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CN221383668U - A liver portal blocker - Google Patents

A liver portal blocker Download PDF

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Publication number
CN221383668U
CN221383668U CN202322289515.5U CN202322289515U CN221383668U CN 221383668 U CN221383668 U CN 221383668U CN 202322289515 U CN202322289515 U CN 202322289515U CN 221383668 U CN221383668 U CN 221383668U
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China
Prior art keywords
rubber blocking
rod
blocking tube
portal
rubber
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CN202322289515.5U
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Chinese (zh)
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张军港
张成武
尚敏杰
陶然
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Zhejiang Provincial Peoples Hospital
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Zhejiang Provincial Peoples Hospital
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Abstract

The utility model discloses a hepatic portal blocking device which comprises an inner handle rod, a telescopic rod and an outer sleeve which are arranged in a sliding manner from inside to outside in sequence, wherein one end of the inner handle rod is detachably connected with one end of a rubber blocking pipe, an inner supporting plug is detachably arranged in the other end of the rubber blocking pipe, an inserting hole for penetrating the rubber blocking pipe and approaching to one end of the inner supporting plug is formed in the rubber blocking pipe, a flexible supporting rod piece for supporting the rubber blocking pipe is arranged in the rubber blocking pipe, a bending operation pull rope structure for bending and driving the rubber blocking pipe is arranged in the inner handle rod, the head end of the rubber blocking pipe is rigidly supported through the inner supporting plug, and the flexible supporting rod piece can integrally provide rigid support for the rubber blocking pipe under the condition that the rubber blocking pipe can be bent, so that the rubber blocking pipe can conveniently penetrate through gaps around hepatic portal tissues.

Description

一种肝门阻断器A liver portal blocker

技术领域Technical Field

本实用新型涉及医疗技术领域,具体涉及一种肝门阻断器。The utility model relates to the technical field of medical treatment, in particular to a hepatic portal blocker.

背景技术Background technique

在实施肝脏手术或者腹腔其它手术时,时常涉及到肝门阻断操作,由于流入和流出肝脏组织有大量血管,因此肝脏切除过程中控制这些血管继续供血和防止静脉血倒流是至关重要的,传统的阻断肝门的方法是采用软带或线捆扎的方式来阻断血流,达到了肝脏的临时止血,不影响手术视野,不妨碍手术的操作。When performing liver surgery or other abdominal surgery, the portal vein blocking operation is often involved. Since there are a large number of blood vessels flowing into and out of the liver tissue, it is crucial to control the continued blood supply of these blood vessels and prevent venous blood from flowing back during liver resection. The traditional method of blocking the portal vein is to use a soft belt or wire binding to block the blood flow, thereby achieving temporary hemostasis of the liver without affecting the surgical field of view or hindering the surgical operation.

申请号为201120502342.5的肝门阻断器,包括铰接的夹紧杆Ⅰ和夹紧杆Ⅱ,夹紧杆Ⅰ和夹紧杆Ⅱ的一端部形成弧形结构的血管夹持部,且血管夹持部的内弧形相对,在夹紧杆Ⅰ和夹紧杆Ⅱ的另一端部设置可将血管夹持部互相夹紧的弹性拉绳。The portal occluder with application number 201120502342.5 includes a hinged clamping rod I and a clamping rod II, one end of the clamping rod I and the clamping rod II form an arc-shaped vascular clamping part, and the inner arcs of the vascular clamping part are opposite, and an elastic pull rope is arranged at the other end of the clamping rod I and the clamping rod II to clamp the vascular clamping parts together.

软带或线在肝门上捆扎的过程中需要从肝门周围组织缝隙穿过,但是由于软带或线较软,在从缝隙穿过时,较为分离,像穿针引线一样,需要医务人员手持手术钳操作很久。When tying the soft band or thread on the hilum of the liver, it needs to pass through the gap in the tissue around the hilum of the liver. However, since the soft band or thread is relatively soft, it is relatively separated when passing through the gap, just like threading a needle, and the medical staff needs to hold the surgical forceps for a long time to operate.

