JPH11313827A - 最小侵襲法に用いられる観察用外科スコ―プ - Google Patents

最小侵襲法に用いられる観察用外科スコ―プ

Info

Publication number
JPH11313827A
JPH11313827A JP11053156A JP5315699A JPH11313827A JP H11313827 A JPH11313827 A JP H11313827A JP 11053156 A JP11053156 A JP 11053156A JP 5315699 A JP5315699 A JP 5315699A JP H11313827 A JPH11313827 A JP H11313827A
Authority
JP
Japan
Prior art keywords
distal end
working
working channel
introducer
assembly
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
Application number
JP11053156A
Other languages
English (en)
Japanese (ja)
Other versions
JPH11313827A5 (enExample
Inventor
Steven A Daniel
エイ ダニエル スティーヴン
Stuart D Harman
ディー ハーマン スチュワート
Timothy C Reynolds
シー レイノルズ ティモシー
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.)
Eclipse Surgical Technologies Inc
Original Assignee
Eclipse Surgical Technologies Inc
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 Eclipse Surgical Technologies Inc filed Critical Eclipse Surgical Technologies Inc
Publication of JPH11313827A publication Critical patent/JPH11313827A/ja
Publication of JPH11313827A5 publication Critical patent/JPH11313827A5/ja
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00098—Deflecting means for inserted tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/267—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes or bronchoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • 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
    • A61B2017/22072—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 instrument channel, e.g. for replacing one instrument by the other
    • A61B2017/22074—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
    • A61B2017/22075—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with motorized advancing or retracting means
    • 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
    • A61B2017/22072—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 instrument channel, e.g. for replacing one instrument by the other
    • A61B2017/22074—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
    • A61B2017/22077—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 instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with a part piercing the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00291—Anchoring means for temporary attachment of a device to tissue using suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Optics & Photonics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Laser Surgery Devices (AREA)
JP11053156A 1998-02-27 1999-03-01 最小侵襲法に用いられる観察用外科スコ―プ Pending JPH11313827A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US3175298A 1998-02-27 1998-02-27
US09/031752 1998-02-27

Publications (2)

Publication Number Publication Date
JPH11313827A true JPH11313827A (ja) 1999-11-16
JPH11313827A5 JPH11313827A5 (enExample) 2006-04-20

Family

ID=21861207

Family Applications (1)

Application Number Title Priority Date Filing Date
JP11053156A Pending JPH11313827A (ja) 1998-02-27 1999-03-01 最小侵襲法に用いられる観察用外科スコ―プ

Country Status (4)

Country Link
EP (1) EP0938871A3 (enExample)
JP (1) JPH11313827A (enExample)
AU (1) AU1848599A (enExample)
CA (1) CA2263214A1 (enExample)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007502690A (ja) * 2003-05-13 2007-02-15 ザ ファウンドリー， インコーポレイテッド 神経毒を使用して喘息を処置するための装置および方法
JP2009530051A (ja) * 2006-03-23 2009-08-27 ボストン サイエンティフィック リミテッド 医療デバイスおよびシステム
JP2012024596A (ja) * 2004-01-28 2012-02-09 Intuitive Surgical Inc エネルギー利用モダリティ及び非エネルギー利用モダリティの改良適用による、組織治療の円滑化のための装置及び方法
US8888688B2 (en) 2000-04-03 2014-11-18 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
US9138132B2 (en) 2000-04-03 2015-09-22 Intuitive Surgical Operations, Inc. Steerable endoscope and improved method of insertion
US9215970B2 (en) 2004-08-09 2015-12-22 Boston Scientific Scimed, Inc. Fiber optic imaging catheter
US9339173B2 (en) 2004-03-23 2016-05-17 Boston Scientific Scimed, Inc. In-vivo visualization system
US9427282B2 (en) 2000-04-03 2016-08-30 Intuitive Surgical Operations, Inc. Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities
US9913573B2 (en) 2003-04-01 2018-03-13 Boston Scientific Scimed, Inc. Endoscopic imaging system
JP2022512607A (ja) * 2018-10-04 2022-02-07 コーニンクレッカ フィリップス エヌ ヴェ 経気管支ニードル誘導具を設計又は構成するための装置
US11819192B2 (en) 2004-03-23 2023-11-21 Boston Scientific Scimed, Inc. In-vivo visualization system

Families Citing this family (31)

