TWM469040U - Automatic retractor for head and neck soft tissues - Google Patents

Automatic retractor for head and neck soft tissues Download PDF

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Publication number
TWM469040U
TWM469040U TW102217216U TW102217216U TWM469040U TW M469040 U TWM469040 U TW M469040U TW 102217216 U TW102217216 U TW 102217216U TW 102217216 U TW102217216 U TW 102217216U TW M469040 U TWM469040 U TW M469040U
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TW
Taiwan
Prior art keywords
disposed
head
soft tissue
seat
neck
Prior art date
Application number
TW102217216U
Other languages
Chinese (zh)
Inventor
Tsung-Lin Yang
Original Assignee
Univ Nat Taiwan Hospital
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 Univ Nat Taiwan Hospital filed Critical Univ Nat Taiwan Hospital
Priority to TW102217216U priority Critical patent/TWM469040U/en
Publication of TWM469040U publication Critical patent/TWM469040U/en
Priority to SG10201405652WA priority patent/SG10201405652WA/en
Priority to JP2014004876U priority patent/JP3194757U/en
Priority to CN201420522237.1U priority patent/CN204218945U/en
Priority to KR2020140006677U priority patent/KR200483475Y1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/32093Incision instruments for skin incisions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/3211Surgical scalpels, knives; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320064Surgical cutting instruments with tissue or sample retaining means

Description

頭頸部軟組織自動開創器Head and neck soft tissue automatic starter

本創作是有關於一種頭頸部軟組織自動開創器,尤指一種利用機械式之開創機構,可作為控制手術開口之位置大小,可使頭頸部內視鏡器械,或機器手臂器械可順利置入檢視病灶,進而進行病灶手術切除,而達到易於輔助手術之操作減少手術口之大小以及有效隱藏手術傷口之功效者。

This creation is about a kind of head and neck soft tissue automatic creation device, especially a mechanical opening mechanism, which can be used as a position to control the operation opening, so that the head and neck endoscope instrument or the robot arm device can be smoothly placed into the inspection lesion. In addition, the surgical resection of the lesion is performed, and the operation of facilitating the operation is reduced, the size of the surgical mouth is reduced, and the effect of effectively concealing the surgical wound is achieved.

按,一般傳統頭頸部手術必須以開放手術實行,需於頭頸部製造傷口,將軟組織撐開以切除病灶,因此,傳統頭頸部手術的結果會造成外觀上明顯之手術傷口,進而造成術後照護及傷口美觀上的問題。According to the traditional head and neck surgery, it is necessary to perform open surgery. It is necessary to make a wound in the head and neck and open the soft tissue to remove the lesion. Therefore, the result of traditional head and neck surgery will result in obvious surgical wounds, which will lead to postoperative care. And the problem of the aesthetics of the wound.

目前雖然有內視鏡或機器手臂之手術方法,可用於解決前述術後照護及傷口美觀上之問題;然而,由於內視鏡或機器手臂手術第一步需要創造手術進行之空間,以便使內視鏡或機器手臂可順利置入以檢視病灶,進而進行病灶手術切除,但是,人體之頭頸部存在有許多不同的軟組織,如:肌肉、神經、腺體及錯綜複雜之血管,此外,頭頸部比上身體之其他部位,相對其解剖空間較小,若以頭頸部內視鏡器械,或機器手臂器械進行手術,其並無適當針對頭頸部病灶設計之軟組織自動開創器,使得內視鏡或機器手臂器械操作不易,提高手術的困難度,也影響醫師的手術進行。At present, although there are endoscopic or robotic surgical methods, it can be used to solve the aforementioned post-operative care and wound aesthetics; however, since the first step of endoscopic or robotic surgery requires the creation of a space for surgery, so that The scope or robotic arm can be placed smoothly to examine the lesion and then the surgical resection of the lesion. However, there are many different soft tissues in the head and neck of the human body, such as muscles, nerves, glands and intricate blood vessels. In addition, the head and neck ratio The other parts of the upper body are relatively small in anatomical space. If the head and neck endoscope instruments or robotic instruments are operated, there is no soft tissue automatic starter designed for the head and neck lesions, so that the endoscope or robot arm The operation of the device is not easy, and the difficulty of the operation is improved, and the surgery of the doctor is also affected.