实用新型内容Utility Model Content

本实用新型的目的就在于为了解决上述问题而提供一种肝门阻断器,欲克服现有技术的缺陷。The purpose of the utility model is to provide a liver portal blocker to solve the above problems and overcome the defects of the prior art.

为实现上述目的,本实用新型提供了以下技术方案:In order to achieve the above purpose, the utility model provides the following technical solutions:

本实用新型提供的一种肝门阻断器,包括从里到外依次套设滑动设置有的内柄杆、伸缩杆和外套筒,所述内柄杆的一端可拆卸连接有橡胶阻断管的一端,所述橡胶阻断管的另一端内部可拆卸设置有内撑插头,橡胶阻断管上开设有用于穿过其靠近内撑插头一端的插孔,所述橡胶阻断管内设置有用于对其进行支撑的柔性支撑杆件,所述内柄杆内设置有用于对橡胶阻断管弯折驱动的弯曲操纵拉绳结构。The utility model provides a portal obstructor, comprising an inner handle rod, a telescopic rod and an outer sleeve which are slidably arranged in sequence from the inside to the outside, one end of the inner handle rod is detachably connected to one end of a rubber blocking tube, the other end of the rubber blocking tube is detachably provided with an inner support plug, the rubber blocking tube is provided with a jack for passing through one end thereof close to the inner support plug, a flexible support rod for supporting the rubber blocking tube is arranged inside the rubber handle rod, and a bending control pull rope structure for driving the rubber blocking tube to bend is arranged inside the inner handle rod.

作为优选,所述弯曲操纵拉绳结构包括贯穿开设在内柄杆内的穿绳孔道,所述穿绳孔道的内部设置有拉绳,拉绳的一端连接有操纵杆,拉绳的另一端与内撑插头彼此固定连接,拉绳靠近橡胶阻断管的内侧壁设置,操纵杆滑动设置在穿绳孔道内,操纵杆的一端穿出穿绳孔道并固定连接有第三握持柄端。Preferably, the curved operating pull rope structure includes a rope threading channel which passes through the inner handle rod, a pull rope is arranged inside the rope threading channel, one end of the pull rope is connected to the operating rod, the other end of the pull rope is fixedly connected to the inner support plug, the pull rope is arranged close to the inner wall of the rubber blocking tube, the operating rod is slidably arranged in the rope threading channel, one end of the operating rod passes through the rope threading channel and is fixedly connected to the third gripping handle end.

作为优选,所述内柄杆远离橡胶阻断管的一端固定连接有第二握持柄端,所述内柄杆的另一端连接有与橡胶阻断管配合连接的管接头。Preferably, one end of the inner handle rod away from the rubber blocking tube is fixedly connected to a second gripping handle end, and the other end of the inner handle rod is connected to a pipe joint that cooperates with the rubber blocking tube.

作为优选,所述伸缩杆的一端外侧固定设置有用于与外套筒端部抵接限位的第一握持柄端。Preferably, a first gripping handle end is fixedly provided on the outer side of one end of the telescopic rod for abutting and limiting the end of the outer sleeve.

作为优选,所述柔性支撑杆件采用弹簧,弹簧的一端与内撑插头彼此固定连接。Preferably, the flexible support rod is a spring, and one end of the spring is fixedly connected to the inner support plug.

作为优选,所述橡胶阻断管远离外套筒的一端形成有半球体形状。Preferably, one end of the rubber blocking tube away from the outer sleeve is formed in a hemispherical shape.

作为优选,所述插孔的内侧轮廓呈扁平的椭圆形。Preferably, the inner profile of the insertion hole is a flat oval.

