ES2546424T3 - Instrumento quirúrgico con una porción frangible - Google Patents

Instrumento quirúrgico con una porción frangible Download PDF

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Publication number
ES2546424T3
ES2546424T3 ES12000078.1T ES12000078T ES2546424T3 ES 2546424 T3 ES2546424 T3 ES 2546424T3 ES 12000078 T ES12000078 T ES 12000078T ES 2546424 T3 ES2546424 T3 ES 2546424T3
Authority
ES
Spain
Prior art keywords
surgical instrument
case
connection profile
controlled breakage
implant
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.)
Active
Application number
ES12000078.1T
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English (en)
Inventor
Zbigniew Combrowski
Christel Paroth
Alexander Henninger
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medical & Co KG Z GmbH
Z-Medical & Co KG GmbH
Original Assignee
Medical & Co KG Z GmbH
Z-Medical & Co KG GmbH
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Medical & Co KG Z GmbH, Z-Medical & Co KG GmbH filed Critical Medical & Co KG Z GmbH
Application granted granted Critical
Publication of ES2546424T3 publication Critical patent/ES2546424T3/es
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0642Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
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    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
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    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
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    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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    • A61B17/809Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
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    • A61B2017/042Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
    • A61B2017/0422Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
    • A61B2017/0424Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor the separate member staying in the anchor after placement
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    • A61B2017/0641Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
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    • A61B2017/0647Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A61B2017/0648Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
    • AHUMAN NECESSITIES
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    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
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    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30616Sets comprising a plurality of prosthetic parts of different sizes or orientations

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  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Transplantation (AREA)
  • Rheumatology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Reproductive Health (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

Instrumento quirúrgico (1.1, 1.2), con un implante y una parte de mango (2.1, 2.2) y un lugar de rotura controlada (4, 5, 6, 7), el cual une el implante y la parte del mango (2.1, 2.2), en cuyo caso el implante es un perfil de conexión (3.1, 3.2), en cuyo caso dicho perfil de conexión (3.1, 3.2) incluye un primer saliente (8) y un segundo saliente (9), en cuyo caso la parte del mango (2.1, 2.2) está conectada con el perfil de conexión (3.1, 3.2) a través de un primer lugar de rotura controlada (4, 6) y un segundo lugar de rotura controlada (5, 7), en cuyo caso el primer saliente (8, 19) y el segundo saliente (9, 20) del perfil de conexión (3.1) están conectados entre sí a través de un puente (10, 21) y los extremos libres de los salientes (8, 9, 19, 20) presentan cada uno una punta (11), en cuyo caso las puntas (11) están afiladas, en cuyo caso la parte del mango (2.1, 2.2) incluye una hendidura rectangular (18), en cuyo caso la hendidura rectangular (18) está realizada de tal modo que forma los lugares de rotura controlada (4, 5, 6, 7) entre la parte de mango (2.1, 2.2) y el perfil de conexión (3.1, 3.2), caracterizado en que, cada uno de los salientes (8, 9) presenta numerosos ganchos (12), en cuyo caso la parte de mango (2.1, 2.2) presenta dos taladros de patrón (15, 16) y una hendidura circular (17).

