Airway care device for post-laryngeal surgery

By designing an airway care device that includes a diversion tube, a sputum suction nozzle, a negative pressure device and an airway humidification liquid storage device, the problems of insufficient airway humidity and difficulty in removing sputum after total laryngeal surgery were solved, efficient sputum aspiration and humidification of the airway were achieved, and the patient's respiratory status was improved.

CN114949386BActive Publication Date: 2025-04-25SHANGHAI CHANGZHENG HOSPITAL
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Patent Information

Application Number
CN202210494203.5
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2022-05-07
Publication Date
2025-04-25
Estimated Expiration
2042-05-07

AI Technical Summary

Technical Problem

After the total larynx surgery, the airway mucosal edema and cilia movement were damaged, resulting in increased secretion of sputum and insufficient airway humidity. It is difficult for existing sputum suction devices to effectively remove viscous sputum and perform airway humidity.

Method used

An airway care device including a flow guide tube, a sputum suction nozzle, a negative pressure device and an airway wettling liquid storage device is designed. The diversion tube consists of an inner catheter and an outer catheter. The inner catheter is connected to the suction nozzle. The outer catheter is used for airway humidification; the negative pressure device generates negative pressure by squeezing the airbag, and the airway humidification liquid flows into the airway; the filtering device prevents sputum from entering the negative pressure device.

Benefits of technology

This device can effectively absorb and remove viscous sputum, improve airway humidity, improve patient's respiratory status, and reduce the occurrence of complications.

✦ Generated by Eureka AI based on patent content.

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Abstract

The airway nursing device for post-total laryngeal surgery of the present invention comprises: a guide tube comprises inner and outer conduits which are not communicated with each other, one end of the inner conduit is connected with a sputum suction nozzle, and the other end is connected with a first connecting part of a three-way tube, a second connecting part of the three-way tube is connected with a sputum collecting bottle, and a third connecting part is connected with an exhaust hole at the bottom of a negative pressure device, a filtering device is arranged in the third connecting part, an airway humidifying liquid containing device is arranged in the negative pressure device, the negative pressure device and the airway humidifying liquid containing device are not communicated with each other, and an inner spring is respectively connected between the outer wall of the airway humidifying liquid containing device and the inner wall of the negative pressure device; two ends of the outer conduit are respectively provided with an outer conduit outflow hole and an outer conduit inflow hole, the top of the airway humidifying liquid containing device is provided with an airway humidifying liquid injection hole, and the bottom is provided with an airway humidifying liquid discharge hole, the airway humidifying liquid injection hole and the airway humidifying liquid discharge hole extend out of the top and the bottom of the negative pressure device respectively, the airway humidifying liquid discharge hole is connected with the outer conduit inflow hole via a first connecting tube, and a valve is arranged on the first connecting tube.
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Description

Technical Field

[0001] The present invention relates to the technical field of medical devices, and in particular to an airway care device used after total laryngeal surgery. Background Art

[0002] In the early stage after total laryngeal surgery, the respiratory mucosa of patients is significantly edematous, the ciliary motor system is damaged, and the defense barrier and heating and humidification functions of the upper respiratory tract such as the oral and nasal cavities are defective, resulting in increased sputum secretion, insufficient airway humidification, and viscous secretions that are difficult to clear, which in turn forms sputum crusts that block the respiratory tract, causing an imbalance in the ventilation / blood flow ratio, affecting the patient's effective ventilation, and causing complications such as shortness of breath, atelectasis, worsening hypoxia, and lung infection.

[0003] Postoperative patients with total laryngeal carcinoma require high-quality artificial airway management, among which maintaining airway patency and enhancing airway humidification are particularly important. Existing airway management devices are mainly sputum suction devices, which use negative pressure to suction. They have a simple structure, and the sputum suction tube is a simple hose, which has a poor sputum collection effect. Postoperative sputum in patients with total laryngeal carcinoma is thick and large in volume, and airway humidification is required, which is difficult to meet with existing simple sputum suction devices. Summary of the invention

[0004] In view of the problems and shortcomings of the prior art, the present invention provides a novel airway care device for patients after total laryngeal surgery, which can effectively absorb viscous sputum and humidify the airway, and is convenient and quick.

