CN113729804A - Flexible surgical instrument - Google Patents
Flexible surgical instrument Download PDFInfo
- Publication number
- CN113729804A CN113729804A CN202111206769.5A CN202111206769A CN113729804A CN 113729804 A CN113729804 A CN 113729804A CN 202111206769 A CN202111206769 A CN 202111206769A CN 113729804 A CN113729804 A CN 113729804A
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- Prior art keywords
- surgical instrument
- flexible surgical
- catheter
- metal cutting
- cavity catheter
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- 210000000707 wrist Anatomy 0.000 claims abstract description 30
- 239000012636 effector Substances 0.000 claims abstract description 16
- 238000001356 surgical procedure Methods 0.000 claims abstract description 7
- 239000002184 metal Substances 0.000 claims description 26
- 238000005520 cutting process Methods 0.000 claims description 23
- 230000006835 compression Effects 0.000 claims description 12
- 238000007906 compression Methods 0.000 claims description 12
- 229910001220 stainless steel Inorganic materials 0.000 claims description 8
- 239000010935 stainless steel Substances 0.000 claims description 8
- 230000000149 penetrating effect Effects 0.000 claims description 6
- 239000000463 material Substances 0.000 claims description 5
- 238000010586 diagram Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 238000004519 manufacturing process Methods 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 238000003698 laser cutting Methods 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/302—Surgical robots specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Robotics (AREA)
- Surgical Instruments (AREA)
Abstract
The present disclosure provides a flexible surgical instrument comprising: a drive device, a multi-lumen catheter, a wrist structure, and a tip effector; one end of the multi-cavity catheter is connected with the driving device; one end of the wrist structure is connected with the other end of the multi-cavity catheter; the tail end executing device is connected with the other end of the wrist structure; the end effector is configured as a device for a surgical procedure; the drive device is configured to control the movement of the end effector.
Description
Technical Field
The present disclosure relates to the field of minimally invasive surgical robots, and more particularly to a flexible surgical instrument.
Background
The traditional minimally invasive surgery tool is multi-dimensional, long and straight and rod-shaped, is held by a doctor, is placed in the chest, the abdominal cavity or other tiny wounds of other parts, is matched with a medical endoscope, and completes surgery operation under a display picture, and in the operation mode, a main doctor, a doctor holding the endoscope and other auxiliary doctors need to cooperate with a plurality of people to perform surgery operation. In the operation process, the problems of operation tool interference and the like often occur due to various reasons such as the coordination among the instruments is not coordinated, the field of vision in the display is not reasonable, and the movement of the operation instrument does not conform to the intuitive operation rule, so that the smooth operation of the operation is influenced.
Disclosure of Invention
Technical problem to be solved
The present disclosure provides a flexible surgical instrument to solve the technical problems set forth above.
(II) technical scheme
According to one aspect of the present disclosure, there is provided a flexible surgical instrument comprising:
a drive device;
a multi-cavity catheter, wherein one end of the multi-cavity catheter is connected with the driving device;
a wrist structure, wherein one end of the wrist structure is connected with the other end of the multi-cavity catheter;
the tail end executing device is connected with the other end of the wrist structure;
the end effector is configured as a device for a surgical procedure; the drive device is configured to control the end effector to move.
In some embodiments of the present disclosure, the wrist structure comprises:
one end of the metal cutting pipe is connected with the tail end execution device; the inner part of the multi-cavity catheter is communicated with the inner part of the metal cutting pipe and is connected with the end part of the multi-cavity catheter.
In some embodiments of the present disclosure, the inner diameter of the metal cutting tube is less than the outer diameter of the multi-lumen catheter, and there is a difference between the inner diameter of the metal cutting tube and the outer diameter of the multi-lumen catheter.
In some embodiments of the present disclosure, the metal cut tube comprises: the first hollow part and the second hollow part are symmetrically distributed on two sides of the axis of the metal cutting pipe.
