CN112843434A - Special multifunctional duct for biliary tract via cystic duct - Google Patents

Special multifunctional duct for biliary tract via cystic duct Download PDF

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Publication number
CN112843434A
CN112843434A CN202110013156.3A CN202110013156A CN112843434A CN 112843434 A CN112843434 A CN 112843434A CN 202110013156 A CN202110013156 A CN 202110013156A CN 112843434 A CN112843434 A CN 112843434A
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Prior art keywords
pipe
pore
multifunctional
duct
connecting pipe
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CN202110013156.3A
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CN112843434B (en
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张铃福
侯纯升
修典荣
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Peking University Third Hospital Peking University Third Clinical Medical College
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Peking University Third Hospital Peking University Third Clinical Medical College
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
    • A61B5/036Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs by means introduced into body tracts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M25/0028Multi-lumen catheters with stationary elements characterized by features relating to at least one lumen located at the proximal part of the catheter, e.g. alterations in lumen shape or valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/105Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1075Gall bladder

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Child & Adolescent Psychology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a special multifunctional catheter for biliary tract through a cystic duct, which comprises a first connecting pipe, a second connecting pipe, a third connecting pipe, a three-cavity valve body and a multifunctional pipe, wherein the first connecting pipe, the second connecting pipe and the third connecting pipe are connected with the multifunctional pipe through the three-cavity valve body, the multifunctional pipe is internally provided with an outer drainage duct, a pressure measuring duct and an anti-reflux balloon duct, the opening of the outer drainage duct is positioned at the end head of the multifunctional pipe, the openings of the pressure measuring duct and the anti-reflux balloon duct are positioned on the outer wall of the multifunctional pipe, the multifunctional pipe is also provided with a balloon arranged around the outer peripheral wall of the multifunctional pipe, and the anti-reflux balloon duct is communicated with the balloon. The invention can realize bile external drainage and post-operation biliary tract radiography and can play a role in preventing the content of the common bile duct from flowing back into the intrahepatic bile duct.