[0005] The present invention solves the above technical problems through the following technical solutions:

[0006] The present invention provides an airway care device for post-total laryngeal surgery, which is characterized in that it comprises a guide tube, the guide tube comprises an inner tube and an outer tube which are coaxially arranged and not connected to each other, one end of the inner tube is connected to and communicated with a sputum suction nozzle, and the other end is connected to and communicated with a first connection part of a three-way tube, the second connection part of the three-way tube is connected to and communicated with a sputum collection bottle, the third connection part of the three-way tube is connected to and communicated with an exhaust hole provided at the bottom of a negative pressure device, a filtering device is arranged in the third connection part, an airway humidifying liquid containing device and two built-in springs are arranged in the negative pressure device, the negative pressure device and the airway humidifying liquid containing device are not connected to each other, one end of the outer wall of the airway humidifying liquid containing device is connected to one end of the inner wall of the negative pressure device with an built-in spring, and the other end of the outer wall of the airway humidifying liquid containing device is connected to the other end of the inner wall of the negative pressure device with another built-in spring.

[0007] An outer catheter outflow hole and an outer catheter inflow hole are respectively provided at both ends of the outer catheter, an airway humidification liquid containing device is provided with an airway humidification liquid injection hole at the top and an airway humidification liquid discharge hole at the bottom, the airway humidification liquid injection hole extends out of the top of the negative pressure device, and the contact between the airway humidification liquid injection hole and the negative pressure device is sealed, the airway humidification liquid discharge hole extends out of the bottom of the negative pressure device, and the contact between the airway humidification liquid discharge hole and the negative pressure device is sealed, the airway humidification liquid discharge hole is connected to one end of the first connecting tube, the other end of the first connecting tube is connected to the outer catheter inflow hole, and the first connecting tube is provided with a valve.

[0008] The filtering device includes a first filter screen and a second filter screen, the aperture of the first filter screen is smaller than the aperture of the second filter screen, the first filter screen is a dome-shaped structure, the second filter screen is a conical structure, and the two ends of the first filter screen are respectively fixed to corresponding fixing parts with the corresponding ends of the second filter screen.

[0009] Preferably, the sputum suction nozzle comprises a sputum suction nozzle head, a sputum suction nozzle body and a sputum suction nozzle tail which are integrally connected, and the sputum suction nozzle tail is inserted into one end of the inner catheter.

[0010] Preferably, the head of the suction nozzle is hemispherical, and a plurality of absorption holes of different sizes are arranged on the hemispherical convex surface; the surface of the suction nozzle body is wrapped with a soft ciliary scraping layer, and a plurality of absorption holes of different sizes are also arranged on the suction nozzle body.

[0011] Preferably, the first connection part and the third connection part have the same caliber, and the caliber of the second connection part is twice the caliber of the first connection part.

[0012] Preferably, the sputum collecting bottle includes a top cover, a bottom cover and a bottle body, the top of the bottle body is screwed to the top cover, the bottom of the bottle body is screwed to the bottom cover, the top cover is provided with a sputum inflow hole, the sputum inflow hole is connected to the second connecting part, and the bottom cover is provided with a sputum discharge hole, which is connected to the second connecting pipe.

[0013] Preferably, the guide tube is made of soft plastic and is in a round tube shape. The outer surface of the guide tube is provided with scales. The other end of the inner conduit is provided with a hard connector so that the inner conduit is threadedly connected to the first connecting part.

[0014] Preferably, the transition point between the second connection portion and the third connection portion is a slope structure.

[0015] Preferably, the main body of the negative pressure device is an extrusion air bag, and the airway humidification liquid containing device is in the shape of a soft plastic bag.

[0016] Preferably, the bottle body is a cylindrical transparent structure, and the side wall of the bottle body is marked with scales.

[0017] On the basis of being in accordance with the common sense in the art, the above-mentioned preferred conditions can be arbitrarily combined to obtain the preferred embodiments of the present invention.