有鑑於此,本案之發明人特針對前述習用發明問題深入探討,並藉由多年從事相關產業之研發與製造經驗,積極尋求解決之道,經過長期努力之研究與發展,終於成功的開發出本創作「頭頸部軟組織自動開創器」,藉以改善習用之種種問題。In view of this, the inventors of this case have intensively discussed the above-mentioned problems of conventional inventions, and actively pursued solutions through years of experience in R&D and manufacturing of related industries. After long-term efforts in research and development, they finally succeeded in developing this book. Create a "head and neck soft tissue automatic starter" to improve the problems of the application.

本創作之主要目的係在於,可利用機械式之開創機構,可作為控制手術開口之位置大小,可使頭頸部內視鏡器械,或機器手臂器械可順利置入以檢視病灶,進而進行病灶手術切除,而達到易於輔助手術之操作減少手術口之大小以及有效隱藏手術傷口之功效。The main purpose of this creation is to use a mechanical pioneering mechanism, which can be used to control the position of the surgical opening, so that the head and neck endoscope instrument or the robotic arm device can be smoothly placed to examine the lesion, and then the surgical resection of the lesion can be performed. It is easy to assist the operation of the operation to reduce the size of the surgical mouth and effectively hide the surgical wound.

為達上述之目的,本創作係一種頭頸部軟組織自動開創器,其包含有:一架體;以及ㄧ設於架體一端之開創機構,其包含有固定座、及活動設於固定座上之拉引單元。For the above purposes, the present invention is a head and neck soft tissue automatic starter comprising: a body; and a creating mechanism disposed at one end of the frame body, comprising a fixing seat and an activity on the fixing seat Pull unit.

於本創作裝置之實施例中,該架體係包含有一支撐單元、及一與支撐單元活動結合之連接單元,而該開創機構係設於連接單元之一端。In an embodiment of the authoring apparatus, the rack system includes a supporting unit and a connecting unit movably coupled to the supporting unit, and the creating mechanism is disposed at one end of the connecting unit.

於本創作裝置之實施例中,該支撐單元係包含有第一調整座、及一設於第一調整座上之直桿。In an embodiment of the present invention, the support unit includes a first adjustment seat and a straight rod disposed on the first adjustment seat.

於本創作裝置之實施例中,該連接單元係包含有活動設於直桿上之第二調整座、及一設於第二調整座上之橫桿。In the embodiment of the authoring device, the connecting unit comprises a second adjusting seat disposed on the straight rod and a cross rod disposed on the second adjusting seat.

於本創作裝置之實施例中,該開創機構之固定座係包含有一設於橫桿一端之調整器、及多數活動設於調整器中之活動桿,而該拉引單元係包含有分別設於各活動桿上之一端之撥片,且於至少一活動桿上設有垂直調整板,而使其中一撥片與該垂直調整板連接。In the embodiment of the authoring device, the fixing mechanism of the pioneering mechanism includes an adjuster disposed at one end of the crossbar, and a plurality of movable rods disposed in the adjuster, and the pulling unit includes a paddle at one end of each of the movable rods, and a vertical adjustment plate is disposed on at least one of the movable rods, and one of the pieces is connected to the vertical adjustment plate.

於本創作裝置之實施例中,該調整器係設有可供活動桿活動結合之滑槽,且各活動桿係分別設有與各撥片活動結合之拴鎖件。In the embodiment of the authoring device, the adjuster is provided with a sliding slot for the movable rod to be combined, and each movable rod is respectively provided with a latching member combined with the movement of each paddle.