In some embodiments of the present disclosure, in the axial direction of the metal cutting pipe, two adjacent first hollows or second hollows are different in phase angle by 180 degrees.
In some embodiments of the present disclosure, the multi-lumen catheter comprises:
the compression hole is formed in the outer circular surface of the multi-cavity catheter; the compression holes are arranged along the radial direction of the multi-cavity catheter in a penetrating way;
the wire through hole is formed in the end face of one end of the multi-cavity catheter; the axis of the wire penetrating hole is vertically penetrated with the axis of the compression hole.
In some embodiments of the present disclosure, adjacent two of the compression holes have a phase angle that differs by 180 degrees in the direction of the multilumen catheter axis.
In some embodiments of the present disclosure, further comprising:
the driving wire is provided with a screw thread at one end; the other end of the driving wire penetrates through the wire penetrating hole arranged on the multi-cavity catheter and is arranged in the driving device;
after the driving wire is tensioned, the screw thread is clamped at the end face of the multi-cavity catheter.
In some embodiments of the present disclosure, the difference is 0.07-0.1 mm.
In some embodiments of the present disclosure, the material of the metal cut tube is selected to be a stainless steel material.
(III) advantageous effects
From the technical scheme, the flexible surgical instrument disclosed by the invention has at least one or part of the following beneficial effects:
(1) the flexible surgical instrument provided by the disclosure is suitable for different surgical environments and has wider applicability.
(2) The wrist structure in the disclosure is in a flexible state in the adjustment process, can be bent and deformed according to requirements and keeps the smooth passage, and is in a rigid state after adjustment is completed, and the structure with variable rigidity is beneficial to avoiding irregular movement of instruments.
Drawings
Fig. 1 is a schematic structural view of a flexible surgical instrument according to an embodiment of the present disclosure.
Fig. 2 is a partial structure diagram of the end effector shown in fig. 1.
Fig. 3 is a schematic diagram of a wrist structure motion model.
Fig. 4 is a schematic diagram of the exploded structure of fig. 2.
Fig. 5 is a schematic structural view of a metal cutting pipe.
Fig. 6 is a schematic view of the drive wire installation.
Fig. 7 is a schematic diagram of a wrist structure movement implementation.
Detailed Description
The present disclosure provides a flexible surgical instrument comprising: a drive device, a multi-lumen catheter, a wrist structure, and a tip effector; one end of the multi-cavity catheter is connected with the driving device; one end of the wrist structure is connected with the other end of the multi-cavity catheter; the tail end executing device is connected with the other end of the wrist structure; the end effector is configured as a device for a surgical procedure; the drive device is configured to control the movement of the end effector.
For the purpose of promoting a better understanding of the objects, aspects and advantages of the present disclosure, reference is made to the following detailed description taken in conjunction with the accompanying drawings.
Certain embodiments of the present disclosure will now be described more fully hereinafter with reference to the accompanying drawings, in which some, but not all embodiments of the disclosure are shown. Indeed, various embodiments of the disclosure may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this disclosure will satisfy applicable legal requirements.
In a first exemplary embodiment of the present disclosure, a flexible surgical instrument is provided. Fig. 1 is a schematic structural view of a flexible surgical instrument according to an embodiment of the present disclosure. As shown in fig. 1, the present disclosure provides a flexible surgical instrument including an end effector 231, a wrist structure 232, a multi-lumen catheter 233, and a drive device 234. One end of the multi-cavity catheter 233 is connected with the driving device 234; one end of the wrist structure 232 is connected with the other end of the multi-lumen catheter 233; an end effector 231 is connected to the other end of the wrist structure 232.
Each component will be described below.
The wrist structure 232, multi-lumen catheter 233 are used to connect the end effector 231 and the driver 234.
The driving device 234 is used to control the movement of the end effector 231. For example, wrist structure 232 is a movable structure, and drive 234 may also be used to control the movement of wrist structure 232.
