CN210019506U - Conformal hollow tube for nasal cavity filling - Google Patents
Conformal hollow tube for nasal cavity filling Download PDFInfo
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- CN210019506U CN210019506U CN201920484624.3U CN201920484624U CN210019506U CN 210019506 U CN210019506 U CN 210019506U CN 201920484624 U CN201920484624 U CN 201920484624U CN 210019506 U CN210019506 U CN 210019506U
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Abstract
本实用新型公开了一种用于鼻腔填塞的适形中空管,包括中空透明管和套设在中空透明管外部的第一可充胀套囊,还包括一个或两个独立设置的可充胀套囊,所有可充胀套囊的一端与同一细连接管相通。通过对上述多个可充胀套囊进行充气或充水,可以使多个可充胀套囊分别对鼻腔内部的多个鼻道进行适形填塞,对鼻甲挤压作用小,尤其适用于单个或多个鼻甲保留术后的鼻腔填塞。上述用于鼻腔填塞的适形中空管,根据鼻腔的结构设置有多个分离的套囊,充分适应了鼻腔鼻窦的形态,通过充气加压或冲水加压的方式使套囊膨胀压迫术腔止血,避免了损伤黏膜,同时,中空透明管可以维持患者鼻腔呼吸,提高了舒适度,并可以实现术后实时检查。
The utility model discloses a conformable hollow tube for nasal cavity packing, which comprises a hollow transparent tube and a first inflatable cuff sleeved on the outside of the hollow transparent tube, and further comprises one or two independently arranged inflatable tubes One end of all inflatable cuffs is communicated with the same thin connecting tube. By inflating or filling the above-mentioned multiple inflatable cuffs with water, the multiple inflatable cuffs can respectively carry out conformal packing of the multiple nasal passages inside the nasal cavity, and the turbinate extrusion effect is small, especially suitable for single Or nasal packing after multiple turbinate preservation. The above-mentioned conformal hollow tube for nasal packing is provided with a plurality of separate cuffs according to the structure of the nasal cavity, which fully adapts to the shape of the nasal cavity and sinus. The cavity hemostasis avoids damage to the mucous membrane. At the same time, the hollow transparent tube can maintain the patient's nasal breathing, improve the comfort, and realize real-time postoperative inspection.
Description
技术领域technical field
本实用新型涉及一种适形中空管,尤其涉及一种用于鼻腔填塞的适形中空管,属于医疗器械技术领域。The utility model relates to a conformable hollow tube, in particular to a conformal hollow tube used for nasal packing, belonging to the technical field of medical instruments.
背景技术Background technique
鼻出血是耳鼻喉科常见的急诊之一,需要及时止血。在鼻腔鼻窦手术后,由于术腔渗血,也需要止血治疗。由于鼻腔鼻窦结构复杂不规则,直视下难以暴露,只能采取各种填塞压迫的止血方法。Nosebleeds are one of the common emergencies in otolaryngology, and timely hemostasis is required. After sinus surgery, hemostatic therapy is also required due to oozing blood from the surgical cavity. Due to the complex and irregular structure of the nasal cavity and paranasal sinuses, it is difficult to expose under direct vision.
目前,临床所使用的各种填塞材料均为规则形状,多数为单纯长条状或圆柱形,而鼻腔鼻窦形态复杂,有上中下三个鼻甲以及形成的多个鼻道、鼻窦空腔,在填塞时会留下空隙,起不到止血作用;而且传统的纱条体积过小,对于容积较大的术腔填塞时需要的数量多,难以固定,存在遗漏的风险,且舒适度不佳,鼻腔不能通气,填塞物容易脱落窒息,或易与鼻腔黏膜粘连。在填塞后再次出血时无法检查术腔情况,难以抉择是选择观察还是需要重新止血。At present, various packing materials used in clinic are all regular shapes, most of which are simple strips or cylinders, while the nasal cavity and sinuses have complex shapes, including upper, middle and lower turbinates and multiple nasal passages and sinus cavities formed. A gap will be left during packing, which cannot stop bleeding; and the volume of traditional gauze is too small, which requires a large number of surgical cavity packing, which is difficult to fix, there is a risk of omission, and the comfort is not good. , the nasal cavity can not be ventilated, the packing material is easy to fall off and suffocate, or it is easy to adhere to the nasal mucosa. In the case of re-bleeding after tamponade, the condition of the surgical cavity cannot be checked, and it is difficult to decide whether to choose observation or to re-hemostasis.