[0018] The positive and progressive effects of the present invention are:

[0019] The present invention has a simple structure and is easy to operate. Since the body of the sputum suction nozzle has a soft ciliary scraping layer, and the head and body of the sputum suction nozzle have absorption holes of different sizes, the sputum collection effect can be improved. Due to the outer conduit of the guide tube and the airway humidification liquid containing device, the airway care device has an airway humidification function and improves the clearance rate of viscous sputum. Since the inner conduit and the outer conduit are located in the same cylindrical pipe, space is saved. Since the negative pressure device and the airway humidification liquid containing device form a composite structure, the airway humidification liquid flows out with the work done by the extrusion balloon, achieving an effective combination of structure and function. The three-way pipe is a special Y-shaped structure, and the caliber of the second connecting part is larger. After the sputum enters the three-way pipe, it enters the sputum collecting bottle due to gravity, and the third connecting part is provided with a filtering device, which effectively prevents the sputum from entering the negative pressure device to ensure the cleanliness and hygiene of the device. The sputum collecting bottle is a detachable structure, which is convenient for sputum discharge and cleaning of the sputum collecting bottle. The airway care device is low-carbon and environmentally friendly, has a wide range of uses, is reusable, can be operated by the patient himself, can be used as needed, provides efficient airway care, and reduces the occurrence of emergencies. The airway care device is compact and occupies little space. The guide tube is stored when not in operation, making it easy to carry. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 Schematic diagram of the structure of an airway care device according to a preferred embodiment of the present invention.

[0021] Figure 2 The figure is a schematic diagram of the structure of the sputum suction nozzle head according to a preferred embodiment of the present invention.

[0022] Figure 3 Schematic diagram of the structure of the sputum suction nozzle body according to a preferred embodiment of the present invention.

[0023] Figure 4 It is a schematic structural diagram of a filtering device according to a preferred embodiment of the present invention.

[0024] Among them: 1. Suction nozzle; 101. Suction nozzle head; 102. Suction nozzle body; 103. Suction nozzle tail; 104. Soft ciliary scraping layer; 105. Absorption hole; 2. Diversion tube; 201. Inner catheter; 202. Outer catheter; 203. Outer catheter outflow hole; 204. Outer catheter inflow hole; 3. Three-way pipe; 31. First connecting part; 32. Second connecting part; 33. Third connecting part; 41. Negative pressure device; 411. Squeeze airbag; 412. Internal spring ; 413, exhaust hole; 42, airway humidification liquid containing device; 421, airway humidification liquid injection hole; 422, airway humidification liquid discharge hole; 423, valve; 424, first connecting pipe; 5, sputum collection bottle; 501, top cover; 502, bottom cover; 503, sputum discharge hole; 504, sputum inflow hole; 505, second connecting pipe; 506, bottle body; 6, connecting rod; 7, filtering device; 701, first filter screen; 702, second filter screen; 703, fixing part. DETAILED DESCRIPTION

[0025] In order to make the purpose, technical solution and advantages of the embodiments of the present invention clearer, the technical solution in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments are part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without making creative work are within the scope of protection of the present invention.

[0026] like Figure 1-4 As shown, the present embodiment provides an airway care device for post-total laryngeal surgery, which includes a guide tube 2, wherein the guide tube 2 includes an inner tube 201 and an outer tube 202 which are coaxially arranged and not connected to each other, wherein one end of the inner tube 201 is connected to the sputum suction nozzle 1, and the other end is connected to the first connection part 31 of the three-way tube 3, the second connection part 32 of the three-way tube 3 is connected to the sputum collection bottle 5, the third connection part 33 of the three-way tube 3 is connected to the negative pressure device 41, and the third connection part 33 is provided with a filter device 7, and the negative pressure device An airway humidification liquid containing device 42 and two built-in springs 412 are provided in 41. The negative pressure device 41 and the airway humidification liquid containing device 42 are not communicated with each other. One end of the outer side of the airway humidification liquid containing device 42 is connected to one end of the inner wall of the negative pressure device 41 by a built-in spring 412, and the other end of the outer side of the airway humidification liquid containing device 42 is connected to the other end of the inner wall of the negative pressure device 41 by another built-in spring 412. An exhaust hole 413 is provided at the bottom of the negative pressure device 41, and the exhaust hole 413 is connected to the third connecting part 33.

