LV14186B - Supplementary device for artificial breathing or respiration - Google Patents

Supplementary device for artificial breathing or respiration Download PDF

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Publication number
LV14186B
LV14186B LVP-09-09A LV090009A LV14186B LV 14186 B LV14186 B LV 14186B LV 090009 A LV090009 A LV 090009A LV 14186 B LV14186 B LV 14186B
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chamber
air
chambers
tube
lungs
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LVP-09-09A
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LV14186A (en
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Alfons Gaigals
Anastasija Lukina
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Alfons Gaigals
Anastasija Lukina
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Publication of LV14186B publication Critical patent/LV14186B/en

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Abstract

The object of the invention is the auxiliary device for the artificial breathing which is designed as the system of two chambers, A and B, both of equal volume, let's say, one-liter, and of similar form; besides: each chamber is made of a resilient material, for example, polyethylene or some other effortlessly inflating/ deflating material; each upper part of 3' and 3" is equipped with the air input/ output vent of 6' and 6" the thickened walls of which in comparison with the thickness of the material of the chamber provide the opportunity to insert in the aperture of 6' and 6" and tightly fix with the mediation of the transition element or the mouthpiece input end or the pipe 8, preferably frilled, one end of 8'; for the sake of the stability of the form the lower parts of both chambers of 2' and 2" as well as the upper parts of 3' and 3" are made as an integral formation of a slightly thickened material which is made of the base 2, the top 3 and the lateral walls 4' and 4" (or the lateral wall 4 as an integral formation), and the middle wall 5, preferably though not mandatory is common; coil springs of 1' and 1" are fitted into the interior of both chambers the ends of which (springs) are attached to the base 2 and the top 3.

Description

Mākslīgās elpināšanas palīgierīce Izgudrojuma aprakstsDESCRIPTION OF THE INVENTION

Izgudrojums attiecas uz mākslīgās plaušu ventilācijas ierīcēm, ko darbina manuāli un izmanto galvenokārt neatliekamā palīdzība, lai cikliski nodrošinātu plaušu ventilāciju ar svaigu gaisu, kā arī izmantotā gaisa izvadi no plaušām. Ierīce izmantojama gadījumā, kad ekspiratoriskā elpināšanas metode to vai citu apstākļu dēļ nav lietojama (piemēram, medicīnisku vai higiēnisku apsvērumu dēļ), kad palīdzības sniedzējs aktīvi izpūš izelpas gaisu cietušā elpošanas ceļos (no mutes mutē) vai degunā (no mutes degunā), vai arī vienlaikus pa muti un degunu. Mākslīgās elpināšanas aparāti un paņēmieni saskaņā ar starptautisko patentu klasifikatoru attiecas uz apakšklasi A61H31/00.The invention relates to artificial lung ventilation devices which are manually operated and mainly used in emergency aids for cyclically providing fresh air to the lungs as well as exhausting the used air from the lungs. The device is used when the expiratory respiratory method is not applicable due to these or other circumstances (eg for medical or hygienic reasons), when the respirator actively exhales exhaled air from the victim's mouth (mouth) or nose (mouth), or at the same time through the mouth and nose. Apparatus and techniques for artificial respiration according to the international patent classification apply to subclass A61H31 / 00.

Ir zināmi mākslīgās elpināšanas aparāti, ko izmanto ne tikai elpināšanai, bet arī narkozes līdzekļu ievadīšanai inhalāciju ceļā. Tie paredzēti ilgstošai plaušu ventilācijai un konstruēti tā, ka var pēc vajadzības mainīt ievadāmā gaisa sastāvu, mitrumu un temperatūru, kā arī elpošanas parametrus (ieelpas biežumu, ieelpas stiprumu, ventilēšanas tilpumu minūtē, ieelpas un izelpas ilguma attiecību u.c. parametrus). Pie šīs grupas pieder izgudrojumi, kas aprakstīti patentos/patentpieteikumos GB 2093218 (A), US 4945899 (A), JP 2131765 (A), CA 1294841 (C), RU 2174386 (C2), RU 2155021 (C1), RU 2236213 (C2) RU 2246926 (C2), CN 101129291 (A). Šie izgudrojumi nevar kalpot par prototipu konkrētajā gadījumā.Apparatus for artificial respiration is known, which is used not only for breathing but also for administering anesthetics by inhalation. They are designed for long-term ventilation of the lungs and are designed so that the composition, humidity and temperature of the intake air, as well as the respiratory parameters (inspiratory rate, inspiratory volume, ventilation volume per minute, inhalation to exhalation ratio, etc.) can be changed as needed. This group includes the inventions described in patents / patent applications GB 2093218 (A), US 4945899 (A), JP 2131765 (A), CA 1294841 (C), RU 2174386 (C2), RU 2155021 (C1), RU 2236213 ( C2) RU 2246926 (C2), CN 101129291 (A). These inventions cannot serve as a prototype for the particular case.