随着临床各类鼻腔鼻窦手术,以及经鼻颅底手术的开展,迫切需要一种合适的填塞材料,能充分适应不同情况下鼻腔鼻窦形态,在提供止血的同时能维持鼻腔的通气功能,同时又不妨碍术腔的观察。With the development of various types of nasal cavity and sinus surgery and transnasal and cranial base surgery, there is an urgent need for a suitable packing material that can fully adapt to the shape of the nasal cavity and paranasal sinuses under different conditions, and can maintain the ventilation function of the nasal cavity while providing hemostasis. It does not hinder the observation of the surgical cavity.
发明内容SUMMARY OF THE INVENTION
本实用新型所要解决的技术问题在于提供一种用于鼻腔填塞的适形中空管。The technical problem to be solved by the present invention is to provide a conformable hollow tube for nasal packing.
为实现上述目的,本实用新型采用下述的技术方案:To achieve the above object, the utility model adopts the following technical scheme:
根据本实用新型的第一方面,提供一种用于鼻腔填塞的适形中空管,包括中空透明管和套设在所述中空透明管外部的第一可充胀套囊;还包括独立设置的第二可充胀套囊和第三可充胀套囊;According to a first aspect of the present invention, there is provided a conformable hollow tube for nasal packing, comprising a hollow transparent tube and a first inflatable cuff sleeved on the outside of the hollow transparent tube; further comprising an independent setting the second inflatable cuff and the third inflatable cuff;
所述第一可充胀套囊、第二可充胀套囊和第三可充胀套囊的一端分别与同一细连接管相通。One ends of the first inflatable cuff, the second inflatable cuff and the third inflatable cuff are respectively communicated with the same thin connecting tube.
其中较优地,所述第一可充胀套囊用于填塞下鼻道;所述第二可充胀套囊用于填塞中鼻道;所述第三可充胀套囊用于填塞上鼻道及鼻顶嗅裂区;Preferably, the first inflatable cuff is used for filling the lower nasal passage; the second inflatable cuff is used for filling the middle nasal passage; the third inflatable cuff is used for filling the upper nasal passage. Nasal passage and nasal roof olfactory cleft area;
所述第二可充胀套囊与所述第一可充胀套囊之间的距离与下鼻道与中鼻道之间的距离相等;所述第三可充胀套囊与所述第二可充胀套囊之间的距离与鼻顶嗅裂区与中鼻道之间的距离相等。The distance between the second inflatable cuff and the first inflatable cuff is equal to the distance between the lower meatus and the middle meatus; the third inflatable cuff and the first The distance between the two inflatable cuffs is equal to the distance between the olfactory cleft area of the nose top and the middle meatus.
根据本实用新型的第二方面,提供一种用于鼻腔填塞的适形中空管,包括中空透明管和套设在所述中空透明管外部的第一可充胀套囊;还包括独立设置的第二可充胀套囊;According to a second aspect of the present invention, a conformable hollow tube for nasal packing is provided, comprising a hollow transparent tube and a first inflatable cuff sleeved on the outside of the hollow transparent tube; and an independent setting the second inflatable cuff;
所述第一可充胀套囊和第二可充胀套囊的一端分别与同一细连接管相通。One ends of the first inflatable cuff and the second inflatable cuff are respectively communicated with the same thin connecting tube.
其中较优地,所述第一可充胀套囊用于填塞下鼻道;所述第二可充胀套囊用于填塞合并后的中鼻道和上鼻道。或者,其中较优地,所述第一可充胀套囊用于填塞合并后的下鼻道和中鼻道;所述第二可充胀套囊用于填塞上鼻道及鼻顶嗅裂区。Preferably, the first inflatable cuff is used for packing the lower meatus; the second inflatable cuff is used for packing the combined middle and upper meatus. Alternatively, preferably, the first inflatable cuff is used for packing the combined lower and middle meatus; the second inflatable cuff is used for packing the upper nasal meatus and the nose top olfactory cleft Area.