[0027] An outer catheter outflow hole 203 and an outer catheter inflow hole 204 are respectively provided at both ends of the outer catheter 202. An airway humidifying liquid injection hole 421 is provided at the top of the airway humidifying liquid containing device 42, and an airway humidifying liquid discharge hole 422 is provided at the bottom. The airway humidifying liquid injection hole 421 extends out of the top of the negative pressure device 41, and the contact between the airway humidifying liquid injection hole 421 and the negative pressure device 41 is sealed. The airway humidifying liquid discharge hole 422 extends out of the bottom of the negative pressure device, and the contact between the airway humidifying liquid discharge hole 422 and the negative pressure device 41 is sealed. The airway humidifying liquid discharge hole 422 is connected to one end of a first connecting pipe 424, and the other end of the first connecting pipe 424 is connected to the outer catheter inflow hole 204. A valve 423 is provided on the first connecting pipe 424. A connecting rod 6 is connected between the negative pressure device 41 and the sputum collecting bottle 5.

[0028] Among them, Figure 1-3 As shown, the sputum suction nozzle comprises an integrally connected sputum suction nozzle head 101, a sputum suction nozzle body 102 and a sputum suction nozzle tail 103, the sputum suction nozzle head 101 is hemispherical, and a plurality of absorption holes 105 of varying sizes are arranged on the hemispherical convex surface, the surface of the sputum suction nozzle body 102 is wrapped with a soft ciliary scraping layer 104, and a plurality of absorption holes 105 of varying sizes are also distributed on the sputum suction nozzle body 102, and the sputum suction nozzle tail 103 is inserted into one end of the inner catheter 201. In this embodiment, the sputum suction nozzle head 101 is hemispherical, relatively round and blunt, which can reduce the stimulation to the airway, the soft ciliary scraping layer 104 can remove the sticky sputum crust in the airway, and the sputum suction nozzle head 102 and the sputum suction nozzle body 103 are both provided with absorption holes 105 of varying sizes to improve the sputum removal ability.

[0029] The flow guide tube 2 is in the shape of a round tube, made of soft plastic, with strong softness, and a scale is set on the outer surface, so that the depth of insertion into the airway can be evaluated. The other end of the inner conduit 201 is provided with a hard connector so that the inner conduit 201 is threadedly connected with the first connecting portion 31. The flow guide tube 2 is divided into an inner conduit 201 and an outer conduit 202, the inner conduit 201 is connected with the tail 103 of the sputum suction nozzle, and is a channel for sputum to pass through, and the outer conduit 202 is an airway humidification liquid accommodating chamber, and an outer conduit outflow hole 203 and an outer conduit inflow hole 204 are set, and the outer conduit inflow hole 204 is connected with the airway humidification liquid discharge hole 422 by a first connecting pipe 424, and the first connecting pipe 424 is a soft plastic tube, and a valve 423 is set thereon, which can control the flow of the airway humidification liquid. The valve 423 is closed when the airway care device is not in operation or is simply suctioning phlegm; the valve 423 is open when the airway care device is in normal operation (airway humidification + suctioning phlegm), and the flow rate can be adjusted. The airway humidification liquid can be injected from the airway humidification liquid injection hole 421 as needed and in quantity.

[0030] The first connection part 31 and the third connection part 33 of the three-way pipe 3 have the same caliber, and the caliber of the second connection part 32 is twice the caliber of the first connection part 31. The caliber of the second connection part 32 is relatively large, which can facilitate the sputum to flow smoothly and quickly into the sputum collecting bottle 5 under the action of gravity, and the transition point between the second connection part 32 and the third connection part 33 is a slope structure, and some splashed sputum can flow into the sputum collecting bottle 5 again along the slope; a special Y-shaped structure is adopted instead of an ordinary T-shaped structure to avoid the second connection part 32 and the third connection part 33 from being opposite to each other, thereby reducing the possibility of sputum splashing in the sputum collecting bottle 5 and contaminating the negative pressure device 41.

