CN117530759A - Closed drainage tube-placing device for thoracic cavity - Google Patents
Closed drainage tube-placing device for thoracic cavity Download PDFInfo
- Publication number
- CN117530759A CN117530759A CN202311658929.9A CN202311658929A CN117530759A CN 117530759 A CN117530759 A CN 117530759A CN 202311658929 A CN202311658929 A CN 202311658929A CN 117530759 A CN117530759 A CN 117530759A
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- CN
- China
- Prior art keywords
- tube
- drainage
- expansion
- guide wire
- closed
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 210000000115 thoracic cavity Anatomy 0.000 title claims abstract description 51
- 206010033675 panniculitis Diseases 0.000 claims abstract description 18
- 210000004304 subcutaneous tissue Anatomy 0.000 claims abstract description 18
- 210000003205 muscle Anatomy 0.000 claims abstract description 11
- 239000007788 liquid Substances 0.000 claims abstract description 10
- 210000004224 pleura Anatomy 0.000 claims abstract description 7
- 238000005086 pumping Methods 0.000 claims abstract description 6
- 210000000038 chest Anatomy 0.000 claims description 28
- 230000000149 penetrating effect Effects 0.000 claims description 11
- 238000000465 moulding Methods 0.000 claims description 5
- 238000007920 subcutaneous administration Methods 0.000 claims 1
- 238000000034 method Methods 0.000 description 8
- 238000007493 shaping process Methods 0.000 description 8
- 230000000916 dilatatory effect Effects 0.000 description 3
- 238000002513 implantation Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 206010048612 Hydrothorax Diseases 0.000 description 2
- 208000033809 Suppuration Diseases 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 201000003144 pneumothorax Diseases 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 206010014568 Empyema Diseases 0.000 description 1
- 206010019027 Haemothorax Diseases 0.000 description 1
- 206010061213 Iatrogenic injury Diseases 0.000 description 1
- 208000004756 Respiratory Insufficiency Diseases 0.000 description 1
- 206010000269 abscess Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000001934 delay Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 208000005530 hemopneumothorax Diseases 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000001338 necrotic effect Effects 0.000 description 1
- 201000004193 respiratory failure Diseases 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
Abstract
The invention discloses a thoracic cavity closed drainage tube-placing device which comprises a puncture needle, an expansion tube, a pair of expansion pliers with holes, a guide wire, a thoracic tube and a tube core, wherein the puncture needle is used for performing thoracic cavity puncture, and can perform back-pumping gas or liquid operation after puncture so as to determine whether the puncture is performed on a required drainage position, the expansion tube is used for expanding subcutaneous tissues and muscles, a tube-placing tunnel is formed preliminarily, the pair of expansion pliers with holes is used for further expanding the subcutaneous tissues and the pleura of a wall layer to form a final tube-placing tunnel, the thoracic tube is a hose, the tube core can be bent and shaped, and after the tube core is inserted into the thoracic tube, the thoracic tube can enter the drainage position along the final tube-placing tunnel in a shape after the tube core is shaped.
Description
Technical Field
The invention relates to the technical field of surgical instruments, in particular to a closed drainage tube-placing device for a thoracic cavity.
Background
Closed drainage of the thoracic cavity is one of the common procedures of the endo-surgery and critical medical department. The closed drainage of thoracic cavity is to put one end of the drainage tube into thoracic cavity or pus cavity and the other end is connected with the drainage bag or water sealed bottle, in order to discharge the intrathoracic gas or the liquid in the thoracic cavity or the pus cavity, to re-open the lung tissue to restore the function or to discharge necrotic infection outside the body. Can be widely used for treating pneumothorax and various hydrothorax (hemopneumothorax, empyema, etc.).
The existing thoracic closed drainage generally has the following defects that a drainage tube is directly inserted into a skin incision:
1. the traditional vascular forceps clamping catheter implantation method has the defects that the skin incision is large, a plurality of needles are sutured after the drainage tube is implanted, the drainage tube is directly implanted after being clamped by the vascular forceps, the blunt separation degree is large, the inner diameter of a separated potential tunnel is larger than the outer diameter of the drainage tube, if the implantation is difficult, the implantation needs to be performed for many times, the repeated operation is needed, and subcutaneous tissues or muscle tissues of a puncture part are damaged.