在上述两种适形中空管中,其中较优地,所述中空透明管为防压管。Among the above two conformable hollow tubes, preferably, the hollow transparent tube is a pressure-proof tube.
其中较优地,所述中空透明管的截面为圆形或椭圆形。Preferably, the section of the hollow transparent tube is circular or oval.
其中较优地,所述第一可充胀套囊沿着所述中空透明管的方向设置成长条状。Preferably, the first inflatable cuff is arranged in an elongated shape along the direction of the hollow transparent tube.
其中较优地,所有可充胀套囊均使用硅酮材料,在所有可充胀套囊的外表面附着一层纳米材料。Preferably, all inflatable cuffs are made of silicone material, and a layer of nanomaterials is attached to the outer surface of all inflatable cuffs.
其中较优地,在所述细连接管的末端设置有用于充气或充水的阀门。Preferably, the end of the thin connecting pipe is provided with a valve for inflation or water filling.
本实用新型所提供的用于鼻腔填塞的适形中空管,在中空透明管的外部套设有第一可充胀套囊,并且设置有一个或两个独立设置的可充胀套囊,所有可充胀套囊的一端与同一细连接管相通。通过对上述多个可充胀套囊进行充气或充水,可以使多个可充胀套囊分别对鼻腔内部的多个鼻道进行适形填塞,对多个鼻甲挤压作用小,尤其适用于单个或多个鼻甲保留术后的鼻腔填塞。上述用于鼻腔填塞的适形中空管,根据鼻腔的结构设置有多个分离的套囊,充分适应了鼻腔鼻窦的形态,通过充气加压或冲水加压的方式压迫术腔止血,避免了损伤黏膜,同时,中空透明管可以维持患者鼻腔呼吸,提高了舒适度。除此之外,通过上述中空透明管可以向鼻腔内导入硬质或软质光导纤维内窥镜,对鼻腔鼻窦进行实时的检查,加强了术后对病情的正确判断。而且,上述用于鼻腔填塞的适形中空管,在取出时将可充胀套囊放气或放水后易于取出,减少患者痛苦以及二次出血的可能。The conformable hollow tube for nasal packing provided by the utility model is provided with a first inflatable cuff on the outside of the hollow transparent tube, and one or two independently arranged inflatable cuffs are provided. One end of all inflatable cuffs communicates with the same thin connecting tube. By inflating or filling the above-mentioned multiple inflatable cuffs with water, the multiple inflatable cuffs can respectively carry out conformal packing of multiple nasal passages inside the nasal cavity, and the effect of squeezing multiple turbinates is small, which is especially suitable for Nasal packing after single or multiple turbinate preservation. The above-mentioned conformal hollow tube for nasal packing is provided with a plurality of separate cuffs according to the structure of the nasal cavity, which fully adapts to the shape of the nasal cavity and sinus. At the same time, the hollow transparent tube can maintain the patient's nasal breathing and improve the comfort. In addition, a rigid or soft fiberoptic endoscope can be introduced into the nasal cavity through the above-mentioned hollow transparent tube to conduct real-time inspection of the nasal cavity and paranasal sinuses, which enhances the correct judgment of the condition after surgery. Moreover, the above-mentioned conformal hollow tube for nasal packing can be easily taken out after deflating the inflatable cuff or water during taking out, reducing the pain of the patient and the possibility of secondary bleeding.
附图说明Description of drawings
图1为本实用新型所提供的用于鼻腔填塞的适形中空管的结构示意图;Fig. 1 is the structural representation of the conformable hollow tube for nasal packing provided by the utility model;
图2为使用图1所示适形中空管对鼻腔进行填塞的状态示意图一;Fig. 2 is the state schematic diagram 1 of using the conformal hollow tube shown in Fig. 1 to pack the nasal cavity;
图3为使用图1所示适形中空管对鼻腔进行填塞的状态示意图二。FIG. 3 is a schematic diagram 2 of the state of packing the nasal cavity by using the conformal hollow tube shown in FIG. 1 .
具体实施方式Detailed ways
下面结合附图和具体实施例对本实用新型作进一步的详细说明。The present utility model will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.