Description

Special multifunctional duct for biliary tract via cystic duct
Technical Field
The invention relates to a special multifunctional catheter for biliary tract through a cystic duct, belonging to the technical field of medical instruments.
Background
The existing biliary tract external drainage tube through a cystic duct is a single-cavity drainage tube, only can play a role in draining bile externally or performing radiography or pressure measurement, and can not perform real-time pressure monitoring while dynamically changing the pressure in a common bile duct; secondly, the existing single-cavity external drainage tube does not have the function of preventing the contents of the common bile duct from flowing back into the intrahepatic bile duct when water is injected into the common bile duct, and when the residual small stones are found by postoperative radiography and washed under the guidance of X-ray, the small stones may flow back into the intrahepatic bile duct, and the reflux cholangitis may be induced by overhigh pressure of the intrahepatic bile duct caused by too fast liquid injection.
Disclosure of Invention
The invention aims to provide a special multifunctional duct for biliary tract through a cystic duct, which can solve the defects in the prior art, realize biliary drainage and post-operation biliary tract radiography and play a role in preventing the content of a common bile duct from flowing back into an intrahepatic bile duct.
The invention provides a special multifunctional catheter for biliary tract through a cystic duct, which comprises a first connecting pipe, a second connecting pipe, a third connecting pipe, a three-cavity valve body and a multifunctional pipe, wherein the first connecting pipe, the second connecting pipe and the third connecting pipe are connected with the multifunctional pipe through the three-cavity valve body, the multifunctional pipe is internally provided with an outer drainage duct, a pressure measuring duct and an anti-reflux saccule duct, the opening of the outer drainage duct is positioned at the end head of the multifunctional pipe, the openings of the pressure measuring duct and the anti-reflux saccule duct are positioned on the outer wall of the multifunctional pipe, the multifunctional pipe is also provided with a saccule arranged around the outer peripheral wall of the multifunctional pipe, and the anti-reflux saccule duct is communicated with the saccule.
In the aforementioned multifunctional catheter dedicated for biliary tract via cystic duct, preferably, the three-cavity valve body has a first connecting duct, a second connecting duct, and a third connecting duct, the first connecting pipe is communicated with the pressure measuring duct through the first connecting duct, the second connecting pipe is communicated with the external drainage duct through the second connecting duct, and the third connecting pipe is communicated with the anti-backflow balloon duct through the third connecting duct.
In the aforementioned multifunctional catheter special for biliary tract via cystic duct, preferably, one end of the three-cavity valve body is provided with a first connecting column, a second connecting column and a third connecting column, the other end of the three-cavity valve body is fixedly connected with the multifunctional tube, the first connecting tube is detachably connected with the first connecting column, the second connecting tube is detachably connected with the second connecting column, and the third connecting tube is detachably connected with the third connecting column.
In the multifunctional catheter special for biliary tract via cystic duct, preferably, the three-cavity valve body has an isosceles trapezoid structure, and the first connecting pore, the second connecting pore and the third connecting pore are all diameter-variable pores.
In the multifunctional catheter special for biliary tract via cystic duct, preferably, the multifunctional tube is a circular plastic tube, and the multifunctional tube has a circumference of 7F-9F and a length of 30cm-40 cm.
In the aforementioned multifunctional catheter dedicated for biliary tract via cystic duct, preferably, the diameter of the external drainage duct is 16Ga, and the diameters of the pressure measuring duct and the anti-reflux balloon duct are 18 Ga.
In the multifunctional catheter special for biliary tract via cystic duct, preferably, the multifunctional catheter is further sleeved with a fixing block.
Compared with the prior art, the multifunctional tube comprises a first connecting tube, a second connecting tube, a third connecting tube, a three-cavity valve body and a multifunctional tube, wherein the first connecting tube, the second connecting tube and the third connecting tube are connected with the multifunctional tube through the three-cavity valve body, an outer drainage hole channel, a pressure measuring hole channel and an anti-backflow balloon hole channel are formed in the multifunctional tube, a balloon arranged around the peripheral wall of the multifunctional tube is arranged on the multifunctional tube, and the anti-backflow balloon hole channel is communicated with the balloon. The invention integrates the functions of bile external drainage, regulation and control, monitoring the pressure of the common bile duct and preventing the contents of the common bile duct from reversely flowing into the liver into a whole through the arrangement of the external drainage pore passage, the pressure measuring pore passage and the anti-reverse flow balloon pore passage, can effectively drain bile from the aspect of treatment, carry out biliary tract radiography in operation or after operation, can remove residual small stones in the common bile duct through remedial washing under the protection of the anti-reverse flow balloon, and can dynamically regulate and monitor the pressure of the common bile duct through the combined use of the external drainage device and the pressure measuring device from the aspect of diagnosis to assist the diagnosis of functional diseases of the biliary duct.
Drawings
FIG. 1 is a front view of the overall structure of the present invention;
fig. 2 is a half sectional view of a partial structure of the present invention.
Description of reference numerals: the three-cavity valve comprises a first connecting pipe 1, a second connecting pipe 2, a third connecting pipe 3, a three-cavity valve body 4, a multifunctional pipe 5, an external drainage pore channel 6, a pressure measuring pore channel 7, an anti-backflow balloon pore channel 8, a balloon 9, a first connecting pore channel 10, a second connecting pore channel 11, a third connecting pore channel 12, a first connecting column 13, a second connecting column 14, a third connecting column 15, a fixing block 16 and a connecting lug 17.
Detailed Description
The embodiments described below with reference to the drawings are illustrative only and should not be construed as limiting the invention.
The embodiment of the invention comprises the following steps: as shown in fig. 1 and 2, a special multifunctional catheter for biliary tract via cystic duct comprises a first connecting pipe 1, a second connecting pipe 2, a third connecting pipe 3, a three-cavity valve body 4 and a multifunctional tube 5, wherein the first connecting pipe 1, the second connecting pipe 2 and the third connecting pipe 3 are connected with the multifunctional tube 5 through the three-cavity valve body 4, the multifunctional tube 5 is internally provided with an outer drainage pore passage 6, a pressure measuring pore passage 7 and an anti-reflux saccule pore passage 8, the opening of the outer drainage pore passage 6 is positioned at the end head of the multifunctional tube 5, the end head of the multifunctional tube 5 adopts a conical head, the opening of the outer drainage pore passage 6 is positioned at the conical top, the openings of the pressure measuring pore passage 7 and the anti-reflux saccule pore passage 8 are both positioned on the outer wall of the multifunctional tube 5, wherein the opening of the pressure measuring pore passage 7 is 1cm from the opening of the outer drainage pore passage 6, the opening of the anti-reflux saccule pore passage 8 is 2.5cm from the opening of, the anti-reflux balloon channel 8 is in communication with the balloon 9.
The invention integrates the external drainage pore canal 6, the pressure measuring pore canal 7 and the anti-reflux balloon pore canal 8 into a multifunctional tube 5, integrates the external bile drainage, the post-operation biliary tract radiography, prevents the content of the common bile duct from flowing back into the intrahepatic bile duct, dynamically regulates and controls and simultaneously monitors the biliary tract pressure, has simple structure and principle, is convenient to operate and use, and makes up the defects that the prior biliary tract external drainage tube through the biliary tract can only drain bile externally, and only measures pressure or only performs the post-operation biliary tract radiography.
In a specific embodiment, the three-cavity valve body 4 is in an isosceles trapezoid structure, a first connecting hole 10, a second connecting hole 11 and a third connecting hole 12 are formed in the three-cavity valve body 4, the first connecting pipe 1 is communicated with the pressure measuring hole 7 through the first connecting hole 10, the second connecting pipe 2 is communicated with the outer drainage hole 6 through the second connecting hole 11, the third connecting pipe 3 is communicated with the anti-backflow balloon hole 8 through the third connecting hole 12, and the first connecting hole 10, the second connecting hole 11 and the third connecting hole 12 are all diameter-variable holes. When the three-cavity valve body 4 is used, the three-cavity valve body 4 is positioned outside a patient body, and two connecting lugs 17 are arranged on the three-cavity valve body 4 for fixing conveniently.
Further, the one end of three chamber valve bodies 4 is provided with first spliced pole 13, second spliced pole 14 and third spliced pole 15, and the other end and the multi-functional pipe 5 fixed connection of three chamber valve bodies 4, first connecting pipe 1 can be dismantled with first spliced pole 13 and be connected, second connecting pipe 2 can be dismantled with second spliced pole 14 and be connected, and third connecting pipe 3 can be dismantled with third spliced pole 15 and be connected.
Through the setting of first spliced pole 13, second spliced pole 14 and third spliced pole 15, the convenience is to the change and the installation and the dismantlement of first connecting pipe 1, second connecting pipe 2, third connecting pipe 3, has improved the convenience.
Furthermore, the multifunctional pipe 5 is a circular plastic pipe, the circumference of the multifunctional pipe 5 is 7F-9F, preferably 7F, and the length is 30cm-40cm, preferably 30 cm. The diameter of the external drainage pore canal 6 is 16Ga, and the diameters of the pressure measuring pore canal 7 and the anti-reflux balloon pore canal 8 are 18 Ga. The multifunctional pipe 5 is further sleeved with a fixing block 16, and the multifunctional pipe 5 is conveniently fixed through the fixing block 16.
The working process of the invention is as follows: the far end of the multifunctional catheter 5 is placed into the abdominal cavity of a patient through percutaneous puncture, the multifunctional catheter 5 is placed into the choledoch through the cystic duct, the multifunctional catheter 5 is fixed at the cystic duct, and particularly, the openings of an external drainage duct 6, a pressure measuring duct 7 and an anti-reflux balloon duct 8 are all positioned in the choledoch; three chamber valve bodies 4 and fixed block 16 are located the patient externally, can be fixed in the two outside the patient's stomach wall, according to clinical needs, accessible second connecting pipe 2 and outer drainage pore 6 realize the bile external drainage, can realize functions such as postoperative biliary tract radiography and dynamic control biliary tract pressure and real-time supervision through first connecting pipe 1 and pressure measurement pore 7, when the remaining calculus of postoperative radiography discovery is carried out the X line guide and is washed remaining calculus down, aerify for sacculus 9 through third connecting pipe 3, make sacculus 9 inflation can prevent that the choledochus content from flowing back into intrahepatic bile duct. After the operation is finished, the patient is pulled out after 7 days generally, so that the pain of the patient is reduced, and the patient can recover early.
The construction, features and functions of the present invention are described in detail in the embodiments illustrated in the drawings, which are only preferred embodiments of the present invention, but the present invention is not limited by the drawings, and all equivalent embodiments modified or changed according to the idea of the present invention should fall within the protection scope of the present invention without departing from the spirit of the present invention covered by the description and the drawings.