2. The closed drainage of the chest cavity is provided with a needle chest tube method, a hard needle core is arranged in the chest tube, for example, the needle core is operated under violence, and can be placed too deeply to damage internal organs (lung or heart) of the chest cavity, so that iatrogenic injury is caused, and the operation risk exists; the chest tube with the needle is linear and cannot be bent, so that the chest tube with the needle cannot be fed into the target direction; furthermore, the needle chest tube method cannot form a tunnel in advance, so that the operator is not allowed to perform probing with a finger, thereby reducing the treatment effect of forming a divided abscess.
3. The back pumping action cannot be completed in the operation process, and the gas or liquid cannot be pumped back so as to confirm that the puncture path is correct.
4. The learning curve of the above-described solution is long or requires a certain surgical basis and cannot be generally mastered by ICU doctors. If a patient in the ICU has pneumothorax or hydrothorax to cause respiratory failure, immediate intervention is often required, and waiting for consultation by a chest surgeon often delays treatment.
Therefore, we propose a closed drainage catheterization device for thoracic cavity.
Disclosure of Invention
It is an object of the present invention to provide a chest closed drainage catheterization device that solves or at least alleviates one or more of the above-mentioned and other problems of the prior art.
In order to achieve the above purpose, the present invention provides the following technical solutions: a closed thoracic drainage catheterization device comprising:
the puncture needle is used for performing thoracocentesis and can perform back-pumping gas or liquid operation after the thoracocentesis so as to determine whether the thoracocentesis is performed to a required drainage position or not;
the expansion tube is used for expanding subcutaneous tissues and muscles and preliminarily forming a tube placing tunnel;
the expanding forceps with holes are used for further expanding subcutaneous tissues and expanding parietal pleura to form a final tube placing tunnel;
the tube core can be bent and shaped, and after the tube core is inserted into the tube core, the tube core can enter a drainage part along a final tube placement tunnel in a shaped manner;
the guide wire is used for penetrating into a drainage area along a path of the puncture needle after the puncture needle punctures a drainage part, and providing guidance for expanding and guiding the expansion tube, the expansion clamp and the chest tube;
the holes in the holed dilating forceps are used for passing through the guide wire.
In the closed thoracic drainage and catheterization device, optionally, the puncture needle comprises a needle cylinder, a piston is slidably arranged in the needle cylinder, a piston rod is fixedly connected to one side of the piston, and a needle head is detachably connected to one end of the needle cylinder.
In a closed thoracic drainage catheterization device according to the present invention, optionally, the needle is in an interference fit with the barrel.
In the closed thoracic drainage tube-placing device according to the present invention, optionally, the expansion tube includes a tube body, and a handle is formed at one end of the tube body.
In the closed thoracic drainage tube-placing device, optionally, a baffle is formed at one end of the tube body close to the handle.
In the closed thoracic drainage tube-placing device according to the present invention, optionally, an end of the tube body away from the handle is provided with an expansion portion, and the expansion portion is tapered.
In a closed thoracic drainage catheterization device according to the present invention, optionally, the ends of the expansion portion are provided with rounded corners.
In the closed thoracic drainage tube placing device, optionally, the tube core comprises a base, a shaping rod is integrally formed at the top of the base, a conical-like head is arranged at the upper end of the shaping rod, an upper threading hole for threading a guide wire is formed in the head, a lower threading hole for threading the guide wire is formed in the bottom of the base, an inner cavity is formed in the shaping rod, the upper end of the inner cavity is communicated with the upper threading hole, and the lower end of the inner cavity is communicated with the lower threading hole.
In the closed thoracic drainage tube-placing device, optionally, a plurality of drainage ports are arranged on one side surface of one end of the thoracic tube.