1‧‧‧架體
11‧‧‧支撐單元
111‧‧‧第一調整座
112‧‧‧直桿
12‧‧‧連接單元
121‧‧‧第二調整座
122‧‧‧橫桿
2‧‧‧開創機構
21‧‧‧固定座
211‧‧‧調整器
212‧‧‧活動桿
213‧‧‧滑槽
214‧‧‧拴鎖件
215‧‧‧垂直調整板
22‧‧‧拉引單元
221‧‧‧撥片
3‧‧‧手術床
1‧‧‧ Frame 11.‧‧‧ Supporting Unit 111‧‧‧First Adjustment Seat 112‧‧‧ Straight Rod 12‧‧‧ Connection Unit 121‧‧‧Second Adjustment Seat 122‧‧‧Road 2‧‧‧ Initiative 21 ‧ ‧ fixed seat 211 ‧ ‧ adjuster 212 ‧ ‧ movable rod 213 ‧ ‧ chute 214 ‧ ‧ 拴 215 ‧ ‧ vertical adjustment plate 22 ‧ ‧ pull unit 221 ‧ ‧ picking 3‧‧‧ operating bed

第1圖,係本創作之外觀示意圖。
第2圖,係本創作之側視狀態示意圖。
第3圖,係本創作之俯視狀態示意圖。
第4圖,係本創作開創機構之外觀示意圖。
第5圖,係本創作之使用狀態示意圖。

Figure 1 is a schematic diagram of the appearance of this creation.
Figure 2 is a schematic diagram of the side view of the creation.
Figure 3 is a schematic view of the top view of the creation.
Figure 4 is a schematic diagram of the appearance of the creative creation agency.
Figure 5 is a schematic diagram of the state of use of the present creation.

請參閱『第1、2、3、4及第5圖』所示,係分別為 本創作之外觀示意圖、本創作之側視狀態示意圖、本創作之俯視狀態示意圖、本創作開創機構之外觀示意圖及本創作之使用狀態示意圖。如圖所示:本創作係一種頭頸部軟組織自動開創器,其裝置至少包含有一架體1以及ㄧ開創機構2所構成。Please refer to the "1st, 2nd, 3rd, 4th, and 5th drawings" for the appearance of the creation, the side view of the creation, the top view of the creation, and the appearance of the creation mechanism. And a schematic diagram of the state of use of the creation. As shown in the figure: This creation is a head and neck soft tissue automatic starter, and the device comprises at least one body 1 and a sputum opening mechanism 2.

上述所提之架體1係包含有一支撐單元11、及一與支撐單元11活動結合之連接單元12,其中該支撐單元11係包含有第一調整座111、及一設於第一調整座111上之直桿112,而該連接單元12係包含有活動設於直桿112上之第二調整座121、及一設於第二調整座121上之橫桿122。The frame 1 includes a supporting unit 11 and a connecting unit 12 movably coupled to the supporting unit 11. The supporting unit 11 includes a first adjusting seat 111 and a first adjusting base 111. The connecting rod 12 includes a second adjusting seat 121 disposed on the straight rod 112 and a cross rod 122 disposed on the second adjusting seat 121.

該開創機構2係設於架體1所設連接單元12之橫桿122一端,其包含有固定座21、及活動設於固定座21上之拉引單元22,其中該固定座21係包含有一設於橫桿122一端之調整器211、及多數活動設於調整器211中之活動桿212,而該拉引單元22係包含有分別設於各活動桿212上之一端之撥片221,該調整器211係設有可供活動桿212活動結合之滑槽213,且各活動桿212係分別設有與各撥片221活動結合之拴鎖件214,且於至少一活動桿212上設有垂直調整板215(本實施例中係設於上方),而讓其中一撥片221(上方之撥片)與該垂直調整板215連接。The starter mechanism 2 is disposed at one end of the crossbar 122 of the connecting unit 12 of the frame body 1, and includes a fixing base 21 and a pulling unit 22 movably disposed on the fixing base 21, wherein the fixing base 21 includes one The adjuster 211 is disposed at one end of the crossbar 122, and the movable rod 212 is disposed in the adjuster 211. The pull unit 22 includes a paddle 221 disposed at one end of each of the movable rods 212. The adjuster 211 is provided with a sliding slot 213 for movably engaging the movable rod 212, and each of the movable rods 212 is respectively provided with a latching member 214 that is movably coupled with each of the flaps 221, and is provided on at least one movable rod 212. The vertical adjustment plate 215 (which is disposed above in the embodiment) is connected to the vertical adjustment plate 215 by a paddle 221 (the upper paddle).