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US7597698B2 (en) 1999-08-10 2009-10-06 Maquet Cardiovascular Llc Apparatus and method for endoscopic encirclement of pulmonary veins for epicardial ablation
US20030187460A1 (en) * 1999-08-10 2003-10-02 Chin Albert K. Methods and apparatus for endoscopic cardiac surgery
US6984230B2 (en) * 2000-04-07 2006-01-10 Synergetics, Inc. Directional laser probe
US8608661B1 (en) 2001-11-30 2013-12-17 Advanced Cardiovascular Systems, Inc. Method for intravascular delivery of a treatment agent beyond a blood vessel wall
US7033345B2 (en) 2002-05-21 2006-04-25 Advanced Cardiovascular Systems, Inc. Deflectable microimplant delivery system
US7361368B2 (en) 2002-06-28 2008-04-22 Advanced Cardiovascular Systems, Inc. Device and method for combining a treatment agent and a gel
US6855124B1 (en) 2002-10-02 2005-02-15 Advanced Cardiovascular Systems, Inc. Flexible polymer needle catheter
US8821473B2 (en) 2003-04-15 2014-09-02 Abbott Cardiovascular Systems Inc. Methods and compositions to treat myocardial conditions
US7641643B2 (en) 2003-04-15 2010-01-05 Abbott Cardiovascular Systems Inc. Methods and compositions to treat myocardial conditions
US8038991B1 (en) 2003-04-15 2011-10-18 Abbott Cardiovascular Systems Inc. High-viscosity hyaluronic acid compositions to treat myocardial conditions
US20080125745A1 (en) 2005-04-19 2008-05-29 Shubhayu Basu Methods and compositions for treating post-cardial infarction damage
US8187621B2 (en) 2005-04-19 2012-05-29 Advanced Cardiovascular Systems, Inc. Methods and compositions for treating post-myocardial infarction damage
US8303972B2 (en) 2005-04-19 2012-11-06 Advanced Cardiovascular Systems, Inc. Hydrogel bioscaffoldings and biomedical device coatings
US9539410B2 (en) 2005-04-19 2017-01-10 Abbott Cardiovascular Systems Inc. Methods and compositions for treating post-cardial infarction damage
US8828433B2 (en) 2005-04-19 2014-09-09 Advanced Cardiovascular Systems, Inc. Hydrogel bioscaffoldings and biomedical device coatings
US7955314B2 (en) 2005-05-12 2011-06-07 Greatbatch Ltd. Articulating handle for a deflectable catheter and method therefor
US7732190B2 (en) 2006-07-31 2010-06-08 Advanced Cardiovascular Systems, Inc. Modified two-component gelation systems, methods of use and methods of manufacture
US9242005B1 (en) 2006-08-21 2016-01-26 Abbott Cardiovascular Systems Inc. Pro-healing agent formulation compositions, methods and treatments
US8741326B2 (en) 2006-11-17 2014-06-03 Abbott Cardiovascular Systems Inc. Modified two-component gelation systems, methods of use and methods of manufacture
US9005672B2 (en) 2006-11-17 2015-04-14 Abbott Cardiovascular Systems Inc. Methods of modifying myocardial infarction expansion
US8192760B2 (en) 2006-12-04 2012-06-05 Abbott Cardiovascular Systems Inc. Methods and compositions for treating tissue using silk proteins
EP1967152B1 (en) * 2007-03-05 2010-12-08 Amj B.V. Device for creating openings in pressurized blood vessels
WO2009151970A2 (en) * 2008-05-28 2009-12-17 Vibrynt, Inc. Devices, system and methods for minimally invasive abdominal surgical procedures
KR101689250B1 (ko) 2009-12-10 2016-12-23 알콘 리서치, 리미티드 패시티드 광학적 엘리먼트를 사용하는 다중-스팟 레이저 외과적 프로브
US9314362B2 (en) 2012-01-08 2016-04-19 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
US8382775B1 (en) 2012-01-08 2013-02-26 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
US9308128B2 (en) 2013-01-08 2016-04-12 Novartis Ag Multi-spot laser probe with micro-structured faceted proximal surface
FR3059888A1 (fr) * 2016-12-08 2018-06-15 Philippe Rochon Dispositif de traitement endoveineux avec element filaire souple guide
US11504500B2 (en) * 2019-01-14 2022-11-22 Becton, Dickinson And Company Reduced dead space catheter adapter
CN112472157A (zh) * 2020-12-15 2021-03-12 长春艾迪尔医用科技发展有限公司 微创心脏手术辅助装置
KR102599513B1 (ko) * 2022-11-07 2023-11-07 주식회사 칼로스메디칼 혈관 직경에 따라 조작 가능한 신경차단용 카테터