有益效果在于:The beneficial effects are:

1、通过内撑插头对橡胶阻断管的头端进行硬性支撑,以及柔性支撑杆件可以在保证橡胶阻断管可以弯曲的情况下,为橡胶阻断管整体提供硬性支撑,从而方便橡胶阻断管从肝门组织周围缝隙的穿过;1. The head end of the rubber blocking tube is rigidly supported by the inner support plug, and the flexible support rod can provide rigid support for the entire rubber blocking tube while ensuring that the rubber blocking tube can be bent, thereby facilitating the rubber blocking tube to pass through the gap around the liver hilum tissue;

2、弯曲操纵拉绳结构可以实现对橡胶阻断管头端一定角度的弯曲,方便从肝门周围组织缝隙的插入;2. The bending control rope structure can realize the bending of the rubber blocking tube head end at a certain angle, which is convenient for insertion from the tissue gap around the liver portal;

3、弯曲操纵拉绳结构还可以方便将内撑插头和柔性支撑杆件从橡胶阻断管内拉出取下,不影响橡胶阻断管的头端穿过插孔进行阻断绑缚。3. The bending operation rope structure can also facilitate the inner support plug and the flexible support rod to be pulled out and removed from the rubber blocking tube without affecting the head end of the rubber blocking tube passing through the jack for blocking and binding.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the utility model or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the utility model. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.

图1是本实用新型的主视图;Fig. 1 is a front view of the utility model;

图2是本实用新型图1的A-A剖面图;Fig. 2 is a cross-sectional view taken along line A-A of Fig. 1 of the present invention;

图3是本实用新型图2的B处局部放大图;FIG3 is a partial enlarged view of point B of FIG2 of the present utility model;

图4是本实用新型图2的C处局部放大图;FIG4 is a partial enlarged view of point C of FIG2 of the present utility model;

图5是本实用新型图2的D处局部放大图;FIG5 is a partial enlarged view of D in FIG2 of the present utility model;

图6是本实用新型图1的立体结构图;FIG6 is a three-dimensional structural diagram of FIG1 of the present utility model;

图7是本实用新型的橡胶阻断管缩入外套筒内状态示意图。FIG. 7 is a schematic diagram of the rubber blocking tube of the present invention retracted into the outer sleeve.

附图标记说明如下:1、外套筒;2、伸缩杆;2a、第一握持柄端;3、内柄杆;3a、第二握持柄端;3b、管接头;4、橡胶阻断管;4a、插孔;5、内撑插头;6、弯曲操纵拉绳结构;6a、第三握持柄端;6b、穿绳孔道;6c、拉绳;6d、操纵杆;7、柔性支撑杆件。The reference numerals in the accompanying drawings are explained as follows: 1. outer sleeve; 2. telescopic rod; 2a. first gripping handle end; 3. inner handle rod; 3a. second gripping handle end; 3b. pipe joint; 4. rubber blocking tube; 4a. socket; 5. inner support plug; 6. curved operating pull rope structure; 6a. third gripping handle end; 6b. rope threading channel; 6c. pull rope; 6d. operating rod; 7. flexible support rod.

具体实施方式Detailed ways

为使本实用新型的目的、技术方案和优点更加清楚,下面将对本实用新型的技术方案进行详细的描述。显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动的前提下所得到的所有其它实施方式,都属于本实用新型所保护的范围。In order to make the purpose, technical solution and advantages of the utility model clearer, the technical solution of the utility model will be described in detail below. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments of the utility model, all other implementation methods obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.