In some embodiments of the present disclosure, wrist structure 232 may have a spatial 2 degree of freedom that may be controlled by drive 234 to achieve a 4-way bend, as shown in fig. 2 and 3. Referring to FIG. 4, wrist structure 232 includes a metal-cut tube 321 and a distal portion of a multi-lumen catheter, with metal-cut tube 321 fitting around the exterior of multi-lumen catheter 233. Under normal temperature, the inner diameter of the metal cutting tube 321 is slightly smaller than the outer diameter of the multi-lumen catheter 233 by a difference m.
In some embodiments of the present disclosure, the material of the metal cutting tube 321 may be selected from stainless steel, which is aimed at utilizing its characteristic of large thermal expansion coefficient to make it easier to fit with the multi-lumen catheter 233.
Fig. 5 is a schematic structural view of a metal cutting pipe. As shown in fig. 5, a first hollow 321a and a second hollow 321b are formed on the metal cutting pipe 321, and the first hollow 321a and the second hollow 321b are symmetrically distributed on two sides of the axis of the metal cutting pipe 321. Two adjacent hollow phase angles in the axial direction have a phase difference of 180 degrees. The first hollow 321a or the second hollow 321b disposed on the metal cutting pipe 321 can make the original stainless steel pipe with large elasticity, and the stainless steel pipe can be bent within a certain angle range by applying an external force to the stainless steel pipe.
In some embodiments of the present disclosure, the cutouts provided on the metal cutting tube 321 are made by laser cutting, and the surgical instrument outer diameter is typically within 10mm, at which scale the unilateral wall thickness of the stainless steel tubing for laser cutting is provided within 0.3 mm. In the manufacturing process of the stainless steel pipe, the error of the inner diameter can be controlled within plus or minus 0.02mm, and the error of the outer diameter can be controlled within plus or minus 0.03mm by the multi-lumen catheter 233 extrusion process. Through experiments, under the existing manufacturing process conditions, the difference m between the designed inner diameter value of the metal cutting pipe 321 and the designed outer diameter value of the multi-cavity catheter 233 is set to be 0.07-0.1mm, so that the metal cutting pipe 321 and the multi-cavity catheter 233 can be ensured not to fall off after being sleeved.
Referring to FIG. 4, compression holes 233a are provided on the outer circumferential surface of the multi-lumen catheter 233 in order to facilitate bending of the distal end of the multi-lumen catheter 233. The compression holes 233a extend radially through the multi-lumen catheter 233 and perpendicularly through the wire-passing holes 233 b. Two adjacent compression holes 233a are 180 degrees out of phase.
Fig. 6 is a schematic view of the drive wire installation. As shown in FIG. 6, the driving wire 322 has a screw thread 323 at one end and is installed in the driving unit 234 after passing through a wire-passing hole 233b provided in the multi-lumen catheter 233. After the driving wire 322 is tensioned, the screw thread 323 is clamped at the end surface 233c of the multi-lumen catheter 233.
Fig. 7 is a schematic diagram of a wrist structure movement implementation. As shown in fig. 7, when the driving wire 322a is pulled, the first hollow 321a (the second hollow 321b) and the compression hole 233a on the same side of the driving wire 322a are compressed, and the wrist structure 232 is bent in the direction a shown in the figure. Similarly, pulling on drive wire 322B causes wrist structure 232 to bend in direction B, opposite direction A. Pulling the drive wire 322C, the wrist structure 232 bends in the direction C; pulling the drive wire 322D bends the wrist structure in the direction D.
So far, the embodiments of the present disclosure have been described in detail with reference to the accompanying drawings. It is to be noted that, in the attached drawings or in the description, the implementation modes not shown or described are all the modes known by the ordinary skilled person in the field of technology, and are not described in detail. Further, the above definitions of the various elements and methods are not limited to the various specific structures, shapes or arrangements of parts mentioned in the examples, which may be easily modified or substituted by those of ordinary skill in the art.
