JP5457373B2 - 血流回復のための装置 - Google Patents
血流回復のための装置 Download PDFInfo
- Publication number
- JP5457373B2 JP5457373B2 JP2010547816A JP2010547816A JP5457373B2 JP 5457373 B2 JP5457373 B2 JP 5457373B2 JP 2010547816 A JP2010547816 A JP 2010547816A JP 2010547816 A JP2010547816 A JP 2010547816A JP 5457373 B2 JP5457373 B2 JP 5457373B2
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- JP
- Japan
- Prior art keywords
- cells
- thrombus
- configuration
- distal
- mesh size
- 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.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/50—Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
-
- 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
-
- 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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22001—Angioplasty, e.g. PCTA
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with a guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22094—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for for crossing total occlusions, i.e. piercing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2215—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/92—Stents in the form of a rolled-up sheet expanding after insertion into the vessel, e.g. with a spiral shape in cross-section
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US3083808P | 2008-02-22 | 2008-02-22 | |
| US61/030,838 | 2008-02-22 | ||
| PCT/US2009/034774 WO2009105710A1 (en) | 2008-02-22 | 2009-02-20 | Methods and apparatus for flow restoration |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2013156469A Division JP5980736B2 (ja) | 2008-02-22 | 2013-07-29 | 血流回復のための方法及び装置 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2011512900A JP2011512900A (ja) | 2011-04-28 |
| JP2011512900A5 JP2011512900A5 (enExample) | 2012-04-19 |
| JP5457373B2 true JP5457373B2 (ja) | 2014-04-02 |
Family
ID=40620299
Family Applications (6)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010547816A Active JP5457373B2 (ja) | 2008-02-22 | 2009-02-20 | 血流回復のための装置 |
| JP2013156469A Active JP5980736B2 (ja) | 2008-02-22 | 2013-07-29 | 血流回復のための方法及び装置 |
| JP2014164091A Withdrawn JP2014208313A (ja) | 2008-02-22 | 2014-08-12 | 血流回復のための方法及び装置 |
| JP2016187045A Active JP6654537B2 (ja) | 2008-02-22 | 2016-09-26 | 血流回復のための方法及び装置 |
| JP2018068017A Pending JP2018099630A (ja) | 2008-02-22 | 2018-03-30 | 血流回復のための方法及び装置 |
| JP2019155676A Active JP6918876B2 (ja) | 2008-02-22 | 2019-08-28 | 血流回復のための方法及び装置 |
Family Applications After (5)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2013156469A Active JP5980736B2 (ja) | 2008-02-22 | 2013-07-29 | 血流回復のための方法及び装置 |
| JP2014164091A Withdrawn JP2014208313A (ja) | 2008-02-22 | 2014-08-12 | 血流回復のための方法及び装置 |
| JP2016187045A Active JP6654537B2 (ja) | 2008-02-22 | 2016-09-26 | 血流回復のための方法及び装置 |
| JP2018068017A Pending JP2018099630A (ja) | 2008-02-22 | 2018-03-30 | 血流回復のための方法及び装置 |
| JP2019155676A Active JP6918876B2 (ja) | 2008-02-22 | 2019-08-28 | 血流回復のための方法及び装置 |
Country Status (11)
| Country | Link |
|---|---|
| US (6) | US8940003B2 (enExample) |
| EP (3) | EP3266391B1 (enExample) |
| JP (6) | JP5457373B2 (enExample) |
| KR (4) | KR101819554B1 (enExample) |
| CN (2) | CN102014772B (enExample) |
| AU (1) | AU2009217354B2 (enExample) |
| BR (1) | BRPI0908500A8 (enExample) |
| CA (1) | CA2716260C (enExample) |
| ES (2) | ES2737991T3 (enExample) |
| RU (1) | RU2506912C2 (enExample) |
| WO (1) | WO2009105710A1 (enExample) |
