to clamp by the operation clamp, and the difficulty of tumor cutting on the maxillofacial region is increased; therefore, after the disc 2 is abutted to the cheek by the screw rod 17, the screw bolt 21 is connected to the disc 2 in a threaded manner, so that a worker can screw the screw bolt 21 to rotate, the other end of the screw bolt 21 can jack up the tumor through the skin, the tumor on the maxillofacial area is protruded, the operation clamp can conveniently clamp the tumor inside the maxillofacial area, the screw bolt 21 is sleeved with the spring 22, the screw bolt 21 is prevented from loosening through the spring 22, and the principle of the screw bolt is the same as that of a spring 22 gasket; according to the invention, the disc 2 is supported on the cheek side through the screw rod 17 and the bolt 21 jacks up the skin with the tumor, so that the tumor on the maxillofacial surface can be conveniently removed by a worker, and the practicability of the oral and maxillofacial surgery tumor removal device is further enhanced.
As an embodiment of the present invention, the other end of the bolt 21 is rotatably connected to a flexible block 23; the section of the flexible block 23 is circular, the surface of the flexible block 23, which is contacted with the skin, is provided with bulges 24, the bulges 24 are uniformly distributed on the surface of the flexible block 23, and the bulges 24 are arranged in a semicircle shape; when the skin-scraping device works, a worker directly screws the bolt 21, and the other end of the bolt 21 is in contact with the skin, so that the other end of the bolt 21 scratches the skin; therefore, in the rotating process of screwing the bolt 21 by a worker, the other end of the bolt 21 is rotatably connected with the flexible block 23, so that the soft contact between the bolt 21 and the skin is realized, the friction force between the other end of the bolt 21 and the skin is reduced, the skin is prevented from being scratched by the other end of the bolt 21, and the contact surface of the flexible block 23 and the skin is provided with the bulge 24, so that the contact area between the flexible block 23 and the skin is reduced through the bulge 24, the friction force between the flexible block 23 and the skin is increased, the flexible block 23 cannot move on the skin under the action of the friction force, and meanwhile, the bolt 21 is rotatably connected with the flexible block 23, so that the bolt 21 cannot drive the flexible block 23 to rotate on the skin, the skin of a patient is further protected from being damaged, and the actual application effect of the flexible block 23; according to the invention, the other end of the bolt 21 is rotatably connected with the flexible block 23 and the protrusion 24 is arranged on one surface of the flexible block 23 to match with the other end of the bolt, so that the bolt 21 can not drive the flexible block 23 to rotate on the skin, and the facial skin of a patient can be protected from being damaged.
As an embodiment of the present invention, the side of the disk 2 is provided with a pressing rod 25; the pressing rods 25 are uniformly distributed around the disc 2, and one end of each pressing rod 25 is twisted on the disc 2 through a torsion spring 26; during operation, the screw rod 17 drives the disc 2 to be close to the chin upper process, the screw rod 17 can drive the disc 2 to rotate, the pressing rod 25 is arranged on the side face of the disc 2, the disc 2 can drive the pressing rod 25 to rotate, one end of the pressing rod 25 is twisted on the disc 2 through the torsion spring 26, the pressing rod 25 is firstly contacted with the chin upper under the action of the torsion spring 26, the other end of the pressing rod 25 slides on the chin upper, the effect of massaging the chin upper by the pressing rod 25 is achieved, blood circulation around the chin upper is promoted, skin tissues around the tumor are further relaxed, and the effect of cutting off the tumor on the maxillofacial area by a worker is improved.
As an embodiment of the present invention, the other end of the pressing rod 25 is fixedly connected with a pressing block 27; the pressing block 27 is arranged in a finger shape, and the pressing block 27 is made of flexible materials; when the device works, the disc 2 drives the pressing rod 25 to massage on the cheeks, and the pressing block 27 is fixedly connected to the other end of the pressing rod 25, so that the pressing rod 25 drives the pressing block 27 to slide on the cheeks, and meanwhile, the pressing block 27 is arranged to be in a finger shape, so that the massage effect of the pressing rod 25 on skin tissues around the cheeks is further improved, and the comfort level of the pressing rod 25 on the cheeks is further improved as the pressing block 27 is made of flexible materials.