本实用新型所提供的用于鼻腔填塞的适形中空管,包括中空透明管1,在中空透明管1的外部套设有第一可充胀套囊2,并且包括一个或两个独立设置的可充胀套囊,所有可充胀套囊的一端与同一细连接管5相通。通过对上述多个可充胀套囊进行充气或充水,可以使多个可充胀套囊膨胀后分别对鼻腔内部的多个鼻道进行适形填塞,对鼻甲挤压作用小,尤其适用于单个或多个鼻甲保留术后的鼻腔填塞。The conformable hollow tube for nasal packing provided by the present invention includes a hollow
在本实用新型所提供的第一实施例中,以设置有三个可充胀套囊(包括设置在中空透明管1外部的第一可充胀套囊2和分别独立设置的第二可充胀套囊3和第三可充胀套囊4)的适形中空管为例进行说明。In the first embodiment provided by the present invention, there are three inflatable cuffs (including a first
如图1所示,用于鼻腔填塞的适形中空管,包括中空透明管1和套设在中空透明管1外部的第一可充胀套囊2;还包括独立设置的第二可充胀套囊3和第三可充胀套囊4;第一可充胀套囊2、第二可充胀套囊3和第三可充胀套囊4的一端分别与同一细连接管5相通。在细连接管5上设置有三个孔52、53和54,第一可充胀套囊2、第二可充胀套囊3和第三可充胀套囊4的一端分别通过孔52、53和54与细连接管5相通。在细连接管5的末端设置有用于充气或充水的阀门6。As shown in FIG. 1, the conformable hollow tube for nasal packing includes a hollow
中空透明管1为防压管。具体可以为可伸缩螺纹软管或可弯曲蛇皮软管,防压管可以随弯曲的鼻道改变形状,从而可以进入并设置在下鼻道中,用于鼻腔通气及术后检查。The hollow
结合图1、图2和图3可知,中空透明管1穿设在第一可充胀套囊2的内部,第一可充胀套囊2套设在中空透明管1圆柱形的外圆周壁上,第一可充胀套囊2沿着中空透明管1的方向设置成长条状,第一可充胀套囊2经充气或充水后,通过充气或充水,第一可充胀套囊2向中空透明管1的四周膨胀并填塞下鼻道15。第二可充胀套囊3和第三可充胀套囊4分别与第一可充胀套囊2分离设置。第二可充胀套囊3用于填塞中鼻道16;第三可充胀套囊4用于填塞上鼻道及鼻顶嗅裂区17。第二可充胀套囊3和第三可充胀套囊4同样可以设置成长条状。1, 2 and 3, the hollow
如图2和图3所示,分离设置的第一可充胀套囊2、第二可充胀套囊3和第三可充胀套囊4分别用于填塞下鼻道15、中鼻道16和上鼻道及鼻顶嗅裂区17,对多个鼻甲挤压作用小,因此,尤其适用于上鼻甲13、中鼻甲12和下鼻甲11全保留的鼻腔手术的术后填塞,当然对于部分鼻甲、单个鼻甲或多个鼻甲切除的鼻腔手术的术后填塞同样适用。As shown in FIG. 2 and FIG. 3 , the first
在本实用新型所提供的第一实施例中,中空透明管1的截面可以呈椭圆形,椭圆形的长直径高度为2cm,短直径高度为1cm;中空透明管1的长度可以根据适用人群分为不同的型号,例如针对儿童可以选用4~5cm长的中空透明管,针对成人可以选用12~13cm长的中空透明管。中空透明管1的截面也可以呈圆形。In the first embodiment provided by the present utility model, the cross section of the hollow
根据对大量鼻腔数据维度进行分析挖掘,可以获得中鼻道与下鼻道的距离、鼻顶嗅裂区与中鼻道的距离。第二可充胀套囊3与第一可充胀套囊2之间的距离与中鼻道与下鼻道之间的距离相等,第三可充胀套囊4与第二可充胀套囊3之间的距离与鼻顶嗅裂区与中鼻道之间的距离相等。具体来说,根据患者的具体情况,对不同患者下鼻道、中鼻道、鼻顶嗅裂区之间的距离尺寸进行归纳总结,可以将患者的情况归纳为几个典型类别,根据类别可以设置不同尺寸的适形中空管,以满足手术过程中不同患者的需求。According to the analysis and mining of a large number of nasal cavity data dimensions, the distance between the middle meatus and the lower meatus, and the distance between the nose top olfactory cleft area and the middle meatus can be obtained. The distance between the second
第一可充胀套囊2、第二可充胀套囊3和第三可充胀套囊4的大小及形状均不固定,充气或充水后可根据鼻道形状适形变化,充分填塞鼻道,实现压迫止血。The size and shape of the first
第一可充胀套囊2、第二可充胀套囊3和第三可充胀套囊4均使用硅酮材料,在套囊外表面可以附着一层纳米材料。硅酮材料具有良好的韧度和强度,能够在套囊充气或充水之后,使套囊撑起达到所需的大小,又保证套囊不被充入的气体或液体撑破。套囊外表面附着纳米材料(例如:纳米银等)可以增加套囊的表面光洁度,减少鼻痂血痂等结痂物的吸附。The first
下面对用于鼻腔填塞的适形中空管在手术过程中的使用过程进行详细说明。The following is a detailed description of the use of the conformal hollow tube for nasal packing in the surgical procedure.