[0031] The negative pressure device 41 is located above the sputum collecting bottle 5. The negative pressure device 41 has a spherical air bag appearance. The negative pressure device 41 and the airway humidification liquid containing device 42 do not communicate with each other. The main body of the negative pressure device 41 is an extrusion air bag 411, and a built-in spring 412 is provided. One end of the built-in spring 412 is connected to the inner wall of the extrusion balloon 411, and the other end is connected to the outer wall of the airway humidification liquid containing device 42, which can increase the negative pressure attraction and reduce the work done by the hand. The negative pressure device 41 is connected to the third connecting part 33 of the three-way pipe 3 through the exhaust hole 413. The airway humidification liquid containing device 42 is hidden in the core of the negative pressure device 41, and is in the shape of a soft plastic bag, with an airway humidification liquid injection hole 421 at the top and an airway humidification liquid discharge hole 422 at the bottom. In this model, this design not only saves space, but also realizes the unification of functions, and can be operated by a single person, which is convenient and fast.

[0032] The sputum collecting bottle 5 comprises a top cover 501, a bottom cover 502 and a bottle body 506. The top of the bottle body 506 is connected to the top cover 501 by a spiral pattern, and the bottom of the bottle body 506 is connected to the bottom cover 502 by a spiral pattern. The bottle body 506 is detachable and easy to clean. The top cover 501 is provided with a sputum inflow hole 504, which is connected and communicated with the second connecting portion 32. The bottom cover 502 is provided with a sputum discharge hole 503, which is connected to the second connecting pipe 505. The bottle body 506 is a cylindrical transparent structure. The top cover 501 and the bottom cover 502 are tightly connected to the bottle body 506 by a spiral pattern structure. The side wall of the bottle body 506 is marked with scales, which can quantify the sputum and evaluate the condition. If the sputum exceeds 2 / 3 of the volume of the sputum collecting bottle 5, the sputum needs to be discharged through the fifth connecting pipe 505. The sputum collecting bottle 5 is a detachable device, which is easy to clean and reduces contamination such as bacteria.

[0033] like Figure 4As shown, the filtering device includes a first filter 701 and a second filter 702. The aperture of the first filter 701 is smaller than that of the second filter 702. The first filter 701 is a dome-shaped structure, and the second filter 702 is a conical structure. The left end of the first filter 701 and the left end of the second filter 702 are fixed on the left end fixing member 703, and the right end of the first filter 701 and the right end of the second filter 702 are fixed on the right end fixing member 703. The filtering device filters the sputum caused by negative pressure suction and the splashed sputum. The sputum is focused on the center point of the filter due to gravity and enters the sputum collecting bottle 5 again. The double-layer filter plays a double filtering role.

[0034] When in use, the guide tube 2 is inserted into the tracheostomy opening, the valve 423 is loosened, and then the negative pressure device 41 is manually squeezed in the direction of the action of the built-in spring 412. The negative pressure device 41 relies on the squeezing effect to allow the airway humidification liquid in the airway humidification liquid containing device 42 to enter the outer catheter 202 through the airway humidification liquid discharge hole 422, the first connecting tube 424 and the outer catheter inflow hole 204 in sequence, and then flow out through the outer catheter outflow hole 203 on the outer catheter 202, thereby achieving airway humidification.

[0035] The negative pressure device 41 generates negative pressure, and sputum enters the inner catheter 201 by the negative pressure, and enters the sputum collecting bottle 5 through the second connecting part 32 by gravity. The second connecting part 32 has a large diameter, and the transition between the second connecting part 32 and the third connecting part 33 is a slope structure, which can further reduce the possibility of sputum entering the negative pressure device 41 along the negative pressure direction. The filter device 7 is arranged at the third connecting part 33 to intercept sputum from entering the negative pressure device 41 to the greatest extent, and the filter device 7 can be disassembled for easy cleaning.

[0036] Although the specific embodiments of the present invention are described above, those skilled in the art should understand that these are only examples, and the protection scope of the present invention is defined by the appended claims. Those skilled in the art may make various changes or modifications to these embodiments without departing from the principles and essence of the present invention, but these changes and modifications all fall within the protection scope of the present invention.