Description

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Figura 15, muestra una representación esquemática de otro ejemplo de un instrumento quirúrgico con un “staple” como implante y una cánula;
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Figura 16, muestra una representación esquemática de una vista en planta del instrumento quirúrgico conforme a la figura 15;
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Figura 17, muestra una representación esquemática de una vista en perspectiva del ejemplo del instrumento quirúrgico conforme a las figuras 15 y 16;
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Figura 18, muestra una representación esquemática de una vista lateral de otro ejemplo de un instrumento quirúrgico con un “staple” con clavos como implante;
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Figura 19, muestra una representación esquemática de una vista en planta del instrumento quirúrgico conforme a la figura 18;
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Figura 20, muestra una representación en perspectiva del instrumento quirúrgico conforme a las figuras 18 y 19;
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Figura 21, muestra una representación esquemática de una vista lateral de otro ejemplo de ejecución de un instrumento quirúrgico, en cuyo caso el implante es un “staple” con cuatro salientes;
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Figura 22, muestra una representación esquemática de una vista en perspectiva del instrumento quirúrgico con un “staple” con cuatro salientes conforme a la figura 21;
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Figura 23, muestra una representación esquemática de una vista lateral de otro ejemplo de ejecución de un instrumento con un “staple” con una placa de staple y una cuña lateral para la corrección del ángulo;
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Figura 24, muestra una representación esquemática de una vista en perspectiva del instrumento quirúrgico conforme a la figura 23;
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Figura 25, muestra una representación esquemática de una vista lateral de otro ejemplo de ejecución de un instrumento quirúrgico, en cuyo caso el implante es un gancho;
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Figura 26, muestra una representación esquemática de una vista lateral de otro ejemplo de ejecución de un instrumento quirúrgico, en cuyo caso el implante son unas pinzas;
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Figura 27, muestra una sección aumentada de la parte frontal del instrumento quirúrgico conforme a la figura 26;
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Figura 28, muestra una representación esquemática de una vista en planta de la parte frontal de otro ejemplo de un instrumento quirúrgico;
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Figura 29, muestra una representación esquemática de una vista lateral seccionada de un “cage” (cajetín) que puede ser expandido a través de un husillo, conforme a la tecnología;
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Figura 30, muestra una representación esquemática de una vista lateral seccionada de un ejemplo de un instrumento quirúrgico con un cajetín como implante;
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Figura 31, muestra una representación esquemática de una vista en planta del instrumento quirúrgico con un cajetín como implante conforme a la figura 30;
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Figura 32, muestra una representación esquemática de una vista lateral seccionada de otro ejemplo de un instrumento quirúrgico con un cajetín como implante;
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Figura 33, muestra una representación esquemática de una vista lateral seccionada de otro ejemplo de un instrumento quirúrgico con un cajetín como implante en un estado no expandido;
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Figura 34, muestra una representación esquemática de una vista lateral seccionada de un ejemplo del instrumento quirúrgico con un cajetín como implante, conforme a la figura 34, en cuyo caso el cajetín se encuentra en un estado expandido;
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Figura 35, muestra una representación esquemática de una vista lateral seccionada de otro ejemplo de ejecución de un instrumento quirúrgico con un cajetín como implante;
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Figura 36, muestra una representación esquemática de una vista lateral seccionada de otro ejemplo de un instrumento quirúrgico con un cajetín” como implante;
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Figura 37, muestra una representación esquemática de una vista lateral seccionada de otro ejemplo de un instrumento quirúrgico con un cajetín como implante. Las figura 1 y 2 ofrecen un instrumento quirúrgico 1.1. Dicho instrumento quirúrgico 1.1 incluye una parte de mango