参见图1-图7所示,本实用新型提供了一种肝门阻断器,包括从里到外依次套设滑动设置有的内柄杆3、伸缩杆2和外套筒1,内柄杆3的一端可拆卸连接有橡胶阻断管4的一端,橡胶阻断管4的另一端内部可拆卸设置有内撑插头5,橡胶阻断管4远离外套筒1的一端形成有半球体形状。使得橡胶阻断管4在插入时更加省力且可以避免对患者体内组织造成损伤,橡胶阻断管4上开设有用于穿过其靠近内撑插头5一端的插孔4a,进一步,插孔4a的内侧轮廓呈扁平的椭圆形,方便橡胶阻断管4端部从插孔4a穿过后,呈扁平椭圆形的插孔4a可以大大提高对橡胶阻断管4的摩擦力,从而避免橡胶阻断管4从插孔4a内滑出,橡胶阻断管4内设置有用于对其进行支撑的柔性支撑杆件7,具体的,柔性支撑杆件7采用弹簧,弹簧的一端与内撑插头5彼此固定连接,内柄杆3内设置有用于对橡胶阻断管4弯折驱动的弯曲操纵拉绳结构6。Referring to Figures 1 to 7, the utility model provides a portal vein blocker, comprising an inner handle rod 3, a telescopic rod 2 and an outer sleeve 1 which are slidably arranged in sequence from the inside to the outside, one end of the inner handle rod 3 is detachably connected to one end of a rubber blocking tube 4, the other end of the rubber blocking tube 4 is detachably provided with an inner support plug 5, and the end of the rubber blocking tube 4 away from the outer sleeve 1 is formed in a hemispherical shape. In order to make the rubber blocking tube 4 more labor-saving when inserting and avoid damaging the patient's body tissue, the rubber blocking tube 4 is provided with a hole 4a for passing through the end thereof close to the inner support plug 5. Furthermore, the inner side contour of the hole 4a is a flat ellipse, which is convenient for the end of the rubber blocking tube 4 to pass through the hole 4a. The flat ellipse-shaped hole 4a can greatly increase the friction force on the rubber blocking tube 4, thereby avoiding the rubber blocking tube 4 from slipping out of the hole 4a. A flexible support rod 7 for supporting the rubber blocking tube 4 is provided in the rubber blocking tube 4. Specifically, the flexible support rod 7 adopts a spring, one end of which is fixedly connected to the inner support plug 5, and a bending control pull rope structure 6 for driving the rubber blocking tube 4 to bend is provided in the inner handle rod 3.

见说明书附图3、4和5所示,本实施例提出一种具体的弯曲操纵拉绳结构6,弯曲操纵拉绳结构6包括贯穿开设在内柄杆3内的穿绳孔道6b,穿绳孔道6b的内部设置有拉绳6c,拉绳6c的一端连接有操纵杆6d,拉绳6c的另一端与内撑插头5彼此固定连接,拉绳6c靠近橡胶阻断管4的内侧壁设置,操纵杆6d滑动设置在穿绳孔道6b内,操纵杆6d的一端穿出穿绳孔道6b并固定连接有第三握持柄端6a。弯曲操纵拉绳结构6可以实现对橡胶阻断管4头端一定角度的弯曲,方便从肝门周围组织缝隙的插入。As shown in Figures 3, 4 and 5 of the specification, this embodiment proposes a specific bending control pull rope structure 6, which includes a rope threading channel 6b that runs through the inner handle rod 3, a pull rope 6c is arranged inside the rope threading channel 6b, one end of the pull rope 6c is connected to a control rod 6d, the other end of the pull rope 6c is fixedly connected to the inner support plug 5, the pull rope 6c is arranged close to the inner side wall of the rubber blocking tube 4, the control rod 6d is slidably arranged in the rope threading channel 6b, one end of the control rod 6d passes through the rope threading channel 6b and is fixedly connected to the third grip handle end 6a. The bending control pull rope structure 6 can realize the bending of the head end of the rubber blocking tube 4 at a certain angle, which is convenient for insertion from the tissue gap around the liver port.

内柄杆3远离橡胶阻断管4的一端固定连接有第二握持柄端3a,内柄杆3的另一端连接有与橡胶阻断管4配合连接的管接头3b。One end of the inner handle rod 3 away from the rubber blocking tube 4 is fixedly connected to a second gripping handle end 3 a , and the other end of the inner handle rod 3 is connected to a pipe joint 3 b that cooperates with the rubber blocking tube 4 .

伸缩杆2的一端外侧固定设置有用于与外套筒1端部抵接限位的第一握持柄端2a。A first gripping handle end 2a is fixedly disposed on the outer side of one end of the telescopic rod 2 and is used for abutting and limiting the end of the outer sleeve 1.