Families Citing this family (193)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE10233085B4 (de) | 2002-07-19 | 2014-02-20 | Dendron Gmbh | Stent mit Führungsdraht |
| US8425549B2 (en) | 2002-07-23 | 2013-04-23 | Reverse Medical Corporation | Systems and methods for removing obstructive matter from body lumens and treating vascular defects |
| WO2005094283A2 (en) | 2004-03-25 | 2005-10-13 | Hauser David L | Vascular filter device |
| US8398701B2 (en) | 2004-05-25 | 2013-03-19 | Covidien Lp | Flexible vascular occluding device |
| SG175723A1 (en) | 2004-05-25 | 2011-12-29 | Tyco Healthcare | Vascular stenting for aneurysms |
| US8617234B2 (en) | 2004-05-25 | 2013-12-31 | Covidien Lp | Flexible vascular occluding device |
| US20060206200A1 (en) | 2004-05-25 | 2006-09-14 | Chestnut Medical Technologies, Inc. | Flexible vascular occluding device |
| US8623067B2 (en) | 2004-05-25 | 2014-01-07 | Covidien Lp | Methods and apparatus for luminal stenting |
| JP4945714B2 (ja) | 2005-05-25 | 2012-06-06 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 管路内に閉塞装置を供給して展開するためのシステム及び方法 |
| US20070179519A1 (en) * | 2006-01-27 | 2007-08-02 | Wang Huisun | Stent delivery system to improve placement accuracy for self-expanding stent |
| ES2524778T3 (es) | 2006-02-01 | 2014-12-12 | The Cleveland Clinic Foundation | Un aparato para incrementar el flujo sanguíneo a través de un vaso sanguíneo obstruido |
| WO2007100556A1 (en) | 2006-02-22 | 2007-09-07 | Ev3 Inc. | Embolic protection systems having radiopaque filter mesh |
| JP5734650B2 (ja) | 2007-06-25 | 2015-06-17 | マイクロベンション インコーポレイテッド | 自己拡張プロテーゼ |
| US11337714B2 (en) | 2007-10-17 | 2022-05-24 | Covidien Lp | Restoring blood flow and clot removal during acute ischemic stroke |
| US9220522B2 (en) | 2007-10-17 | 2015-12-29 | Covidien Lp | Embolus removal systems with baskets |
| US9198687B2 (en) | 2007-10-17 | 2015-12-01 | Covidien Lp | Acute stroke revascularization/recanalization systems processes and products thereby |
| US20100022951A1 (en) * | 2008-05-19 | 2010-01-28 | Luce, Forward, Hamilton 7 Scripps, Llp | Detachable hub/luer device and processes |
| US8926680B2 (en) | 2007-11-12 | 2015-01-06 | Covidien Lp | Aneurysm neck bridging processes with revascularization systems methods and products thereby |
| US8585713B2 (en) | 2007-10-17 | 2013-11-19 | Covidien Lp | Expandable tip assembly for thrombus management |
| US10123803B2 (en) * | 2007-10-17 | 2018-11-13 | Covidien Lp | Methods of managing neurovascular obstructions |
| US8066757B2 (en) * | 2007-10-17 | 2011-11-29 | Mindframe, Inc. | Blood flow restoration and thrombus management methods |
| US8088140B2 (en) | 2008-05-19 | 2012-01-03 | Mindframe, Inc. | Blood flow restorative and embolus removal methods |
| CA2716260C (en) | 2008-02-22 | 2018-03-20 | Microtherapeutics, Inc. | Methods and apparatus for flow restoration |
| AU2009234268A1 (en) | 2008-04-11 | 2009-10-15 | Covidien Lp | Monorail neuro-microcatheter for delivery of medical devices to treat stroke, processes and products thereby |
| US9402707B2 (en) | 2008-07-22 | 2016-08-02 | Neuravi Limited | Clot capture systems and associated methods |
| US9034008B2 (en) | 2008-08-29 | 2015-05-19 | Rapid Medical Ltd. | Device and method involving stabilization during clot removal |
| US9005237B2 (en) | 2008-08-29 | 2015-04-14 | Rapid Medical Ltd. | Device and method for clot capture |
| US8864792B2 (en) | 2008-08-29 | 2014-10-21 | Rapid Medical, Ltd. | Device and method for clot engagement |
