JP7253376B2 - 血管閉塞の血管内処置および関連デバイス、システムおよび方法 - Google Patents

血管閉塞の血管内処置および関連デバイス、システムおよび方法 Download PDF

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JP7253376B2
JP7253376B2 JP2018521280A JP2018521280A JP7253376B2 JP 7253376 B2 JP7253376 B2 JP 7253376B2 JP 2018521280 A JP2018521280 A JP 2018521280A JP 2018521280 A JP2018521280 A JP 2018521280A JP 7253376 B2 JP7253376 B2 JP 7253376B2
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thrombus
extraction device
self
expanding
thrombus extraction
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JP2018538027A5 (cg-RX-API-DMAC7.html
JP2018538027A (ja
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フィル マーチャンド,
ジョン シー. スレス,
ジェイコブ エフ. ロウ,
ブライアン ジェイ. コックス,
リチャード クイック,
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イナリ メディカル, インコーポレイテッド
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Priority claimed from US15/268,296 external-priority patent/US9700332B2/en
Priority claimed from US15/268,406 external-priority patent/US10342571B2/en
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Publication of JP2018538027A publication Critical patent/JP2018538027A/ja
Publication of JP2018538027A5 publication Critical patent/JP2018538027A5/ja
Priority to JP2021184752A priority Critical patent/JP7324264B2/ja
Priority to JP2022160947A priority patent/JP7491974B2/ja
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Priority to JP2023213724A priority patent/JP2024019612A/ja
Priority to JP2024108868A priority patent/JP2024128031A/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320725Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3468Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00526Methods of manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22038Implements 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
    • A61B2017/22041Implements 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 outside the catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B2017/22094Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements 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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2215Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B2017/320741Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions for stripping the intima or the internal plaque from a blood vessel, e.g. for endarterectomy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2/01Filters implantable into blood vessels
    • A61F2002/016Filters implantable into blood vessels made from wire-like elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2/01Filters implantable into blood vessels
    • A61F2002/018Filters implantable into blood vessels made from tubes or sheets of material, e.g. by etching or laser-cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028Shapes in the form of latin or greek characters
    • A61F2230/0054V-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0067Three-dimensional shapes conical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0069Three-dimensional shapes cylindrical

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Pathology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Surgical Instruments (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
JP2018521280A 2015-10-23 2016-10-24 血管閉塞の血管内処置および関連デバイス、システムおよび方法 Active JP7253376B2 (ja)

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JP2021184752A JP7324264B2 (ja) 2015-10-23 2021-11-12 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2022160947A JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2023213724A JP2024019612A (ja) 2015-10-23 2023-12-19 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2024108868A JP2024128031A (ja) 2015-10-23 2024-07-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法

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Application Number Priority Date Filing Date Title
US201562245935P 2015-10-23 2015-10-23
US62/245,935 2015-10-23
US15/268,296 2016-09-16
US15/268,406 US10342571B2 (en) 2015-10-23 2016-09-16 Intravascular treatment of vascular occlusion and associated devices, systems, and methods
US15/268,406 2016-09-16
US15/268,296 US9700332B2 (en) 2015-10-23 2016-09-16 Intravascular treatment of vascular occlusion and associated devices, systems, and methods
PCT/US2016/058536 WO2017070702A1 (en) 2015-10-23 2016-10-24 Intravascular treatment of vascular occlusion and associated devices, systems, and methods

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JP2021184752A Division JP7324264B2 (ja) 2015-10-23 2021-11-12 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2022160947A Division JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法

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JP2018538027A JP2018538027A (ja) 2018-12-27
JP2018538027A5 JP2018538027A5 (cg-RX-API-DMAC7.html) 2019-12-05
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JP2021184752A Active JP7324264B2 (ja) 2015-10-23 2021-11-12 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2022160947A Active JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2023213724A Pending JP2024019612A (ja) 2015-10-23 2023-12-19 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2024108868A Pending JP2024128031A (ja) 2015-10-23 2024-07-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法

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JP2022160947A Active JP7491974B2 (ja) 2015-10-23 2022-10-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2023213724A Pending JP2024019612A (ja) 2015-10-23 2023-12-19 血管閉塞の血管内処置および関連デバイス、システムおよび方法
JP2024108868A Pending JP2024128031A (ja) 2015-10-23 2024-07-05 血管閉塞の血管内処置および関連デバイス、システムおよび方法

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US12310608B2 (en) 2015-10-23 2025-05-27 Inari Medical, Inc. Intravascular treatment of vascular occlusion and associated devices, systems, and methods
US12343028B2 (en) 2013-10-21 2025-07-01 Inari Medical, Inc. Methods and apparatus for treating embolism
US12364496B2 (en) 2022-01-11 2025-07-22 Inari Medical, Inc. Devices for removing clot material from intravascularly implanted devices, and associated systems and methods
US12465382B1 (en) 2024-05-10 2025-11-11 Inari Medical, Inc. Mechanical thrombectomy assemblies with relief features, and associated devices, systems, and methods
US12496081B2 (en) 2023-01-09 2025-12-16 Inari Medical, Inc. Catheter for use with clot treatment systems