當本創作於使用時,係利用該架體1所設支撐單元11之第一調整座111設置於手術床3之一側面,且使該開創機構2與手術床3對應,且設置時係可利用第一調整座111調整直桿112之高度以及相對手術床3之固定位置後再固定,此外,亦可利用第二調整座121調整橫桿122之長短後再固定,而使開創機構2可依患者之位置進行調整,藉以可使架體1連同開創機構2固定於手術床3上,使其不至於於手術過程中產生晃動而影響手術之進行。When the present invention is used, the first adjusting seat 111 of the supporting unit 11 provided in the frame 1 is disposed on one side of the operating bed 3, and the creating mechanism 2 is corresponding to the operating bed 3, and is configured to be The height of the straight rod 112 and the fixed position of the operating bed 3 are adjusted by the first adjusting seat 111 and then fixed. Further, the second adjusting seat 121 can be used to adjust the length of the horizontal rod 122 and then fixed, so that the creating mechanism 2 can be The adjustment is made according to the position of the patient, so that the frame body 1 together with the erecting mechanism 2 is fixed on the operating bed 3 so as not to cause sway during the operation and affect the operation of the operation.

待架體1之後支撐單元11與連接單元12調整至適當位置之後,則可利用開創機構2所設之拉引單元22設置於患者手術開口之皮膚傷口處,且由各撥片221由外往內置入手術傷口,藉以勾住上下之頭頸部軟組織,而使各撥片221於移動時同時帶動活動桿212於調整器211之滑槽213移動,或是利用垂直調整板215進行上方撥片221之位置調整,待各撥片221移動至定位後,再由調整器211加以固定,以決定手術傷口之大小,並將各撥片221調整於適當之間距後進行固定以利手術之進行,如此,係可利用各撥片221於手術傷口處形成手術進行之空間,使內視鏡器械,或機器手臂器械可順利置入以檢視病灶,進而可取代傳統的開放手術法。而本創作之開創機構2幫助醫師執行頭頸部病灶之切除,進而可減少手術口之大小,且有效隱藏手術傷口,使患者不須再煩惱術後手術疤痕之問題,亦不須為了疤痕顧忌穿衣打扮。After the support unit 11 and the connecting unit 12 are adjusted to the proper position after the frame body 1, the pull-out unit 22 provided by the pioneering mechanism 2 can be disposed at the skin wound of the patient's surgical opening, and the paddles 221 are moved from the outside to the outside. The surgical wound is built in, so as to hook up the soft tissue of the upper and lower heads, so that each of the flaps 221 simultaneously moves the movable rod 212 to the sliding groove 213 of the adjuster 211, or uses the vertical adjusting plate 215 to perform the upper picking 221. Position adjustment, after each paddle 221 is moved to the position, and then fixed by the adjuster 211 to determine the size of the surgical wound, and the paddles 221 are adjusted to the appropriate distance and then fixed for the operation, so The dials 221 can be used to form a space for operation in the surgical wound, so that the endoscope instrument or the robot arm device can be smoothly placed to inspect the lesion, thereby replacing the traditional open surgery method. The creative institution 2 of this creation helps the doctor to perform the resection of the head and neck lesions, thereby reducing the size of the surgical mouth and effectively concealing the surgical wound, so that the patient does not have to worry about the postoperative surgical scar, and does not need to wear for the scar. Dress up.