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US5041108A (en) * 1981-12-11 1991-08-20 Pillco Limited Partnership Method for laser treatment of body lumens
US4658817A (en) 1985-04-01 1987-04-21 Children's Hospital Medical Center Method and apparatus for transmyocardial revascularization using a laser
US5125926A (en) 1990-09-24 1992-06-30 Laser Engineering, Inc. Heart-synchronized pulsed laser system
US5700259A (en) 1990-09-24 1997-12-23 Plc Medical Systems, Inc. Thoracoscopic transmyocardial revascularization handpiece assembly
US5389096A (en) 1990-12-18 1995-02-14 Advanced Cardiovascular Systems System and method for percutaneous myocardial revascularization
NZ272209A (en) 1991-05-01 2001-02-23 Univ Columbia Myocardial revascularisation of the heart by a laser
US5454807A (en) * 1993-05-14 1995-10-03 Boston Scientific Corporation Medical treatment of deeply seated tissue using optical radiation
US5713894A (en) * 1996-02-27 1998-02-03 Murphy-Chutorian; Douglas Combined mechanical/optical system for transmyocardial revascularization
US5725523A (en) * 1996-03-29 1998-03-10 Mueller; Richard L. Lateral-and posterior-aspect method and apparatus for laser-assisted transmyocardial revascularization and other surgical applications
CA2207570A1 (en) * 1996-06-13 1997-12-13 Eclipse Surgical Technologies, Inc. Intraoperative myocardial device and stimulation procedure

Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11026564B2 (en) 2000-04-03 2021-06-08 Intuitive Surgical Operations, Inc. Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities
US12076102B2 (en) 2000-04-03 2024-09-03 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
US8888688B2 (en) 2000-04-03 2014-11-18 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
US9138132B2 (en) 2000-04-03 2015-09-22 Intuitive Surgical Operations, Inc. Steerable endoscope and improved method of insertion
US9427282B2 (en) 2000-04-03 2016-08-30 Intuitive Surgical Operations, Inc. Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities
US10105036B2 (en) 2000-04-03 2018-10-23 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
US10327625B2 (en) 2000-04-03 2019-06-25 Intuitive Surgical Operations, Inc. Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities
US10736490B2 (en) 2000-04-03 2020-08-11 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
US11324395B2 (en) 2003-04-01 2022-05-10 Boston Scientific Scimed, Inc. Endoscopic imaging system
US9913573B2 (en) 2003-04-01 2018-03-13 Boston Scientific Scimed, Inc. Endoscopic imaging system
US10765307B2 (en) 2003-04-01 2020-09-08 Boston Scientific Scimed, Inc. Endoscopic imaging system
JP2007502690A (ja) * 2003-05-13 2007-02-15 ザ ファウンドリー， インコーポレイテッド 神経毒を使用して喘息を処置するための装置および方法
JP2012024596A (ja) * 2004-01-28 2012-02-09 Intuitive Surgical Inc エネルギー利用モダリティ及び非エネルギー利用モダリティの改良適用による、組織治療の円滑化のための装置及び方法
US11064869B2 (en) 2004-03-23 2021-07-20 Boston Scientific Scimed, Inc. In-vivo visualization system
US9339173B2 (en) 2004-03-23 2016-05-17 Boston Scientific Scimed, Inc. In-vivo visualization system
US11819192B2 (en) 2004-03-23 2023-11-21 Boston Scientific Scimed, Inc. In-vivo visualization system
US11832793B2 (en) 2004-03-23 2023-12-05 Boston Scientific Scimed, Inc. Vivo visualization system
US12213650B2 (en) 2004-03-23 2025-02-04 Boston Scientific Scimed, Inc. In-vivo visualization system
US10058236B2 (en) 2004-08-09 2018-08-28 Boston Scientific Scimed, Inc. Fiber optic imaging catheter
US9215970B2 (en) 2004-08-09 2015-12-22 Boston Scientific Scimed, Inc. Fiber optic imaging catheter
JP2009530051A (ja) * 2006-03-23 2009-08-27 ボストン サイエンティフィック リミテッド 医療デバイスおよびシステム
JP2022512607A (ja) * 2018-10-04 2022-02-07 コーニンクレッカ フィリップス エヌ ヴェ 経気管支ニードル誘導具を設計又は構成するための装置

Also Published As

Publication number Publication date
EP0938871A3 (en) 2001-03-07
AU1848599A (en) 1999-09-09
CA2263214A1 (en) 1999-08-27
EP0938871A2 (en) 1999-09-01

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