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US20170136158A1 (en) 2015-10-16 2017-05-18 Angiodynamics, Inc. Systems and Methods for Removing Undesirable Material Within a Circulatory System
US12245788B2 (en) 2011-03-15 2025-03-11 Angiodynamics, Inc. Device and method for removing material from a hollow anatomical structure
US9055964B2 (en) 2011-03-15 2015-06-16 Angio Dynamics, Inc. Device and method for removing material from a hollow anatomical structure
US8784434B2 (en) 2012-11-20 2014-07-22 Inceptus Medical, Inc. Methods and apparatus for treating embolism
JP6437517B2 (ja) 2013-03-15 2018-12-12 インセラ セラピューティクス,インク. 血管治療装置及び方法
ES2988912T3 (es) 2016-10-24 2024-11-22 Inari Medical Inc Dispositivos para el tratamiento de oclusión vascular
EP3678731B1 (en) 2017-09-06 2024-12-04 Inari Medical, Inc. Hemostasis valves and methods of use
US12114877B2 (en) 2017-10-16 2024-10-15 Retriever Medical, Inc. Clot removal methods and devices with multiple independently controllable elements
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CN109938801B (zh) * 2017-12-21 2025-03-11 新昕医药科技(上海)有限公司 一种血栓取栓器
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DK3836855T3 (en) 2018-08-13 2024-11-18 Inari Medical Inc System for treating embolism and associated devices and methods
EP4257064B1 (en) * 2018-09-10 2025-04-16 Stryker Corporation Inverting thrombectomy apparatuses
US11406416B2 (en) * 2018-10-02 2022-08-09 Neuravi Limited Joint assembly for vasculature obstruction capture device
US12285182B2 (en) 2018-10-10 2025-04-29 Innova Vascular, Inc. Devices and methods for removing an embolus
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JP2022549308A (ja) * 2019-09-25 2022-11-24 レナルプロ メディカル, インコーポレイテッド 遠位灌流を維持しながら血管を少なくとも部分的に閉塞させるためのデバイスおよび方法
JP7638273B2 (ja) * 2019-10-16 2025-03-03 イナリ メディカル, インコーポレイテッド 血管閉塞を治療するためのシステム、デバイス、及び方法
EP4076225A4 (en) * 2019-12-18 2024-01-24 Inari Medical, Inc. DEVICES AND METHODS FOR TREATING VASCULAR OCCLUSION
US11648020B2 (en) 2020-02-07 2023-05-16 Angiodynamics, Inc. Device and method for manual aspiration and removal of an undesirable material
JP7411468B2 (ja) * 2020-03-24 2024-01-11 大塚メディカルデバイス株式会社 ワイヤ付きステント及びカテーテル・ステント・システム
CN112932612A (zh) * 2021-01-15 2021-06-11 上海市第六人民医院 一种斑块清除装置
JP7741187B2 (ja) * 2021-02-19 2025-09-17 エンボライン, インコーポレイテッド 大動脈弓内に塞栓用フィルタを設置するための方法およびシステム
US12390236B2 (en) 2021-03-10 2025-08-19 Covidien Lp Thrombus removal device
EP4329643A4 (en) 2021-04-27 2025-03-12 Contego Medical, Inc. Thrombus aspiration system and methods for controlling blood loss
CN113855164B (zh) * 2021-11-11 2024-11-22 上海融脉医疗科技有限公司 一种网盘式机械血栓清除导管装置
US12336726B2 (en) 2022-04-18 2025-06-24 Boston Scientific Medical Device Limited Device and method for mechanical thrombectomy
JP2025520447A (ja) * 2022-06-14 2025-07-03 シルク・ロード・メディカル・インコーポレイテッド 経カテーテル大動脈弁治療のためのシステム及び方法
CN115444508B (zh) * 2022-09-21 2024-12-06 上海恩盛医疗科技有限公司 取栓装置及取栓系统
CN115644992B (zh) * 2022-11-08 2024-03-22 上海珩畅医疗科技有限公司 一种血栓取栓支架装置
CN115778486A (zh) * 2022-12-19 2023-03-14 北京管桥医疗科技有限公司 一种深静脉取栓装置
CN116077139A (zh) * 2023-01-06 2023-05-09 江苏朴芃医疗科技有限公司 一种取栓装置
CN115944356A (zh) * 2023-02-10 2023-04-11 上海珩畅医疗科技有限公司 一种用于排除血栓的支架组件
US12440615B1 (en) 2024-10-28 2025-10-14 Endovascular Engineering, Inc. Blood transfusion for thrombectomy devices, and systems and methods thereof

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JP2022173563A (ja) 2022-11-18
AU2024216367A1 (en) 2024-10-17
US20250318846A1 (en) 2025-10-16
AU2016341439B2 (en) 2021-07-08
US12310608B2 (en) 2025-05-27
CN108472052B (zh) 2021-10-01
JP2024019612A (ja) 2024-02-09
FI3364891T3 (fi) 2023-09-25
EP4233744A3 (en) 2023-11-01
CN108472052A (zh) 2018-08-31
AU2023278023B2 (en) 2024-06-06
US11918244B2 (en) 2024-03-05
JP2018538027A (ja) 2018-12-27
AU2016341439A1 (en) 2018-05-10
CN113796927A (zh) 2021-12-17
JP7324264B2 (ja) 2023-08-09
CN113796927B (zh) 2025-03-04
US20240307082A1 (en) 2024-09-19
EP4233744A2 (en) 2023-08-30

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