Claims

1. An airway care device for post-laryngeal surgery, characterized in that: It comprises a flow guide tube, the flow guide tube comprises an inner conduit and an outer conduit which are coaxially arranged and not communicated with each other, one end of the inner conduit is connected and communicated with a sputum suction nozzle, and the other end is connected and communicated with a first connection part of a three-way tube, the second connection part of the three-way tube is connected and communicated with a sputum collecting bottle, the third connection part of the three-way tube is connected and communicated with an exhaust hole provided at the bottom of a negative pressure device, a filtering device is arranged in the third connection part, an airway humidifying liquid containing device and two built-in springs are arranged in the negative pressure device, the negative pressure device and the airway humidifying liquid containing device are not communicated with each other, one end of the outer wall of the airway humidifying liquid containing device and one end of the inner wall of the negative pressure device are connected with a built-in spring, and the other end of the outer wall of the airway humidifying liquid containing device and the other end of the inner wall of the negative pressure device are connected with another built-in spring; The two ends of the outer catheter are respectively provided with an outer catheter outflow hole and an outer catheter inflow hole, the top of the airway humidification liquid containing device is provided with an airway humidification liquid injection hole, and the bottom is provided with an airway humidification liquid discharge hole, the airway humidification liquid injection hole extends out of the top of the negative pressure device, and the contact between the airway humidification liquid injection hole and the negative pressure device is sealed, the airway humidification liquid discharge hole extends out of the bottom of the negative pressure device, and the contact between the airway humidification liquid discharge hole and the negative pressure device is sealed, the airway humidification liquid discharge hole is connected to one end of the first connecting tube, the other end of the first connecting tube is connected to the outer catheter inflow hole, and the first connecting tube is provided with a valve; The filtering device includes a first filter screen and a second filter screen, the aperture of the first filter screen is smaller than the aperture of the second filter screen, the first filter screen is a dome-shaped structure, the second filter screen is a conical structure, and the two ends of the first filter screen are respectively fixed to corresponding fixing parts with the corresponding ends of the second filter screen.

2. The airway care device for post-laryngeal surgery according to claim 1, characterized in that: The sputum suction nozzle comprises a sputum suction nozzle head, a sputum suction nozzle body and a sputum suction nozzle tail which are integrally connected, and the sputum suction nozzle tail is inserted into one end of the inner catheter.

3. The airway care device for post-laryngeal surgery according to claim 2, characterized in that: The head of the sputum suction nozzle is hemispherical, and a plurality of absorption holes of different sizes are arranged on the hemispherical convex surface; the surface of the sputum suction nozzle body is wrapped with a soft ciliary scraping layer, and a plurality of absorption holes of different sizes are also arranged on the sputum suction nozzle body.

4. The airway care device for post-laryngeal surgery according to claim 1, characterized in that: The three-way pipe adopts a Y-shaped structure, the first connecting part and the third connecting part have the same caliber, and the caliber of the second connecting part is twice the caliber of the first connecting part.

5. The airway care device for post-laryngeal surgery according to claim 1, characterized in that: The sputum collecting bottle comprises a top cover, a bottom cover and a bottle body, the top of the bottle body is screwed to the top cover, the bottom of the bottle body is screwed to the bottom cover, the top cover is provided with a sputum inflow hole, the sputum inflow hole is connected to the second connecting part, and the bottom cover is provided with a sputum discharge hole, which is connected to the second connecting pipe.

6. The airway care device for post-laryngeal surgery according to claim 1, characterized in that: The guide tube is made of soft plastic and is in a round tube shape. The outer surface of the guide tube is provided with scales. The other end of the inner conduit is provided with a hard connector so that the inner conduit is threadedly connected to the first connecting part.

7. The airway care device for post-laryngeal surgery according to claim 1, characterized in that: The transition point between the second connection portion and the third connection portion is a slope structure.

8. The airway care device for post-laryngeal surgery according to claim 1, characterized in that: The main body of the negative pressure device is an extrusion air bag, and the airway humidification liquid containing device is in the shape of a soft plastic bag.

9. The airway care device for post-laryngeal surgery according to claim 5, characterized in that: The bottle body is a cylindrical transparent structure, and the side wall of the bottle body is marked with scales.

Citation Information

Patent Citations

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    CN102488952A

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