In the closed thoracic drainage and catheterization device according to the present invention, optionally, the operation of the closed thoracic drainage and catheterization device specifically includes the following steps:
s1, after determining the tube placement position, making a 2cm incision along the upper edge of a rib by using a scalpel;
s2, puncturing along the incision by using a puncture needle, and after gas or liquid is pumped back, putting a guide wire into the incision and pulling out the puncture needle;
s3, expanding subcutaneous tissues and muscles along a guide wire by using an expansion tube, then expanding the subcutaneous tissues and the muscles to the thoracic cavity, and preliminarily forming a tube placing tunnel;
s4, using a pair of expansion forceps with holes to enter the skin along a guide wire, expanding subcutaneous tissues, then using the expansion forceps to enter the chest cavity along the guide wire again, and expanding parietal pleura to form a final tube-placing tunnel;
s5, feeding the chest tube with the tube core along the guide wire;
s6, pulling out part of the tube core and the guide wire, clamping the proximal drainage tube, completely pulling out the tube core and the guide wire, and connecting the tube core and the guide wire with the closed drainage bottle device.
Compared with the prior art, the invention has the beneficial effects that:
the puncture needle can carry out back-pumping gas or liquid operation on the puncture part, can quickly determine whether the puncture part is correct, then carries out next operation, can quickly advance to form a tube-placing tunnel by matching the arranged holed expansion forceps body with the expansion tube and the guide wire, and can quickly place the tube according to the shape of the tube-placing tunnel by matching the arranged hose-type tube with the shapeable tube core, so that the tube-placing process has low risk, simple whole operation process, small trauma, rapidness and safety, and shorter learning curve, and is easy for ICU doctors to master.
Drawings
FIG. 1 is a schematic view of a puncture needle and a guide wire in a closed thoracic drainage catheter device according to the present invention;
FIG. 2 is a schematic structural view of an expansion clamp in a closed thoracic drainage catheter device according to the present invention;
FIG. 3 is a schematic view of the structure of an expansion tube in a closed thoracic drainage catheter device according to the present invention;
FIG. 4 is a schematic view of a chest tube in a chest closed drainage catheter device according to the present invention;
FIG. 5 is a schematic cross-sectional view of a tube core and chest tube in a chest closed drainage catheter device of the present invention;
FIG. 6 is a schematic cross-sectional view of a base of a closed thoracic drainage catheter device according to the present invention;
fig. 7 is a schematic top view of a closed thoracic drainage catheter device of the present invention with a core not provided with a head.
In the figure: 100. a needle cylinder; 101. a needle; 102. a piston rod; 103. a piston; 200. a guide wire; 300. a tube body; 301. a handle; 302. a baffle; 400. chest tube; 401. a drainage port; 402. a base; 403. shaping the rod; 404. a lower threading hole; 405. a head; 406. an upper threading hole; 407. a tapered slot; 408. an inner cavity; 500. an expanding clamp body with holes.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
Referring to fig. 1 to 5, the present invention provides a technical solution:
a closed drainage tube-placing device for thoracic cavity comprises a puncture needle, a guide wire 200, an expansion tube, an expansion forceps body 500 with holes, a thoracic tube 400 and a tube core.
The puncture needle is used for performing thoracocentesis, and can perform back-pumping gas or liquid operation after the thoracocentesis so as to determine whether the puncture needle is in a drainage position, the puncture needle comprises a needle cylinder 100, a piston 103 is arranged in the needle cylinder 100 in a sliding mode, a piston rod 102 is fixedly connected to one side of the piston 103, a needle head 101 is detachably connected to one end of the needle cylinder 100, and the needle head 101 is in interference fit with the needle cylinder 100 so as to facilitate disassembly and assembly of the needle head 101.