Vienkārša mākslīgās elpināšanas ierīce, liekot spiediena radīšanas ķermeni /spiedķermeni/ uz slimās vai ievainotās personas, kuras elpa un pulss ir apstājušies, krūšukaula, ir aprakstīta patentpieteikumā JP 10165503 (A). Tā ir paredzēta, lai izpildītu sirds masāžu un vienlaicīgi ievadītu gaisu reanimējamā cilvēka balsenē, manuāli saspiežot/atlaižot cilindrisku kameru ar izplešanās/kontrakcijas atsperes palīdzību, kas iemontēta maisa iekšienē starp apakšējo un augšējo balstvirsmu, bez jebkāda intervāla masāžas laikā. Izplešanās/kontrakcijas kamera darba laikā slīd pa vertikāliem stieņvaida balstiem /vadulēm/ un ir aprīkota ar satvēri izplešanās/kontrakcijas kameras darbināšanai, to saspiežot manuāli un atgriežot nesaspiestā stāvoklī ar minētās atsperes palīdzību, pie kam šīs kameras turpatpakajkustības laikā slimnieka balsenē tiek ievadīts/izvadīts gaiss. Bez tam kamera ir aprīkota ar gaisa ievades un izvades vārstiem tā, lai slimā cilvēka elpvadā ritmiski ievadītu/izvadītu gaisu, vienlaicīgi veicot sirds masāžu un mākslīgo elpināšanu.A simple artificial respirator for applying pressure to the body / press body / to the sternum of a diseased or wounded person whose breath and pulse is stopped is described in patent application JP 10165503 (A). It is designed to perform cardiac massage while simultaneously injecting air into the larynx of the person being resuscitated by manually compressing / releasing the cylindrical chamber with an expansion / contraction spring mounted inside the bag between the lower and upper support surfaces, without any interval during the massage. The expansion / contraction chamber slides over vertical rod supports / guides during operation and is equipped with a grip for operating the expansion / contraction chamber by manually squeezing it and returning it to the uncompressed position by means of said spring, whereby air is injected / expelled into the larynx of the patient. . In addition, the chamber is equipped with air inlet and outlet valves so that the sick person's airway rhythmically injects / discharges air while performing cardiac massage and artificial respiration.

Iemutis /uzgalis, izvadnis/ elpināšanai no mutes mutē, lai novērstu tiešu kontaktu starp glābēju un upuri, kas cieš no asfiksijas, ir aprakstīts patentpieteikumā CA 1156121 (A1). Šai ierīcei ir cauruļveida korpuss, kas satur ievades daļu un izvades daļu. Cauruļveida korpusam ir centrālā aksiālā gaisa eja, kas samazinās /sašaurinās/ pārejā uz Venturi zonu. Vismaz viens svaiga gaisa pods /kanāls, eja/ komunicē ar Venturi zonu. Gaisa eja izvades zonā sašaurinās vai ir ar konstantu šķērsgriezuma laukumu. Tādējādi tiek izraisīts Venturi efekts (plūsmas ātruma izmaiņas, ko izraisa spiediena kritums caurplūdes zonā ar mainīgu šķērsgriezuma laukumu). Kad ierīce tiek izmantota, tas noved pie svaiga apkārtējā gaisa samaisīšanas ar izelpoto gaisu, ko glābējs ievada asfiksijas upurim, kā rezultātā palielinās skābekļa saturs gaisā, ko ievada upurim elpināšanas laikā. Aizsargvairogs ir noņemami uzmontēts uz cauruļveida korpusa tā, ka ir nodrošināts labs blīvējums un ir novērsta saskare starp glābēju un upuri.The mouthpiece / mouthpiece, outlet / mouthpiece for preventing direct contact between the rescuer and the victim suffering from asphyxia is described in patent application CA 1156121 (A1). This device has a tubular housing comprising an inlet portion and an outlet portion. The tubular housing has a central axial air passage that decreases / narrows / transition to the venturi area. At least one fresh air pot / duct, aisle / communicates with the Venturi area. The air passage in the outlet area narrows or has a constant cross-sectional area. This results in a Venturi effect (a change in the flow velocity caused by a drop in pressure in the flow zone with a variable cross-sectional area). When used, the device leads to mixing fresh ambient air with exhaled air delivered by the rescuer to the asphyxia victim, which results in an increase in the oxygen content of the air delivered to the victim during respiration. The protective shield is removably mounted on the tubular body so as to provide good sealing and prevent contact between the rescuer and the victim.