2.1 y un perfil de conexión 3.1. El perfil de conexión 3.1 incluye un primer saliente 8 y un segundo saliente 9. La parte del mango 2.1 está conectada con el perfil de conexión 3.1 a través de un lugar de rotura controlada 4 y un segundo lugar de rotura controlada 5. El primer saliente 8 y el segundo saliente 9 del perfil de conexión 3.1 están conectados a través de un puente 10. El saliente 9 y el puente 10 del perfil de conexión 3.1 forman un ángulo α. En el presente ejemplo de ejecución de las figuras 1 y 2, el ángulo α tiene 26º. Los extremos libres de los salientes 8 y 9 presentan cada uno una punta 11. Las puntas 11 están afiladas. Además, cada uno de los salientes 8 y 9 presentan numerosos ganchos 12. El perfil de conexión 3.1 incluye una superficie de golpeo del perfil de conexión 13. Dicha superficie de golpeo del perfil de conexión 13 se encuentra en la superficie del puente 10 del perfil de conexión 3.1. La parte del mango 2.1 incluye una superficie de golpeo de la parte del mango 14. La superficie de golpeo de la parte del mango 14 se encuentra en un lado superior de la parte del mango 2.1. Además, la parte del mango 2.1 incluye dos taladros de patrón 15 y 16. Así mismo, la parte de mango 2.1 incluye también un rebaje circular 17 y un rebaje rectangular 18, en cuyo caso el rebaje rectangular 18 está realizado de tal modo que da lugar a los lugares de rotura controlados 5 y 4 entre la parte del mango 2.1 y el perfil de conexión 3.1. El instrumento quirúrgico 1.2 de las figuras 3 y 4 está realizado principalmente de forma análoga al instrumento quirúrgico 1.1 de las figuras 1 y 2. La diferencia sustancial es que el perfil de conexión 3.2 está realizado de forma rectangular, lo que quiere decir que un primer saliente 19 y un segundo saliente 20 del perfil de conexión 3.2 junto con el puente 21 del perfil de conexión 3.2 forman un ángulo β, el cual es un ángulo de 90º. Todas las demás piezas
8
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Lista de números de referencia
1
Instrumento quirúrgico 34 Superficie de guía 67 Saliente
2
Parte de mango 35 Taladros 68 Saliente
3
Perfil de conexión 36 Taladro 69 Placa
4
Lugar de rotura controlada 37 Superficie de contra 70 Taladro de fijación
5
Lugar de rotura controlada 38 Alambre de taladro 71 Lugar de rotura controlada
6
Lugar de rotura controlada 39 Alambre de taladro 72 Parte de mango
7
Lugar de rotura controlada 40 Superficie de golpeo 73 Ranura
8
Saliente 41 Taladro 74 Taladros
9
Saliente 42 Instrumento quirúrgico 75 Taladros
10
Puente 43 “Staple” 76 Taladros
11
Punta 44 Cuña 77
12
Ganchos 45 Lugar de rotura controlada 78 “Staple”
13
Superficie de golpeo del perfil de conexión 46 Lugar de rotura controlada 79 Placa de sujeción
14
Superficie de golpeo de la parte de mango 47 Parte de mango 80 Puente
15
Taladro de patrón 48 Ranura 81 Placa de compresión
16
Taladro de patrón 49 Instrumento quirúrgico 82 Cuña
17
Hendidura circular 50 “Staple” 83 Saliente
18
Hendidura rectangular 51 Cánula 84 Instrumento quirúrgico
19
Saliente 52 Parte de mango γ Ángulo
20
Saliente 53 Canto δ Ángulo
21
Puente 54 Instrumento quirúrgico 85 Gancho
22
Instrumento de introducción 55 “Staple” 86 Parte de mango
23
Mango 56 Saliente 87 Lugar de rotura controlada
24
Ranura de guía 57 Saliente 88 Instrumento quirúrgico
25
Ranura de guía 58 Saliente 89 Pinzas
26
Superficie de soporte 59 Ganchos 90 Lugar de rotura controlada
27
Ranura de guía 60 Clavos 91 Parte de mango
28
Patrón de taladro 61 Lugar de rotura controlada 92 Cánula
29
Mango 62 Parte de mango 93 Instrumento quirúrgico
13
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30
Unidad funcional 63 Instrumento quirúrgico 94-98 Pinzas
31
Unidad funcional 64 “Staple” 99 Lugar de rotura controlada
32
Superficies 65 Saliente 100 Lugar de rotura controlada
33
Superficie de guía 66 Saliente 101 Parte de mango
102
Cánula 103 “Cage” 104 Carcasa superior
105
Carcasa inferior 106 Lugar de acoplamiento 107 Cuñas
108
Cintas flexibles 109 Instrumento quirúrgico 110 “Cage” (cajetín)
111
Carcasa superior 112 Carcasa inferior 113 Cintas flexibles
114
Parte de mango, varilla 115 Varilla 116 Lugar de rotura controlado
117
Lugar de rotura controlada 118120 Cintas 121 Cintas flexibles
122
Instrumento quirúrgico 123 “Cage” (cajetín) 124126 Tres varillas
127
Lugar de rotura controlada 128 Carcasa superior 129 Cadena de cuñas
130
Lugar de rotura controlada 131 Lugar de rotura controlada 132 Carcasa inferior
133
Instrumento quirúrgico 134 “Cage” 135 Varilla de tirón o presión
136
Lugar de rotura controlada 137 Carcasa superior 138 Lugar de rotura controlada
139
Carcasa inferior 140 Primer puente 141 Segundo puente
142
Instrumento quirúrgico 143 “Cage” 144146 Tres varillas
147
Carcasa superior 148 Cintas flexibles 149 Puente central
150
Carcasa inferior 151153 Lugares de rotura controlada 154 Instrumento quirúrgico
155
“Cage” (cajetín) 156 Placa de refuerzo 157 Cadena de cuñas
158
Varilla 159 Lugar de rotura controlada 160 Instrumento quirúrgico
161
“cage” 162 “Staple” 163 Placa de “staple”
164165
Saliente de “staple” 166 Orificios 167 Taladros
168
Parte de mango 169 Lugares de rotura controlada
14

Claims (1)

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ES12000078.1T 2011-01-07 2012-01-09 Instrumento quirúrgico con una porción frangible Active ES2546424T3 (es)

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US20170273684A1 (en) 2017-09-28
US20120228355A1 (en) 2012-09-13
US9675344B2 (en) 2017-06-13
BR102012000360A2 (pt) 2018-10-30
EP2474271A3 (de) 2013-10-23
DE102012100086A1 (de) 2012-08-02
EP2474271B1 (de) 2015-06-17

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