From the above description, those skilled in the art should clearly recognize that the flexible surgical instrument of the present disclosure is useful.
In summary, the present disclosure provides a flexible surgical instrument, which can adjust the spatial position along the instrument guide arm to provide multiple degrees of freedom required for surgical operation.
It should also be noted that directional terms, such as "upper", "lower", "front", "rear", "left", "right", and the like, used in the embodiments are only directions referring to the drawings, and are not intended to limit the scope of the present disclosure. Throughout the drawings, like elements are represented by like or similar reference numerals. Conventional structures or constructions will be omitted when they may obscure the understanding of the present disclosure.
And the shapes and sizes of the respective components in the drawings do not reflect actual sizes and proportions, but merely illustrate the contents of the embodiments of the present disclosure. Furthermore, in the claims, any reference signs placed between parentheses shall not be construed as limiting the claim.
Unless otherwise indicated, the numerical parameters set forth in the specification and attached claims are approximations that can vary depending upon the desired properties sought to be obtained by the present disclosure. In particular, all numbers expressing quantities of ingredients, reaction conditions, and so forth used in the specification and claims are to be understood as being modified in all instances by the term "about". Generally, the expression is meant to encompass variations of ± 10% in some embodiments, 5% in some embodiments, 1% in some embodiments, 0.5% in some embodiments by the specified amount.
Furthermore, the word "comprising" does not exclude the presence of elements or steps not listed in a claim. The word "a" or "an" preceding an element does not exclude the presence of a plurality of such elements.
The use of ordinal numbers such as "first," "second," "third," etc., in the specification and claims to modify a corresponding element does not by itself connote any ordinal number of the element or any ordering of one element from another or the order of manufacture, and the use of the ordinal numbers is only used to distinguish one element having a certain name from another element having a same name.
Similarly, it should be appreciated that in the foregoing description of exemplary embodiments of the disclosure, various features of the disclosure are sometimes grouped together in a single embodiment, figure, or description thereof for the purpose of streamlining the disclosure and aiding in the understanding of one or more of the various disclosed aspects. However, the disclosed method should not be interpreted as reflecting an intention that: that is, the claimed disclosure requires more features than are expressly recited in each claim. Rather, as the following claims reflect, disclosed aspects lie in less than all features of a single foregoing disclosed embodiment. Thus, the claims following the detailed description are hereby expressly incorporated into this detailed description, with each claim standing on its own as a separate embodiment of this disclosure.
The above-mentioned embodiments are intended to illustrate the objects, aspects and advantages of the present disclosure in further detail, and it should be understood that the above-mentioned embodiments are only illustrative of the present disclosure and are not intended to limit the present disclosure, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present disclosure should be included in the scope of the present disclosure.
Claims (10)
1. A flexible surgical instrument, comprising:
a drive device;
a multi-cavity catheter, wherein one end of the multi-cavity catheter is connected with the driving device;
a wrist structure, wherein one end of the wrist structure is connected with the other end of the multi-cavity catheter;
the tail end executing device is connected with the other end of the wrist structure;
the end effector is configured as a device for a surgical procedure; the drive device is configured to control the end effector to move.
2. The flexible surgical instrument of claim 1, wherein the wrist structure comprises:
one end of the metal cutting pipe is connected with the tail end execution device; the inner part of the multi-cavity catheter is communicated with the inner part of the metal cutting pipe and is connected with the end part of the multi-cavity catheter.
3. The flexible surgical instrument of claim 2 wherein the inner diameter of the metal cutting tube is smaller than the outer diameter of the multi-lumen catheter and there is a difference between the inner diameter of the metal cutting tube and the outer diameter of the multi-lumen catheter.
4. The flexible surgical instrument of claim 2, wherein the metal cutting tube comprises: the first hollow part and the second hollow part are symmetrically distributed on two sides of the axis of the metal cutting pipe.
5. The flexible surgical instrument of claim 4, wherein two adjacent first or second cutouts are 180 degrees out of phase in the direction of the metal cutting tube axis.