Šai izgudrojumā aprakstītā palīgierīce divos dažādos stāvokļos a) un b), kā arī caurule 8 ir parādīta Fig.1, kur: Fig. 1a - tās aksiālais šķērsgriezums nesaplacinātā stāvoklī; Fig. 1b - tās aksiālais šķērsgriezums saplacinātā stāvoklī; Fig. 1c - caurules 8 shematisks attēls, kuras gals 8” ievietots iemuša ieejas atverē.The auxiliary device described in this invention in two different positions a) and b) as well as tube 8 is shown in Fig. 1, where: Figs. 1a - its axial cross-section in the non-flattened position; FIG. 1b - its axial cross-section when flattened; FIG. 1c is a schematic view of a tube 8 with an 8 "tip inserted into the mouthpiece inlet.

Fig. 1 ir izmantoti sekojoši apzīmējumi: A un B - divas vienādas kameras no elastīga materiāla; 1’, 1” - atsperes’ 2’, 2” - kameru A un B pamatnes; 3’, 3” - kameruFIG. In Fig. 1, the following designations are used: A and B - two identical cameras of flexible material; 1 ', 1 "- springs' 2 ', 2' - base A and B for chambers; 3 ', 3' 'camera

A un B virsas; 4’, 4”, 4 - kameru A un B sānu sienas; 5 - kameru A un B kopējā starpsiena; 6’, 6” - kameru A un B konusveida atveres; 8 - īscaurule palīgierīces savienošanai ar iemuti 9 vai masku; 8’, 8” - īscaurules 8 koniskie gala elementi, kuru forma ir salāgota ar konisko atveru 6’un 6” formu, pie kam īscaurules 8 garums principā var būt ļoti mazs, kā rezultātā elementi 8’ un 8” būtībā var veidot vienotu veselumu pārejas elementa formā.A and B uppers; 4 ', 4 ", 4 - side walls of chambers A and B; 5 - common partition wall of chambers A and B; 6 ', 6' - Conical apertures of chambers A and B; 8 - conduit for connecting auxiliary equipment to mouthpiece 9 or mask; 8 ', 8 "- 8-end tapered end elements of the tube, shaped to 6' and 6" shape of the tapered apertures, whereby the length of the 8-tube tube may in principle be very small, resulting in the 8 'and 8' elements being substantially uniform in the form of a transition element.

Fig.1 parādītā palīgierīce ir izveidota kā divu vienlielu pēc tilpuma, piem., vienlitrīgu, un vienādu pēc formas kameru A un B sistēma, pie kam katra kamera:The auxiliary device shown in Fig. 1 is designed as a system of two single-volume, e.g., one-liter and uniform-shaped cameras A and B, each camera:

- ir izgatavota no elastīga materiāla, piem., polietilēna vai kāda cita viegli piepūšama/izpūšama materiāla;- made of a flexible material, eg polyethylene or other easy-to-inflate / blow-out material;