As an embodiment of the present invention, the side of the disc 2 away from the flexible block 23 is provided with an annular groove 28; the annular groove 28 surrounds the bolt 21; one end of the spring 22 is clamped in the annular groove 28; an air bag 29 is also arranged in the annular groove 28; the air bag 29 is positioned between the spring 22 and the bottom of the annular groove 28; a cavity 231 is arranged in the flexible block 23; the interior of the air bag 29 is communicated with the cavity 231 through a second air pipe 232; the surface of the flexible block 23, which is contacted with the skin, is provided with a through hole 233; the through hole 233 is communicated with the cavity 231; alcohol is filled in the air bag 29; during operation, sweat and water stains on the surface of the upper cheek can influence the adhesion of the disc 2 and the upper cheek, so that when a worker performs an operation, the phenomenon that skin slips on the disc 2 can occur, and the fixation of skin tissues around a tumor is further influenced; therefore, in the process of screwing the bolt 21 by a worker in the invention, the bolt 21 compresses the spring 22 because the spring 22 is positioned between the disc 2 and one end of the bolt 21, the annular groove 28 is arranged on one surface of the disc 2 far away from the flexible block 23, one end of the spring 22 is clamped in the annular groove 28, the spring 22 applies pressure to the annular groove 28, the annular groove 28 also plays a role in guiding the spring 22, the air bag 29 is arranged in the annular groove 28, the air bag 29 is positioned between the spring 22 and the bottom of the annular groove 28, the spring 22 applies force to the air bag 29, the air bag 29 generates liquid pressure after being pressed by the spring 22 because the alcohol is filled in the air bag 29, the cavity 231 is arranged in the flexible block 23, the interior of the air bag 29 is communicated with the cavity 231 through the second air pipe 232, the alcohol in the air bag 29 enters the cavity 231 along the second air pipe 232, and the surface of the flexible block 23, which is contacted with, so alcohol in the cavity 231 can be spout along through-hole 233, make alcohol spray on the face, alcohol has the volatilization effect, thereby sweat and the water stain rapid evaporation of face through alcohol, disc 2 and skin contact's frictional force has been increased, and then make the phenomenon that skin can not appear skidding in the operation process on disc 2, the stability of cavity 231 maxillofacial surgery tumour excision has been improved, reached the sterile effect to patient face and resection device simultaneously through alcohol, and then prevent facial bacterial infection between patient and the patient, make oral cavity maxillofacial surgery tumour resection device's practical application effect obtain the reinforcing.
When the operation table is in use, a worker firstly cleans and disinfects the oral cavity of a patient, then the patient lies on the operation table, then the mouth gag is clamped on the mouth of the patient, so that the oral cavity of the patient is opened, then the other end of a trachea is placed in the oral cavity of the patient, after the patient lies on the operation table, the worker clamps the cushion block 1 at the neck of the patient, then the head sleeve 4 fixes the head of the patient, thereby ensuring that the patient does not move around in the operation engineering, improving the stability of the tumor excision of the worker, because the two sides of the cushion block 1 are fixedly connected with the trapezoidal blocks 11, the trapezoidal blocks 11 are connected with the base block 12 in a sliding way, the worker controls the base block 12 to slide along the trapezoidal blocks 11, thereby controlling the base block 12 to be close to the chin of the patient, because the upper end of the base block 12 is connected with the screw 13 in a threaded way, the base block 12 is fixed on the trapezoidal blocks 11 through the screw 13, thereby preventing the base block 12 from, the starting controller controls the motor 3 to rotate, the output shaft of the motor 3 is connected with one end of a screw 16, the motor 3 drives the screw 16 to rotate, the upper end of the base block 12 is fixedly connected with a slide rod 14, the slide rod 14 is connected with a slide block 15 in a sliding manner, the slide block 15 is connected with the screw 16 in a threaded manner, the screw 16, the slide rod 14 and the slide block 15 form a screw-rod slide block pair, the slide block 15 is driven to move along the slide rod 14 by the rotation of the motor 3 until the slide block 15 moves to the same height with the tumor, a screw rod 17 is also connected with the slide block 15 in a threaded manner, a worker twists the screw rod 17 to rotate, so that the other end of the screw rod 17 is close to the tumor, the disc 2 is hinged at the other end of the screw rod 17, the screw rod 17 abuts against the cheek of the patient through the disc 2, the worker twists the nut 18 at one end of the screw rod 17, and simultaneously makes one end face of the nut 18 