Claims (7)

1. The utility model provides a through multi-functional pipe of cystic duct biliary tract specificity, includes first connecting pipe (1), second connecting pipe (2) and third connecting pipe (3), its characterized in that: still include three chamber valve bodies (4) and multi-functional pipe (5), first connecting pipe (1), second connecting pipe (2) and third connecting pipe (3) pass through three chamber valve bodies (4) with multi-functional pipe (5) are connected, have outer drainage pore (6), pressure measurement pore (7) and prevent refluence sacculus pore (8) in multi-functional pipe (5), the opening in outer drainage pore (6) is located on the end of multi-functional pipe (5), pressure measurement pore (7) with prevent the opening in refluence sacculus pore (8) all be located on the outer wall of multi-functional pipe (5), still be provided with sacculus (9) that set up around its periphery wall on multi-functional pipe (5), prevent refluence sacculus pore (8) with sacculus (9) intercommunication.
2. The multifunctional duct special for biliary tract according to claim 1, wherein: have first connecting pore (10), second connecting pore (11) and third connecting pore (12) in three chamber valve body (4), first connecting pipe (1) passes through first connecting pore (10) with pressure measurement pore (7) intercommunication, second connecting pipe (2) pass through second connecting pore (11) with outer drainage pore (6) intercommunication, third connecting pipe (3) pass through third connecting pore (12) with prevent reverse flow sacculus pore (8) intercommunication.
3. The multifunctional duct special for biliary tract according to claim 2, wherein: the one end of three chamber valve bodies (4) is provided with first spliced pole (13), second spliced pole (14) and third spliced pole (15), the other end of three chamber valve bodies (4) with multi-functional pipe (5) fixed connection, first connecting pipe (1) with connection can be dismantled in first spliced pole (13), second connecting pipe (2) with connection can be dismantled in second spliced pole (14), third connecting pipe (3) with connection can be dismantled in third spliced pole (15).
4. The multifunctional duct special for biliary tract according to claim 2, wherein: the three-cavity valve body (4) is of an isosceles trapezoid structure, and the first connecting pore channel (10), the second connecting pore channel (11) and the third connecting pore channel (12) are all diameter-variable pore channels.
5. The multifunctional duct special for biliary tract according to claim 1, wherein: the multifunctional pipe (5) is a circular plastic pipe, the circumference of the multifunctional pipe (5) is 7F-9F, and the length of the multifunctional pipe is 30cm-40 cm.
6. The multifunctional duct special for biliary tract according to claim 5, wherein: the diameter of the external drainage pore canal (6) is 16Ga, and the diameters of the pressure measuring pore canal (7) and the anti-reflux balloon pore canal (8) are 18 Ga.
7. The multifunctional transvascular biliary tract catheter as set forth in any one of claims 1-6, wherein: the multifunctional pipe (5) is also sleeved with a fixed block (16).
CN202110013156.3A 2021-01-06 2021-01-06 Special multifunctional duct for biliary tract via cystic duct Active CN112843434B (en)