The expansion tube for expanding subcutaneous tissues and muscles to initially form the tube placing tunnel comprises a tube body 300, a handle 301 is arranged at one end of the tube body 300 in a molding mode, the tube body 300 is convenient to hold through the handle 301, a baffle 302 is arranged at one end of the tube body 300 close to the handle 301 in a molding mode for further facilitating expansion force, an expansion portion is arranged at one end, away from the handle 301, of the tube body 300 for improving safety and speed during expanding the tube placing tunnel, the expansion portion is arranged in a conical mode, and round corners are arranged at the end portions of the expansion portion.
The foraminate expansion forceps 500 are used to further expand the subcutaneous tissue and expand the parietal pleura, forming the final catheterization tunnel.
In this embodiment, the guide wire 200 is used to penetrate into the drainage area along the path of the puncture needle after the puncture needle punctures the drainage site, and provide guidance for expanding and catheterizing the dilating catheter, the holed dilating forceps body 500, and the chest tube 400.
The holes in the foraminate expansion forceps 500 are used to pass through the guidewire 200.
In this embodiment, the chest tube 400 is a hose, the tube core can be bent and shaped, after the tube core is inserted into the chest tube 400, the chest tube 400 can enter the drainage part along the final tube placement tunnel in a tube core shaped form, a plurality of drainage ports 401 are formed in one end side surface of the chest tube 400 so as to facilitate drainage, in this embodiment, the tube core comprises a base 402, a shaping rod 403 is integrally formed at the top of the base 402, the shaping rod 403 is made of soft and shapeable and bendable materials, a conical head 405 is arranged at the upper end of the shaping rod 403, an upper wire penetrating hole 406 for penetrating the guide wire 200 is formed in the head 405, a lower wire penetrating hole 404 for penetrating the guide wire 200 is formed in the bottom of the base 402, an inner cavity 408 is formed in the inner part of the shaping rod 403, the upper end of the inner cavity 408 is communicated with the upper wire penetrating hole 406, a conical slot 407 is formed at the top of the base 402 so as to facilitate temporary fixing of the chest tube 400 and the base 402, and the lower end of the chest tube 400 is matched with the conical slot 407 in the conical slot 407.
When in use, the method specifically comprises the following steps:
s1, after determining the tube placement position, making a 2cm incision along the upper edge of a rib by using a scalpel;
s2, puncturing along the incision by using a puncture needle, and after gas or liquid is pumped back, placing the puncture needle into the guide wire 200 and pulling out the puncture needle;
s3, expanding subcutaneous tissues and muscles along the guide wire 200 by using an expansion tube, then expanding the subcutaneous tissues and the muscles to the thoracic cavity, and preliminarily forming a tube placing tunnel;
s4, using a pair of expansion forceps with holes to enter the skin along the guide wire 200 to expand subcutaneous tissues, then using the expansion forceps to enter the chest cavity along the guide wire again to expand parietal pleura, and forming a final tube-placing tunnel;
s5, inserting the tube core into the chest tube 400, penetrating the lower end of the guide wire 200 from the upper wire penetrating hole 406, penetrating out from the lower wire penetrating hole 404, and feeding the tube core into the chest tube 400 along the guide wire 200;
s6, pulling out part of the tube core and the guide wire 200, clamping the proximal drainage tube, completely pulling out the tube core and the guide wire, and connecting the closed drainage bottle device.
None of the inventions are related to the same or are capable of being practiced in the prior art. Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. A closed drainage catheterization device for a thoracic cavity, comprising:
the puncture needle is used for performing thoracocentesis and can perform back-pumping gas or liquid operation after the thoracocentesis so as to determine whether the thoracocentesis is performed to a required drainage position or not;
the expansion tube is used for expanding subcutaneous tissues and muscles and preliminarily forming a tube placing tunnel;
a foraminate expansion forceps (500), the foraminate expansion forceps (500) being used to further expand subcutaneous tissue and expand parietal pleura, forming a final catheterization tunnel;
the tube core is bent and shaped, and after the tube core is inserted into the tube core (400), the tube core (400) can enter a drainage part along a final tube placement tunnel in a shape after the tube core is shaped;
a guide wire (200), wherein the guide wire (200) is used for penetrating into a drainage area along a path of the puncture needle after the puncture needle punctures into the drainage part, and providing guidance for expanding and guiding the expansion tube, the expansion forceps (500) and the chest tube (400);
the holes in the foraminate expansion forceps (500) are used to pass through the guide wire (200).