contact, the skin tissue around the tumor is locally anesthetized by a worker, the tumor is clamped by the worker through the surgical clip in cooperation with the observation of the endoscope on the tumor position, and the tumor on the maxillofacial surface close to the cheek is pressed by the disc 2, so that the skin tissue cannot shake in the clamping process of the surgical clip, a scalpel can conveniently cut off the tumor, and the controller controls the air pump to work in the operation process of the worker, so that effusion generated in the operation in the oral cavity is sucked away through the first air pipe, and the cleanness in the oral cavity is ensured; after the disc 2 is abutted to the cheek side by the screw rod 17, the screw bolt 21 is connected to the disc 2 in a threaded manner, so that a worker can screw the screw bolt 21 to rotate, the other end of the screw bolt 21 is used for jacking up a tumor through the skin, the tumor on the maxillofacial area is protruded, an operation clamp can conveniently clamp the tumor inside the maxillofacial area, the screw bolt 21 is sleeved with the spring 22, the screw bolt 21 is prevented from loosening through the spring 22, and the principle of the screw bolt is the same as that of a washer of the spring 22; in the process that a worker twists the bolt 21 and rotates, the other end of the bolt 21 is rotatably connected with the flexible block 23, so that the bolt 21 is in soft contact with the skin, the friction force between the other end of the bolt 21 and the skin is reduced, and the skin is prevented from being scratched by the other end of the bolt 21; because the protrusion 24 is arranged on the side of the flexible block 23 contacting with the skin, the contact area of the flexible block 23 and the skin is reduced through the protrusion 24, the friction force between the flexible block 23 and the skin is increased, so that the flexible block 23 cannot move on the skin under the action of the friction force, meanwhile, the bolt 21 is rotatably connected with the flexible block 23, the bolt 21 cannot drive the flexible block 23 to rotate on the skin, the skin of a patient is further protected from being damaged, the screw rod 17 can drive the disc 2 to rotate in the process that the screw rod 17 drives the disc 2 to approach the cheeks, the screw rod 17 can drive the disc 2 to rotate, the pressing rod 25 is arranged on the side surface of the disc 2, the disc 2 can drive the pressing rod 25 to rotate, one end of the pressing rod 25 is twisted on the disc 2 through the torsion spring 26, the pressing rod 25 is firstly contacted with the cheeks under the action of the torsion spring 26, so that the other end of the pressing rod 25 slides on the cheeks, and, the blood circulation around the cheeks is promoted, so that skin tissues around the tumor are relaxed, the pressing block 27 is driven by the pressing bar 25 to slide on the cheeks due to the fact that the pressing block 27 is fixedly connected to the other end of the pressing bar 25, meanwhile, the pressing block 27 is set to be in a finger shape, the massage effect of the pressing bar 25 on the skin tissues around the cheeks is further improved, and the pressing block 27 is made of flexible materials, so that the comfort level of the pressing bar 25 in massaging the cheeks is further improved; when a worker screws the bolt 21, the bolt 21 compresses the spring 22 because the spring 22 is positioned between the disc 2 and one end of the bolt 21, the annular groove 28 is arranged on the surface of the disc 2, which is far away from the flexible block 23, and one end of the spring 22 is clamped in the annular groove 28, so that the spring 22 applies pressure to the annular groove 28, meanwhile, the annular groove 28 also plays a role in guiding the spring 22, the air bag 29 is arranged in the annular groove 28, the air bag 29 is positioned between the spring 22 and the bottom of the annular groove 28, so that the spring 22 applies force to the air bag 29, the air bag 29 is filled with alcohol, the liquid pressure is generated after the air bag 29 is extruded by the spring 22, the cavity 231 is arranged in the flexible block 23, the interior of the air bag 29 is communicated with the cavity 231 through the second air pipe 232, so that the alcohol in the air bag 29 enters the cavity 231 along the second air pipe 232, and the surface, which is contacted, so alcohol in the cavity 231 can be spout along through-hole 233, make alcohol spray on the face, alcohol has the volatilization effect, thereby sweat and the water stain rapid evaporation of face through alcohol, disc 2 and skin contact's frictional force has been increased, and then make the phenomenon that skin can not appear skidding in the operation process on disc 2, the stability of cavity 231 maxillofacial surgery tumour excision has been improved, reached the sterile effect to patient face and resection device simultaneously through alcohol, and then prevent facial bacterial infection between patient and the patient, make oral cavity maxillofacial surgery tumour resection device's practical application effect obtain the reinforcing.