| US8758364B2 (en) | 2008-08-29 | 2014-06-24 | Rapid Medical Ltd. | Device and method for clot engagement and capture |
| US9211396B2 (en) | 2010-02-23 | 2015-12-15 | Covidien Lp | Devices and methods for vascular recanalization |
| DE102010044746A1 (de) * | 2010-09-08 | 2012-03-08 | Phenox Gmbh | Implantat zur Beeinflussung des Blutflusses bei arteriovenösen Fehlbildungen |
| US9039749B2 (en) * | 2010-10-01 | 2015-05-26 | Covidien Lp | Methods and apparatuses for flow restoration and implanting members in the human body |
| EP2629684B1 (en) | 2010-10-22 | 2018-07-25 | Neuravi Limited | Clot engagement and removal system |
| DE102010051740A1 (de) * | 2010-11-19 | 2012-05-24 | Phenox Gmbh | Thrombektomievorrichtung |
| WO2012078678A1 (en) | 2010-12-06 | 2012-06-14 | Tyco Healthcare Group Lp | Vascular remodeling device |
| US12076037B2 (en) | 2011-03-09 | 2024-09-03 | Neuravi Limited | Systems and methods to restore perfusion to a vessel |
| US11259824B2 (en) | 2011-03-09 | 2022-03-01 | Neuravi Limited | Clot retrieval device for removing occlusive clot from a blood vessel |
| US9301769B2 (en) | 2011-03-09 | 2016-04-05 | Neuravi Limited | Clot retrieval device for removing clot from a blood vessel |
| US9028540B2 (en) | 2011-03-25 | 2015-05-12 | Covidien Lp | Vascular stent with improved vessel wall apposition |
| DE102011101522A1 (de) * | 2011-05-13 | 2012-11-15 | Phenox Gmbh | Thrombektomievorrichtung |
| BR112013030183A2 (pt) * | 2011-05-23 | 2017-12-05 | Lazarus Effect Inc | dispositivo médico intervencional para recuperar e assegurrar uma obstrução dentro de um lúmen de vaso, método de assegurar uma obstrução dentro de um vaso, método de preparação de um dispositivo de recuperação, sistema de recuperação de dispositivo médico, para assegurar uma obstrução dentro de um lúmen de vaso e para uso com um cateter configurado para ser navegado através da vasculatura, dispositivo médico intervencional para assegurar um dispositivo de recuperação tendo uma ou mais obstruções localizadas nele para remoção de um corpo e dispositivo de recuperação do stent para se expandir contra um ou mais corpos oclusivos em uma vasculatura |
| US11026708B2 (en) | 2011-07-26 | 2021-06-08 | Thrombx Medical, Inc. | Intravascular thromboembolectomy device and method using the same |
| WO2013090122A1 (en) * | 2011-12-16 | 2013-06-20 | Stryker Corporation | Embolectomy cage |
| WO2013102848A2 (en) * | 2012-01-04 | 2013-07-11 | Rapid Medical Ltd. | Devices and methods for assisting medical treatments |
| JP6463132B2 (ja) | 2012-01-17 | 2019-01-30 | パーフロー メディカル リミテッド | 閉塞物を除去する装置 |
| EP2892611B1 (en) | 2012-09-06 | 2021-10-27 | Covidien LP | Neurological treatment system |
| US9597171B2 (en) | 2012-09-11 | 2017-03-21 | Covidien Lp | Retrieval catheter with expandable tip |
| DK2897536T3 (da) | 2012-09-24 | 2020-11-23 | Inari Medical Inc | Apparat til behandling af vaskulære okklusioner |
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| US9433429B2 (en) | 2013-03-14 | 2016-09-06 | Neuravi Limited | Clot retrieval devices |
| CN109157304B (zh) | 2013-03-14 | 2021-12-31 | 尼尔拉维有限公司 | 一种用于从血管去除堵塞凝块的凝块收取装置 |
| JP6435280B2 (ja) | 2013-03-15 | 2018-12-05 | ナショナル ユニバーシティー オブ アイルランド, ゴールウェイ | 内腔内部および体内腔の壁から物質を除去するのに適したデバイス |
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| US9173668B2 (en) * | 2014-01-03 | 2015-11-03 | Legacy Ventures LLC | Clot retrieval system |
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