然於實際之操作過程中,係可因應不同患者之所需進行各撥片221之更換,而更換時係直接將各活動桿212一端之拴鎖件214加以卸除,並將原本各活動桿212上之撥片221取下,之後再將適合之撥片設於各活動桿212上,並於各活動桿212一端鎖上拴鎖件214,如此,即可完成各撥片221之更換,以符合不同患者之需求。However, in the actual operation process, the replacement of each pad 221 can be performed according to the needs of different patients, and the replacement device directly removes the latching member 214 at one end of each movable rod 212, and the original movable rods are removed. The paddles 221 on the 212 are removed, and then the appropriate paddles are disposed on the movable bars 212, and the latching members 214 are locked at one end of each of the movable levers 212, so that the replacement of the paddles 221 can be completed. To meet the needs of different patients.

綜上所述,本創作頭頸部軟組織自動開創器可有效改善習用之種種缺點,利用機械式之開創機構,可作為控制手術開口之位置大小,可使頭頸部內視鏡器械,或機器手臂器械可順利置入順利置入以檢視病灶,進而進行病灶手術切除,而達到易於輔助手術之操作減少手術口之大小以及有效隱藏手術傷口之功效;進而使本創作之產生能更進步、更實用、更符合消費者使用之所須,確已符合發明專利申請之要件,爰依法提出專利申請。In summary, the creation of the head and neck soft tissue automatic starter can effectively improve the various shortcomings of the use, the use of a mechanical pioneering mechanism, can be used to control the size of the surgical opening, can make the head and neck endoscope equipment, or robotic equipment can be Smooth placement and smooth placement to examine the lesions, and then surgical resection of the lesions, to achieve easy operation to reduce the size of the surgical mouth and effectively hide the surgical wound; thus making the creation of this creation more progressive, more practical, and more In accordance with the requirements of the consumer's use, it has indeed met the requirements of the invention patent application, and filed a patent application according to law.

惟以上所述者,僅為本創作之較佳實施例而已,當不能以此限定本創作實施之範圍;故,凡依本創作申請專利範圍及說明書內容所作之簡單的等效變化與修飾,皆應仍屬本創作專利涵蓋之範圍內。However, the above is only the preferred embodiment of the present invention, and the scope of the present invention cannot be limited thereto; therefore, the simple equivalent changes and modifications made by the scope of the patent application and the contents of the specification are All should remain within the scope of this creation patent.

1‧‧‧架體 1‧‧‧ frame

11‧‧‧支撐單元 11‧‧‧Support unit

111‧‧‧第一調整座 111‧‧‧First adjustment seat

112‧‧‧直桿 112‧‧‧ Straight rod

12‧‧‧連接單元 12‧‧‧ Connection unit

121‧‧‧第二調整座 121‧‧‧Second adjustment seat

122‧‧‧橫桿 122‧‧‧crossbar

2‧‧‧開創機構 2‧‧‧Creating institutions

21‧‧‧固定座 21‧‧‧ Fixed seat

211‧‧‧調整器 211‧‧‧ adjuster

213‧‧‧滑槽 213‧‧ ‧ chute

214‧‧‧拴鎖件 214‧‧‧拴Lock

22‧‧‧拉引單元 22‧‧‧ Pulling unit

221‧‧‧撥片 221‧‧ ‧ picks

Claims (6)