- katra augšdaļa 3’ un 3” ir aprīkota ar gaisa ievades/izvades atveri 6’ un 6”, kuras pabiezinātās sienas, salīdzinot ar kameras materiāla biezumu, nodrošina iespēju atverē 6’ vai 6” ievietot un stabili tajā nofiksēt ar pārejas elementa starpniecību vai nu iemuša ieejas galu vai ar caurules 8, vislabāk gofrētas, vienu galu 8’;- each head 3 'and 3' is provided with an air inlet / outlet 6 'and 6', the thickened walls of which permit the insertion of a 6 'or 6' orifice into a stable member relative to the thickness of the chamber material, or either sucked in at the entrance end or with one end 8 'of the pipe 8, preferably corrugated;

- formas noturības dēļ abu kameru apakšējās 2’ un 2”, kā arī virsējās 3’ un 3” daļas ir izveidotas kā viengabala /integrāls/ veidojums no nedaudz pabiezināta materiāla, kuru veido pamatne 2, virsa 3 un sānu sienas 4’ un 4” (vai sānu siena 4 kā viengabala veidojums), bet vidussiena 5, vēlams, bet ne obligāti, ir kopīga;- due to the shape stability, the lower 2 'and 2 "and the upper 3' and 3" of both chambers are formed as a one piece / integral / lightweight material consisting of base 2, top 3 and side walls 4 'and 4 " (or side wall 4 as one piece), but the middle wall 5 is preferably, but not necessarily, common;

- abu kameru iekšpusē ir iemontētas sprālveida atsperes 1’ un 1”, kuru gali ir piestiprināti pie pamatnes 2 un virsas 3.- inside both chambers are mounted springs 1 'and 1', the ends of which are fixed to the base 2 and the top 3.

Kameru A un B forma var būt patvaļīga, vislabāk - cilindriska. Katru no tām var izvēlēties maisa formā no elastīga materiāla.The shape of the cameras A and B can be arbitrary, preferably cylindrical. Each of them can be chosen in the form of a bag made of flexible material.

Mākslīgā elpināšana, izmantojot Fig.1 attēloto palīgierīci, notiek izejas atveres 6’ un 6” mākslīgās elpināšanas procesā pārmaiņus savienojot ar elpināšanas īscaurules 8 pirmo galu 8’, kuras otrs gals vai nu tiek ievietots iemuša 9 atverē vai ir izveidots maskas formā, ar ko cieši aptver cietušā muti un degunu. Elpināšanas procesā secīgi tiek izpildītas sekojošas operācijas:The artificial inhalation using the accessory shown in Fig. 1 takes place through the outlet 6 'and 6' in the process of artificial respiration alternately connected to the first end 8 'of the respiratory tube 8, the other end being either inserted into the mouth 9 or tightly covering the victim's mouth and nose. The following operations are performed sequentially during the respiratory process:

(a) caurules 8 vienu galu 8” savieno vai nu ar iemuti 9 vai masku;(a) one end 8 'of pipe 8 is connected to either mouthpiece 9 or mask;

(b) caurules 8 otru galu 8’ ievieto kameras A atverē 6’;(b) inserting the other end 8 'of the tube 8 into the opening 6' of the chamber A;

(c) abas kameras A un B vienlaicīgi manuāli saspiež, kā rezultātā gaiss, ar ko piepildīta kamera A, pa cauruli 8 tiek iespiests cietušā mutē, balsenē, elpvadā utt. un gala rezultātā nonāk plaušās, gaiss no kameras B tiek izspiests atmosfērā, bet ierīce no stāvokļa a) tiek novesta stāvoklī b);(c) both chambers A and B are manually compressed simultaneously, resulting in the air filled with chamber A being injected through tube 8 into the victim's mouth, larynx, airway, etc. and eventually entering the lungs, air from chamber B is expelled into the atmosphere and the device is moved from position a) to position b);

(d) ārējo deformējošo spēku noņemot, atsperu 1’ un 1” darbības rezultātā abas kameras A un B pakāpeniski atgriežas stāvoklī a), pie kam šai pārejas procesā gaiss no cietušā plaušām tiek atsūkts atpakaļa kamerā A, bet kamera B tiek piepildīta ar svaigu gaisu no apkārtējās vides;(d) when the external deforming force is removed, both chambers A and B return to position a) as a result of the action of the springs 1 'and 1', whereby in this transition the air from the injured lungs is withdrawn back into chamber A and chamber B is filled with fresh air from the environment;