The foregoing illustrates and describes the principles, general features, and advantages of the present invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (6)

1. An oral and maxillofacial surgery tumor resection device comprises a pollution discharge mechanism, an endoscope, a mouth gag, a scalpel and an operating clip; the sewage discharge mechanism comprises an air pump and a first air pipe; one end of the first air pipe is connected with an air pump, and the other end of the first air pipe is placed in the oral cavity; the method is characterized in that: the device also comprises a cushion block (1), a disc (2), a motor (3) and a controller; the cushion block (1) is arranged in a U shape, the opening of the cushion block (1) faces upwards, the cushion block (1) is clamped on a neck, and a head sleeve (4) is arranged beside the cushion block (1); the headgear (4) consists of two elastic belts (41); the two elastic belts (41) are vertically connected, wherein one elastic belt (41) is connected end to end; the head sleeve (4) is fixedly connected with the end surface of the cushion block (1) through a flexible belt (42); two sides of the cushion block (1) are fixedly connected with trapezoidal blocks (11); the trapezoidal block (11) is connected with a base block (12) in a sliding way; the upper end of the base block (12) is in threaded connection with a screw (13); the end of the screw (13) can be in contact with the trapezoidal block (11); the upper end of the base block (12) is fixedly connected with a sliding rod (14); the sliding rod (14) is connected with the sliding block (15) in a sliding manner; the sliding block (15) is positioned right above the base block (12); the upper end of the base block (12) is rotatably connected with a screw rod (16), and a motor (3) is arranged in the base block (12); the output shaft of the motor (3) is connected with one end of a screw rod (16); the screw rod (16) is in threaded connection with the sliding block (15); the sliding block (15) is also in threaded connection with a screw rod (17); the two screw rods (17) are symmetrically arranged, the screw rods (17) are positioned between the corresponding screw rods (16) and the corresponding sliding rods (14), one end of each screw rod (17) is connected with a nut (18) in a threaded manner, and the other end of each screw rod is hinged with the disc (2); the controller is used for controlling the automatic operation of the cutting device.
2. The oromaxillofacial surgical tumor resection device of claim 1, wherein: the disc (2) is in threaded connection with a bolt (21); the bolts (21) are uniformly distributed on the disc (2), and the bolts (21) are sleeved with springs (22); the spring (22) is positioned between the disc (2) and one end of the bolt (21).
3. The oromaxillofacial surgical tumor resection device of claim 2, wherein: the other end of the bolt (21) is rotationally connected with a flexible block (23); the section of the flexible block (23) is circular, and a bulge (24) is arranged on one surface of the flexible block (23) which is in contact with the skin; the bulges (24) are uniformly distributed on one surface of the flexible block (23), and the bulges (24) are arranged in a semicircular shape.
4. The oromaxillofacial surgical tumor resection device of claim 3, wherein: a pressing rod (25) is arranged on the side surface of the disc (2); the pressing rods (25) are uniformly distributed around the disc (2), and one ends of the pressing rods (25) are twisted on the disc (2) through torsion springs (26).
5. The oromaxillofacial surgical tumor resection device of claim 4, wherein: the other end of the pressing rod (25) is fixedly connected with a pressing block (27); the pressing block (27) is arranged in a finger shape, and the pressing block (27) is made of flexible materials.
6. The oromaxillofacial surgical tumor resection device of claim 5, wherein: an annular groove (28) is formed in one surface, far away from the flexible block (23), of the disc (2); the annular groove (28) surrounds the bolt (21); one end of the spring (22) is clamped in the annular groove (28); an air bag (29) is also arranged in the annular groove (28); the air bag (29) is positioned between the spring (22) and the bottom of the annular groove (28); a cavity (231) is arranged in the flexible block (23); the interior of the air bag (29) is communicated with the cavity (231) through a second air pipe (232); a through hole (233) is formed in one surface, which is in contact with the skin, of the flexible block (23); the through hole (233) is communicated with the cavity (231); alcohol is filled in the air bag (29).
CN202011527882.9A 2020-12-22 2020-12-22 Oral cavity maxillofacial surgery tumour resection device Active CN112603735B (en)

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