一種頭頸部軟組織自動開創器,包括有:
一架體;以及
一開創機構,係設於架體之一端,其包含有固定座、及活動設於固定座上之拉引單元。
A head and neck soft tissue automatic starter includes:
a body; and a pioneering mechanism, which is disposed at one end of the frame, and includes a fixing seat and a pulling unit that is movable on the fixing seat.
依申請專利範圍第1項所述之頭頸部軟組織自動開創器,其中,該架體係包含有 一支撐單元、及一與支撐單元活動結合之連接單元,而該開創機構係設於連接單元之一端。The head and neck soft tissue automatic opener according to claim 1, wherein the rack system comprises a supporting unit and a connecting unit coupled with the supporting unit, and the creating mechanism is disposed at one end of the connecting unit. 依申請專利範圍第2項所述之頭頸部軟組織自動開創器,其中,該支撐單元係包含有第一調整座、及一設於第一調整座上之直桿。The head and neck soft tissue automatic starter according to claim 2, wherein the support unit comprises a first adjustment seat and a straight rod disposed on the first adjustment seat. 依申請專利範圍第3項所述之頭頸部軟組織自動開創器,其中,該連接單元係包含有活動設於直桿上之第二調整座、及一設於第二調整座上之橫桿。The head and neck soft tissue automatic starter according to claim 3, wherein the connecting unit comprises a second adjusting seat disposed on the straight rod and a cross rod disposed on the second adjusting seat. 依申請專利範圍第4項所述之頭頸部軟組織自動開創器,其中,該開創機構之固定座係包含有一設於橫桿一端之調整器、及多數活動設於調整器中之活動桿,而該拉引單元係包含有分別設於各活動桿上之一端之撥片,且於至少一活動桿上設有垂直調整板,而使其中一撥片與該垂直調整板連接。The head and neck soft tissue automatic starter according to the fourth aspect of the patent application, wherein the fixed seat of the pioneering mechanism comprises a regulator disposed at one end of the crossbar, and a plurality of movable rods disposed in the adjuster, and The pulling unit comprises a paddle respectively disposed at one end of each movable bar, and a vertical adjusting plate is disposed on the at least one movable bar, and one of the paddles is connected with the vertical adjusting plate. 依申請專利範圍第5項所述之頭頸部軟組織自動開創器,其中,該調整器係設有可供活動桿活動結合之滑槽,且各活動桿係分別設有與各撥片活動結合之拴鎖件。

According to the fifth aspect of the patent application scope, the head and neck soft tissue automatic starter, wherein the adjuster is provided with a sliding groove for the movable rod activity, and each movable rod is respectively provided with the combination movement.拴 lock pieces.

TW102217216U 2013-09-12 2013-09-12 Automatic retractor for head and neck soft tissues TWM469040U (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
TW102217216U TWM469040U (en) 2013-09-12 2013-09-12 Automatic retractor for head and neck soft tissues
SG10201405652WA SG10201405652WA (en) 2013-09-12 2014-09-11 Device of Automatic Mechanical Wound Opener for Head and Neck Surgery
JP2014004876U JP3194757U (en) 2013-09-12 2014-09-12 Head and neck soft tissue automatic wound opener
CN201420522237.1U CN204218945U (en) 2013-09-12 2014-09-12 Automatic wound-opening device for head and neck soft tissue
KR2020140006677U KR200483475Y1 (en) 2013-09-12 2014-09-12 Device of Automatic Mechanical Wound Opener for Head and Neck Surgery

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CN112842791A (en) * 2021-02-19 2021-05-28 遵义医科大学第二附属医院 Neck operation mechanical separation arm
CN114451939B (en) * 2022-02-11 2023-11-24 浙江大学 Multifunctional push-pull hook for orthopedic operation

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US4989587A (en) 1989-04-26 1991-02-05 Farley Daniel K Sternal retractor
US7654954B1 (en) 2002-07-03 2010-02-02 Boss Instruments Ltd., Inc. Surgical retractor clamp connectable to an arm of the retractor
WO2007103173A2 (en) 2006-03-01 2007-09-13 Boss Instruments, Ltd. Surgical retractor frame system
US8100827B2 (en) 2008-05-15 2012-01-24 Thompson Surgical Instruments, Inc. Adjustable rail clamp
JP5368872B2 (en) 2009-05-15 2013-12-18 ココ株式会社 Arm structure and surgical device holding device

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