工作原理:working principle:

使用时,在将该肝门阻断器从体外插入到患者肝门位置处时,见说明书附图7所示,通过伸缩杆2在外套筒1内的滑动,橡胶阻断管4缩入到外套筒1内,方便肝门阻断器的插入,插入后,再次对伸缩杆2和外套筒1进行伸缩调节,使得伸缩杆2缩入到外套筒1内,此时橡胶阻断管4从外套筒1内伸出,将带有内撑插头5的橡胶阻断管4端部从肝门组织的缝隙中穿过,穿过时,可以由弯曲操纵拉绳结构6对内撑插头5在橡胶阻断管4进行拉动,实现对橡胶阻断管4头端的一定角度弯曲,方便橡胶阻断管4头端的插入,将带有内撑插头5的橡胶阻断管4端部从肝门组织的缝隙中穿过后,弯曲操纵拉绳结构6将内撑插头5和柔性支撑杆件7从橡胶阻断管4内拉出取下,然后人员采用手术钳或内窥镜钳夹取的方式来对橡胶阻断管4的头端进行夹取,使得其头端穿过插孔4a,实现对肝门的绑缚系紧进行阻断,最后将橡胶阻断管4与内柄杆3分离即可。When in use, when the portal blocker is inserted from outside the body to the portal position of the patient, as shown in Figure 7 of the specification, the rubber blocking tube 4 is retracted into the outer sleeve 1 by sliding the telescopic rod 2 in the outer sleeve 1, which facilitates the insertion of the portal blocker. After insertion, the telescopic rod 2 and the outer sleeve 1 are telescopically adjusted again so that the telescopic rod 2 is retracted into the outer sleeve 1. At this time, the rubber blocking tube 4 extends out of the outer sleeve 1, and the end of the rubber blocking tube 4 with the inner support plug 5 is passed through the gap of the portal tissue. When passing through, the inner support plug 5 can be bent and operated by the pull rope structure 6 to be inserted into the rubber The blocking tube 4 is pulled to achieve bending of the head end of the rubber blocking tube 4 at a certain angle, which facilitates the insertion of the head end of the rubber blocking tube 4. After the end of the rubber blocking tube 4 with the inner support plug 5 is passed through the gap in the liver portal tissue, the pull rope structure 6 is bent and operated to pull the inner support plug 5 and the flexible support rod 7 out of the rubber blocking tube 4 and remove them. Then, the personnel use surgical forceps or endoscopic forceps to clamp the head end of the rubber blocking tube 4, so that its head end passes through the socket 4a, and the liver portal is tied and tightened to achieve blocking, and finally the rubber blocking tube 4 is separated from the inner handle rod 3.

以上,仅为本实用新型的具体实施方式,但本实用新型的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本实用新型揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本实用新型的保护范围之内。因此,本实用新型的保护范围应以权利要求的保护范围为准。The above are only specific implementations of the utility model, but the protection scope of the utility model is not limited to them. Any technician familiar with the technical field can easily think of changes or substitutions within the technical scope disclosed by the utility model, which should be included in the protection scope of the utility model. Therefore, the protection scope of the utility model should be based on the protection scope of the claims.

Claims (7)