(e) atkārtoti izpilda operāciju (b), tikai šoreiz caurules 8 galu 8’ ievieto kameras B atverē 6”;(e) repeatedly performing operation (b), only this time inserting the tip 8 'of the tube 8 into the opening 6' of the chamber B;

(f) atkārtoti izpilda operāciju (c), tikai šoreiz kameras A funkciju elpināšanas procesā pilda kamera B, resp., gaiss, ar ko piepildīta kamera B, pa cauruli 8 utt. nonāk plaušās, bet gaiss no kameras A tiek izspiests atmosfērā, un ierīce no stāvokļa a) atkal tiek novesta stāvoklī b);(f) Repeat operation (c), only this time the function of the chamber A in the respiratory process is performed by the chamber B, i.e. the air filled with the chamber B, through the tube 8, etc. enters the lungs, but air from chamber A is expelled into the atmosphere and the device is moved from position a) again to position b);

(g) šī operācija ir analoga oparācijai d), tikai šoreiz gaiss no cietušā plaušām tiek atsūkts atpakaļ kamerā B, bet kamera A tiek piepildīta ar svaigu gaisu no apkārtējās vides;(g) this operation is analogous to op d), only this time the air from the victim's lungs is drawn back into chamber B and chamber A is filled with fresh air from the surrounding environment;

(h) operācijas no (b) līdz (g) atkārto vajadzīgo skaitu reižu.(h) the operations from (b) to (g) are repeated as many times as necessary.

Elpināšanas procesu beidzot, caurules 8 galus atvieno no iemuša vai maskas un palīgierīces un visus komponentus izmet atkritumos, jo tie principā ir paredzēti vienreizējai lietošanai.At the end of the breathing process, the 8 ends of the tube are disconnected from the mouthpiece or mask and accessories and all components are discarded as they are intended for single use only.

Ar piedāvāto palīgierīci, to papildinot ar cauruli 8 un iemuti 9 vai masku, ir ietiecams apgādāt pirmās palīdzības komplektus ātrās palīdzības mašīnās, to glabājot saplacinātā stāvoklī b) nofiksētu, piem., ar skavu palīdzību.It is advisable to provide first aid kits with ambulatory equipment by adding a tube 8 and a mouthpiece 9 or a mask in a flattened position b) fixed, eg by clamps.

Claims (2)