6. The flexible surgical instrument of claim 1, wherein the multi-lumen catheter comprises:
the compression hole is formed in the outer circular surface of the multi-cavity catheter; the compression holes are arranged along the radial direction of the multi-cavity catheter in a penetrating way;
the wire through hole is formed in the end face of one end of the multi-cavity catheter; the axis of the wire penetrating hole is vertically penetrated with the axis of the compression hole.
7. The flexible surgical instrument according to claim 6, wherein adjacent two of the compression holes are 180 degrees out of phase in the direction of the multi lumen catheter axis.
8. The flexible surgical instrument of claim 1, further comprising:
the driving wire is provided with a screw thread at one end; the other end of the driving wire penetrates through the wire penetrating hole arranged on the multi-cavity catheter and is arranged in the driving device;
after the driving wire is tensioned, the screw thread is clamped at the end face of the multi-cavity catheter.
9. The flexible surgical instrument of claim 3, wherein the difference is 0.07-0.1 mm.
10. The flexible surgical instrument of any one of claims 1-9, wherein the material of the metal cut tube is selected to be a stainless steel material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111206769.5A CN113729804A (en) | 2021-10-18 | 2021-10-18 | Flexible surgical instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111206769.5A CN113729804A (en) | 2021-10-18 | 2021-10-18 | Flexible surgical instrument |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113729804A true CN113729804A (en) | 2021-12-03 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111206769.5A Pending CN113729804A (en) | 2021-10-18 | 2021-10-18 | Flexible surgical instrument |
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| CN (1) | CN113729804A (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN203029381U (en) * | 2012-08-13 | 2013-07-03 | 宁波胜杰康生物科技有限公司 | Multi-freedom-degree surgical instrument |
| CN103957825A (en) * | 2011-10-13 | 2014-07-30 | 阿瑟罗迈德公司 | Atherectomy apparatus, systems and methods |
| CN205006942U (en) * | 2015-09-28 | 2016-02-03 | 宁波胜杰康生物科技有限公司 | Adjustable curved surgical instruments |
| CN105796138A (en) * | 2016-05-11 | 2016-07-27 | 天津大学 | Flexible minimally invasive surgery instrument based on natural orifice |
| CN105943095A (en) * | 2016-05-11 | 2016-09-21 | 天津大学 | Minimally invasive surgical instrument with flexible wrist part |
| CN209499845U (en) * | 2018-08-02 | 2019-10-18 | 芝麻开花医疗器械（上海）有限公司 | Ultrasonic surgical surgical instrument |
| CN111603243A (en) * | 2020-06-30 | 2020-09-01 | 天津大学 | Minimally invasive surgery robot operating tool |
-
2021
- 2021-10-18 CN CN202111206769.5A patent/CN113729804A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103957825A (en) * | 2011-10-13 | 2014-07-30 | 阿瑟罗迈德公司 | Atherectomy apparatus, systems and methods |
| CN203029381U (en) * | 2012-08-13 | 2013-07-03 | 宁波胜杰康生物科技有限公司 | Multi-freedom-degree surgical instrument |
| CN205006942U (en) * | 2015-09-28 | 2016-02-03 | 宁波胜杰康生物科技有限公司 | Adjustable curved surgical instruments |
| CN105796138A (en) * | 2016-05-11 | 2016-07-27 | 天津大学 | Flexible minimally invasive surgery instrument based on natural orifice |
| CN105943095A (en) * | 2016-05-11 | 2016-09-21 | 天津大学 | Minimally invasive surgical instrument with flexible wrist part |
| CN209499845U (en) * | 2018-08-02 | 2019-10-18 | 芝麻开花医疗器械（上海）有限公司 | Ultrasonic surgical surgical instrument |
| CN111603243A (en) * | 2020-06-30 | 2020-09-01 | 天津大学 | Minimally invasive surgery robot operating tool |
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