在放入鼻腔之前,所有可充胀套囊均处于放气状态且贴附于中空透明管1外,整体体积较小,便于放入鼻腔。在放入鼻腔进行填塞过程中,将第一可充胀套囊2对准下鼻道方向,将第二可充胀套囊3对准中鼻道方向,将第三可充胀套囊4对准鼻顶嗅裂区。各套囊置于相应位置后,通过阀门6及细连接管5对第一可充胀套囊2、第二可充胀套囊3和第三可充胀套囊4进行充气或充水。第一可充胀套囊2、第二可充胀套囊3、第三可充胀套囊4通过其间的细连接管5同时被充气或充水膨胀,压迫相应部位,起到适形填塞止血的作用。其中,根据不同的术腔需要,可充胀套囊的大小和形态可以做成几种规格:用于鼻腔填塞的规格,用于鼻窦炎手术后填塞的规格,以及用于鼻腔外侧壁切除后填塞的规格。Before being placed in the nasal cavity, all the inflatable cuffs are in a deflated state and attached to the outside of the hollow
在本实用新型所提供的第一实施例中,在填塞完成后,如果需要检查术腔,可以在中空透明管1中导入硬质或软质光导纤维内窥镜,通过硬质或软质光导纤维内窥镜对鼻腔鼻窦进行观察。In the first embodiment provided by the present invention, after the filling is completed, if the surgical cavity needs to be inspected, a hard or soft optical fiber endoscope can be introduced into the hollow
在取出上述用于鼻腔填塞的适形中空管时,通过阀门6进行放气或放水操作,第一可充胀套囊2、第二可充胀套囊3和第三可充胀套囊4体积缩小,可以顺利从鼻腔取出,从而减少患者痛苦以及二次出血的可能。When the above-mentioned conformal hollow tube for nasal packing is taken out, deflation or water discharge is performed through the
在本实用新型所提供的第二实施例中,用于鼻腔填塞的适形中空管与第一实施例中的相同;只是由于手术过程中根据患者实际情况,将下鼻甲11或中鼻甲12切除后,使得下鼻道、中鼻道、鼻顶嗅裂区中的下鼻道和中鼻道合并或者中鼻道和鼻顶嗅裂区合并,导致鼻腔内只有两个区域;所以除去在中空透明管1的外部套设第一可充胀套囊2外,仅分离设置一个可充胀套囊(以下简称第二可充胀套囊),以满足不同手术类型的需求。In the second embodiment provided by the present invention, the conformable hollow tube used for nasal packing is the same as that in the first embodiment; it is only because the
当下鼻甲切除时,下鼻道和中鼻道合并,此时,套设在中空透明管1外的第一可充胀套囊2用于填塞合并后的两个鼻道,第二可充胀套囊用于填塞上鼻道及鼻顶嗅裂区。第二可充胀套囊与第一可充胀套囊2之间的距离与鼻顶嗅裂区与下鼻道之间的距离相等。When the inferior turbinate is excised, the inferior meatus and the middle meatus are combined. At this time, the first
当中鼻甲切除时,中鼻道和鼻顶嗅裂区合并,此时,独立设置的第二可充胀套囊用于填塞合并后的两个鼻道,第一可充胀套囊用于填塞下鼻道。第二可充胀套囊与第一可充胀套囊2之间的距离与下鼻道与中鼻道之间的距离相等。When the middle turbinate is excised, the middle meatus and the olfactory cleft area of the top of the nose are combined. At this time, the second inflatable cuff set independently is used for packing the two combined nasal passages, and the first inflatable cuff is used for packing. lower nasal passages. The distance between the second inflatable cuff and the first
综上所述,本实用新型所提供的用于鼻腔填塞的适形中空管,在中空透明管的外部套设有第一可充胀套囊,并且设置有一个或两个独立设置的可充胀套囊,所有可充胀套囊的一端与同一细连接管相通。通过对上述多个分离设置的可充胀套囊进行充气或充水,可以使多个可充胀套囊分别对鼻腔内部的多个鼻道进行适形填塞,对鼻甲挤压作用小,尤其适用于单个或多个鼻甲保留术后的鼻腔填塞。