PretenzijasClaims 1. Mākslīgās elpināšanas palīgierīce, kas izveidota kā divu vienlielu pēc tilpuma, piem., vienlitrīgu, un vienādu pēc formas kameru A un B sistēma, pie kam katra kamera:1. An artificial respiration device designed as a system of two single-volume chambers A and B, eg one liter, and uniform in shape, each chamber having: - ir izgatavota no elastīga materiāla, piem., polietilēna vai kāda cita viegli piepūšama/izpūšama materiāla;- made of a flexible material, eg polyethylene or other easy-to-inflate / blow-out material; - katra augšdaļa 3’ un 3” ir aprīkota ar gaisa ievades/izvades atveri 6’ un 6”, kuras pabiezinātās sienas, salīdzinot ar kameras materiāla biezumu, nodrošina iespēju atverē 6’ vai 6” ievietot un stabili tajā nofiksēt ar pārejas elementa starpniecību vai nu iemuša ieejas galu vai ar caurules 8, vislabāk gofrētas, vienu galu 8’;- each head 3 'and 3' is provided with an air inlet / outlet 6 'and 6', the thickened walls of which permit the insertion of a 6 'or 6' orifice into a stable member relative to the thickness of the chamber material, or either sucked in at the entrance end or with one end 8 'of the pipe 8, preferably corrugated; - formas noturības dēļ abu kameru apakšējās 2’ un 2”, kā arī virsējās 3’ un 3” daļas ir izveidotas kā viengabala /integrāls/ veidojums no nedaudz pabiezināta materiāla, kuru veido pamatne 2, virsa 3 un sānu sienas 4’ un 4” (vai sānu siena 4 kā viengabala veidojums), bet vidussiena 5, vēlams, bet ne obligāti, ir kopīga;- due to the shape stability, the lower 2 'and 2 "and the upper 3' and 3" of both chambers are formed as a one piece / integral / lightweight material consisting of base 2, top 3 and side walls 4 'and 4 " (or side wall 4 as one piece), but the middle wall 5 is preferably, but not necessarily, common; - abu kameru iekšpusē ir iemontētas sprālveida atsperes 1’ un 1”, kuru gali ir piestiprināti pie pamatnes 2 un virsas 3.- inside both chambers are mounted springs 1 'and 1', the ends of which are fixed to the base 2 and the top 3. 2. Mākslīgās elpināšanas paņēmiens, izmantojot 1. pretenzijā aprakstīto palīgierīci, kas raksturīgs ar to, ka procesā secīgi tiek izpildītas sekojošas operācijas:A method of artificial respiration using the auxiliary device of claim 1, characterized in that the following operations are performed sequentially in the process: (a) caurules 8 vienu galu 8” savieno vai nu ar iemuti 9 vai masku;(a) one end 8 'of pipe 8 is connected to either mouthpiece 9 or mask; (b) caurules 8 otru galu 8’ ievieto kameras A atverē 6’;(b) inserting the other end 8 'of the tube 8 into the opening 6' of the chamber A; (c) abas kameras A un B vienlaicīgi manuāli saspiež, kā rezultātā gaiss, ar ko piepildīta kamera A, pa cauruli 8 tiek iespiests cietušā mutē, balsenē, elpvadā utt. un gala rezultātā nonāk plaušās, gaiss no kameras B tiek izspiests atmosfērā, bet ierīce no stāvokļa a) tiek novesta stāvoklī b);(c) both chambers A and B are manually compressed simultaneously, resulting in the air filled with chamber A being injected through tube 8 into the victim's mouth, larynx, airway, etc. and eventually entering the lungs, air from chamber B is expelled into the atmosphere and the device is moved from position a) to position b); (d) ārējo deformējošo spēku noņemot, atsperu 1’ un 1” darbības rezultātā abas kameras A un B pakāpeniski atgriežas stāvoklī a), pie kam šai pārejas procesā gaiss no cietušā plaušām tiek atsūkts atpakaļa kamerā A, bet kamera B tiek piepildīta ar svaigu gaisu no apkārtējās vides;(d) when the external deforming force is removed, both chambers A and B return to position a) as a result of the action of the springs 1 'and 1', whereby in this transition the air from the injured lungs is withdrawn back into chamber A and chamber B is filled with fresh air from the environment; (e) atkārtoti izpilda operāciju (b), tikai šoreiz caurules 8 galu 8’ ievieto kameras B atverē 6”;(e) repeatedly performing operation (b), only this time inserting the tip 8 'of the tube 8 into the opening 6' of the chamber B; (f) atkārtoti izpilda operāciju (c), tikai šoreiz kameras A funkciju elpināšanas procesā pilda kamera B, resp., gaiss, ar ko piepildīta kamera B, pa cauruli 8 utt. nonāk plaušās, bet gaiss no kameras A tiek izspiests atmosfērā, un ierīce no stāvokļa a) atkal tiek novesta stāvoklī b);(f) Repeat operation (c), only this time the function of the chamber A in the respiratory process is performed by the chamber B, i.e. the air filled with the chamber B, through the tube 8, etc. enters the lungs, but air from chamber A is expelled into the atmosphere and the device is moved from position a) again to position b); (g) šī operācija ir analoga oparācijai d), tikai šoreiz gaiss no cietušā plaušām tiek atsūkts atpakaļ kamerā B, bet kamera A tiek piepildīta ar svaigu gaisu no apkārtējās vides;(g) this operation is analogous to op d), only this time the air from the victim's lungs is drawn back into chamber B and chamber A is filled with fresh air from the surrounding environment; (h) operācijas no (b) līdz (g) atkārto vajadzīgo skaitu reižu.(h) the operations from (b) to (g) are repeated as many times as necessary.
LVP-09-09A 2009-01-22 2009-01-22 Supplementary device for artificial breathing or respiration LV14186B (en)

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