2. The closed thoracic drainage and catheterization device according to claim 1 wherein: the puncture needle comprises a needle cylinder (100), a piston (103) is slidably arranged in the needle cylinder (100), a piston rod (102) is fixedly connected to one side of the piston (103), and a needle head (101) is detachably connected to one end of the needle cylinder (100).
3. The closed thoracic drainage and catheterization device according to claim 2 wherein: the needle (101) is in interference fit with the syringe (100).
4. The closed thoracic drainage and catheterization device according to claim 2 wherein: the expansion pipe comprises a pipe body (300), and a handle (301) is formed at one end of the pipe body (300).
5. A closed thoracic drainage catheter apparatus according to claim 3 wherein: a baffle plate (302) is formed at one end of the pipe body (300) close to the handle (301).
6. The closed thoracic drainage and catheterization device of claim 5 wherein: one end of the pipe body (300) far away from the handle (301) is provided with an expansion part, and the expansion part is arranged in a conical shape.
7. The closed thoracic drainage and catheterization device of claim 6 wherein: the end of the expansion part is provided with a round angle.
8. The closed thoracic drainage and catheterization device of claim 4 wherein: the tube core comprises a base (402), the top integrated into one piece of base (402) is provided with moulding pole (403), the upper end of moulding pole (403) is provided with and is conical head (405) of class, offer on head (405) and be used for last wire hole (406) that seal wire (200) were worn out, the bottom of base (402) is offered and is used for lower wire hole (404) that seal wire (200) penetrated, inner chamber (408) have been offered to the inside of moulding pole (403), the upper end of inner chamber (408) with go up wire hole (406) and be linked together, the lower extreme of inner chamber (408) with lower wire hole (404) are linked together.
9. The closed thoracic drainage and catheterization device according to claim 1 wherein: a plurality of drainage ports (401) are formed in one side face of one end of the chest tube (400).
10. The closed thoracic drainage and catheterization device of claim 8 wherein: the operation of the chest closed drainage tube device specifically comprises the following steps:
s1, after determining the tube placement position, making a 2cm incision along the upper edge of a rib by using a scalpel;
s2, puncturing along the incision by using a puncture needle, and after gas or liquid is pumped back, putting the puncture needle into a guide wire (200) and pulling out the puncture needle;
s3, expanding subcutaneous tissues and muscles along a guide wire (200) by using an expansion tube, then expanding the subcutaneous tissues and the muscles to the thoracic cavity, and preliminarily forming a tube placing tunnel;
s4, using a pair of expansion forceps with holes to enter subcutaneous along a guide wire (200) to expand subcutaneous tissues, then using the expansion forceps to enter the chest along the guide wire again to expand parietal pleura to form a final tube-placing tunnel;
s5, feeding the chest tube (400) with the tube core along the guide wire (200);
s6, pulling out part of the tube core and the guide wire (200), clamping the near-end drainage tube, completely pulling out the tube core and the guide wire, and connecting the tube core and the guide wire with the closed drainage bottle device.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202311658929.9A CN117530759A (en) | 2023-12-05 | 2023-12-05 | Closed drainage tube-placing device for thoracic cavity |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202311658929.9A CN117530759A (en) | 2023-12-05 | 2023-12-05 | Closed drainage tube-placing device for thoracic cavity |
Publications (1)
Publication Number | Publication Date |
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CN117530759A true CN117530759A (en) | 2024-02-09 |
Family
ID=89785977
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN202311658929.9A Pending CN117530759A (en) | 2023-12-05 | 2023-12-05 | Closed drainage tube-placing device for thoracic cavity |
Country Status (1)
Country | Link |
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CN (1) | CN117530759A (en) |
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2023
- 2023-12-05 CN CN202311658929.9A patent/CN117530759A/en active Pending
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