To sum up, in the conformable hollow tube for nasal packing provided by the present invention, a first inflatable cuff is sleeved on the outside of the hollow transparent tube, and one or two independently arranged inflatable cuffs are provided. Inflatable cuffs, one end of all inflatable cuffs communicates with the same thin connecting tube. By inflating or filling the above-mentioned plurality of separately arranged inflatable cuffs, the plurality of inflatable cuffs can respectively perform conformal packing on the plurality of nasal passages inside the nasal cavity, and the effect of squeezing the turbinates is small, especially It is suitable for nasal packing after single or multiple turbinate preservation.
上述用于鼻腔填塞的适形中空管,根据鼻腔的结构设置有多个分离的套囊,充分适应了鼻腔鼻窦的复杂形态,通过充气加压或冲水加压的方式使套囊膨胀压迫术腔止血,避免了损伤黏膜。同时,中空透明管可以维持患者鼻腔呼吸,提高了舒适度。除此之外,通过上述中空透明管可以向鼻腔内导入硬质或软质光导纤维内窥镜,对鼻腔鼻窦进行实时的检查,加强了术后对病情的正确判断。The above-mentioned conformal hollow tube for nasal packing is provided with a plurality of separate cuffs according to the structure of the nasal cavity, which fully adapts to the complex shape of the nasal cavity and sinus, and the cuff is inflated and compressed by means of inflation pressure or flushing pressure. Hemostasis in the operative cavity and avoids damage to the mucosa. At the same time, the hollow transparent tube can maintain the patient's nasal breathing and improve the comfort. In addition, a rigid or soft fiberoptic endoscope can be introduced into the nasal cavity through the above-mentioned hollow transparent tube to conduct real-time inspection of the nasal cavity and paranasal sinuses, which enhances the correct judgment of the condition after surgery.
以上对本实用新型所提供的用于鼻腔填塞的适形中空管进行了详细的说明。对本领域的技术人员而言,在不背离本实用新型实质精神的前提下对它所做的任何显而易见的改动,都将构成对本实用新型专利权的侵犯,将承担相应的法律责任。The conformable hollow tube for nasal packing provided by the present invention has been described in detail above. For those skilled in the art, any obvious changes made to it without departing from the essential spirit of the present utility model will constitute an infringement of the patent right of the present utility model, and will bear corresponding legal responsibilities.
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| CN112022264A (en) * | 2020-09-14 | 2020-12-04 | 四川大学华西医院 | A kind of nasal cavity filler for hemostasis and preparation method thereof |
| CN115517734A (en) * | 2022-10-21 | 2022-12-27 | 北京市神经外科研究所 | Nasal cavity compression hemostasis balloon breather pipe |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112022264A (en) * | 2020-09-14 | 2020-12-04 | 四川大学华西医院 | A kind of nasal cavity filler for hemostasis and preparation method thereof |
| CN115517734A (en) * | 2022-10-21 | 2022-12-27 | 北京市神经外科研究所 | Nasal cavity compression hemostasis balloon breather pipe |
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