1.一种肝门阻断器,其特征在于:包括从里到外依次套设滑动设置有的内柄杆(3)、伸缩杆(2)和外套筒(1),所述内柄杆(3)的一端可拆卸连接有橡胶阻断管(4)的一端,所述橡胶阻断管(4)的另一端内部可拆卸设置有内撑插头(5),橡胶阻断管(4)上开设有用于穿过其靠近内撑插头(5)一端的插孔(4a),所述橡胶阻断管(4)内设置有用于对其进行支撑的柔性支撑杆件(7),所述内柄杆(3)内设置有用于对橡胶阻断管(4)弯折驱动的弯曲操纵拉绳结构(6)。1. A portal obstructor, characterized in that it comprises an inner handle rod (3), a telescopic rod (2) and an outer sleeve (1) which are slidably sleeved in sequence from the inside to the outside, one end of the inner handle rod (3) is detachably connected to one end of a rubber blocking tube (4), the other end of the rubber blocking tube (4) is detachably provided with an inner support plug (5), the rubber blocking tube (4) is provided with a jack (4a) for passing through one end thereof close to the inner support plug (5), a flexible support rod (7) for supporting the rubber blocking tube (4) is provided inside the inner handle rod (3), and a bending control pull rope structure (6) for driving the rubber blocking tube (4) to bend is provided inside the inner handle rod (3). 2.根据权利要求1所述一种肝门阻断器,其特征在于:所述弯曲操纵拉绳结构(6)包括贯穿开设在内柄杆(3)内的穿绳孔道(6b),所述穿绳孔道(6b)的内部设置有拉绳(6c),拉绳(6c)的一端连接有操纵杆(6d),拉绳(6c)的另一端与内撑插头(5)彼此固定连接,拉绳(6c)靠近橡胶阻断管(4)的内侧壁设置,操纵杆(6d)滑动设置在穿绳孔道(6b)内,操纵杆(6d)的一端穿出穿绳孔道(6b)并固定连接有第三握持柄端(6a)。2. A portal obstructor according to claim 1, characterized in that: the curved operating pull rope structure (6) includes a rope threading hole (6b) penetrating through the inner handle rod (3), a pull rope (6c) is arranged inside the rope threading hole (6b), one end of the pull rope (6c) is connected to an operating rod (6d), the other end of the pull rope (6c) and the inner support plug (5) are fixedly connected to each other, the pull rope (6c) is arranged close to the inner wall of the rubber blocking tube (4), the operating rod (6d) is slidably arranged in the rope threading hole (6b), one end of the operating rod (6d) passes through the rope threading hole (6b) and is fixedly connected to the third gripping handle end (6a). 3.根据权利要求1所述一种肝门阻断器,其特征在于:所述内柄杆(3)远离橡胶阻断管(4)的一端固定连接有第二握持柄端(3a),所述内柄杆(3)的另一端连接有与橡胶阻断管(4)配合连接的管接头(3b)。3. A portal obstructor according to claim 1, characterized in that one end of the inner handle rod (3) away from the rubber blocking tube (4) is fixedly connected to a second gripping handle end (3a), and the other end of the inner handle rod (3) is connected to a pipe joint (3b) that cooperates with the rubber blocking tube (4). 4.根据权利要求1所述一种肝门阻断器,其特征在于:所述伸缩杆(2)的一端外侧固定设置有用于与外套筒(1)端部抵接限位的第一握持柄端(2a)。4. A portal obstructor according to claim 1, characterized in that: a first gripping handle end (2a) for abutting and limiting the end of the outer sleeve (1) is fixedly provided on the outer side of one end of the telescopic rod (2). 5.根据权利要求1所述一种肝门阻断器,其特征在于:所述柔性支撑杆件(7)采用弹簧,弹簧的一端与内撑插头(5)彼此固定连接。5. A portal obstructor according to claim 1, characterized in that the flexible support rod (7) is a spring, one end of which is fixedly connected to the inner support plug (5). 6.根据权利要求1所述一种肝门阻断器,其特征在于:所述橡胶阻断管(4)远离外套筒(1)的一端形成有半球体形状。6. A portal obstructor according to claim 1, characterized in that the end of the rubber obstructing tube (4) away from the outer sleeve (1) is formed in a hemispherical shape. 7.根据权利要求1所述一种肝门阻断器,其特征在于:所述插孔(4a)的内侧轮廓呈扁平的椭圆形。7. A portal obstructor according to claim 1, characterized in that the inner contour of the insertion hole (4a) is a flat oval.
CN202322289515.5U 2023-08-25 2023-08-25 A liver portal blocker Active CN221383668U (en)

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