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CN202110013156.3A CN112843434B (en) 2021-01-06 2021-01-06 Special multifunctional duct for biliary tract via cystic duct

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Application Number Priority Date Filing Date Title
CN202110013156.3A CN112843434B (en) 2021-01-06 2021-01-06 Special multifunctional duct for biliary tract via cystic duct

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CN112843434A true CN112843434A (en) 2021-05-28
CN112843434B CN112843434B (en) 2023-02-24

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2809118C1 (en) * 2023-02-27 2023-12-06 Федеральное государственное автономное образовательное учреждение высшего образования "Санкт-Петербургский государственный электротехнический университет "ЛЭТИ" им. В.И. Ульянова (Ленина)" Device for long-term pressure measurement in extrahepatic bile ducts

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4627837A (en) * 1984-05-30 1986-12-09 German Gonzalo Catheter device
US4734094A (en) * 1986-06-09 1988-03-29 Jacob Erwin T Catheter and method for cholangiography
US4781677A (en) * 1985-07-17 1988-11-01 Wilcox Gilbert M Method of treatment utilizing a double balloon nasobiliary occlusion catheter
US4919651A (en) * 1988-04-15 1990-04-24 Santa Barbara Medical Foundation Clinic Catheter having a double lumen and a balloon and method of using the same for controlled operative cholangiography
CN2067166U (en) * 1990-04-13 1990-12-12 重庆市第二人民医院 Dual gas cell u type bile drainage-tube
CN107157545A (en) * 2017-06-22 2017-09-15 扬州市第人民医院 A kind of detachable ERCP special-purpose multifunctionals biliary tract stone extraction sacculus
US20180117278A1 (en) * 2016-10-28 2018-05-03 Blaine S. Cameron Catheter Apparatus
CN208974938U (en) * 2018-06-26 2019-06-14 郑州大学第一附属医院 A kind of de- biliary stent of the anti-work of sacculus

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4627837A (en) * 1984-05-30 1986-12-09 German Gonzalo Catheter device
US4781677A (en) * 1985-07-17 1988-11-01 Wilcox Gilbert M Method of treatment utilizing a double balloon nasobiliary occlusion catheter
US4734094A (en) * 1986-06-09 1988-03-29 Jacob Erwin T Catheter and method for cholangiography
US4919651A (en) * 1988-04-15 1990-04-24 Santa Barbara Medical Foundation Clinic Catheter having a double lumen and a balloon and method of using the same for controlled operative cholangiography
CN2067166U (en) * 1990-04-13 1990-12-12 重庆市第二人民医院 Dual gas cell u type bile drainage-tube
US20180117278A1 (en) * 2016-10-28 2018-05-03 Blaine S. Cameron Catheter Apparatus
CN107157545A (en) * 2017-06-22 2017-09-15 扬州市第人民医院 A kind of detachable ERCP special-purpose multifunctionals biliary tract stone extraction sacculus
CN208974938U (en) * 2018-06-26 2019-06-14 郑州大学第一附属医院 A kind of de- biliary stent of the anti-work of sacculus

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2809118C1 (en) * 2023-02-27 2023-12-06 Федеральное государственное автономное образовательное учреждение высшего образования "Санкт-Петербургский государственный электротехнический университет "ЛЭТИ" им. В.И. Ульянова (Ленина)" Device for long-term pressure measurement in extrahepatic bile ducts

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