A cutting and suturing mechanism of a labia cutting anastomat

By designing a combined structure of outer shell, cutting pusher sleeve and staple cartridge sleeve, the labial cutting and suturing device achieves accurate cutting and suturing in the everted state, solving the problem of staple embedding and improving the aesthetics and patient comfort after labial recovery.

CN224584800UActive Publication Date: 2026-08-04SUZHOU VERMONT MEDICAL INSTR CO LTD
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Patent Information

Authority / Receiving Office
CN · China
Patent Type
Utility models(China)
Current Assignee / Owner
SUZHOU VERMONT MEDICAL INSTR CO LTD
Filing Date
2025-08-08
Publication Date
2026-08-04

AI Technical Summary

Technical Problem

Existing labial cutting and suturing devices are difficult to use accurately when the labia are everted, and the staples are prone to embedding into the labia, affecting recovery and patient comfort.

Method used

A cutting and suturing mechanism for a labial cutting stapler was designed. It adopts a combination structure of an outer shell, a cutting pusher sleeve, a staple cartridge sleeve, and a blade. The staples are pushed through the staple pad in an outward-turned state to perform suturing, thus avoiding the staples from embedding into the labia.

Benefits of technology

This technique allows for simultaneous cutting and suturing of the labia while they are everted, reducing surgical difficulty, avoiding the pain caused by embedded sutures, and improving postoperative appearance.

✦ Generated by Eureka AI based on patent content.

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Abstract

A labial stapler cutting and suturing mechanism includes an outer shell, a cutting pusher sleeve disposed within the outer shell, a staple cartridge sleeve installed at the opening of the outer shell, and a pair of blades respectively disposed between the outer shell and the cutting pusher sleeve and fixed to the cutting pusher sleeve. The staple cartridge sleeve has two rows of staple cartridges spaced arc-shaped around both sides of the cartridge cavity. Each staple cartridge contains a staple. The staple cartridge sleeve has a staple pad groove on the side away from the cutting pusher sleeve and located at the position of the two rows of staple cartridges. A staple pad is placed in the pad groove. The staple cartridge sleeve has a blade clearance groove corresponding to the blade position. When the cutting pusher sleeve moves forward and pushes the staples, the staples pass through the staple pads and suture the labia. Advantages: It allows for simultaneous cutting and suturing of the labia while they are everted, reducing surgical difficulty, avoiding staple embedding in the labia and causing patient pain, and facilitating automatic staple dislodgement, thus improving the appearance of the labia after recovery.
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Description

Technical Field

[0001] This utility model belongs to the field of medical device technology, specifically relating to a cutting and suturing mechanism for a labiaplasty stapler. Background Technology

[0002] With societal progress, the medical industry is booming. Among the emerging medical devices, the labiaplasty stapler is primarily used for labial reshaping. Traditional labial reshaping typically involves cutting with a scalpel or medical scissors, a cumbersome procedure requiring highly skilled technicians. To address this, several labiaplasty staplers have emerged on the market. These devices fix the labia with a tool and then quickly suture after cutting. This makes the procedure time-saving and labor-saving, and has gained widespread market acceptance. The cutting and suturing mechanism is the core component of the labiaplasty stapler, mounted on the drive mechanism. It is used for cutting and suturing the labia, and the stapler can be reused by replacing the cutting and suturing mechanism when necessary. Current cutting and suturing mechanisms typically employ a structure where suture staples are placed in a staple cartridge, and a drive mechanism pushes the cutting and suturing mechanism to eject the suture staples. The suture staples are generally in the shape of the character "[". After the two legs pass through the skin and flesh and are bent and sutured, the connection between the two legs often embeds into the skin and flesh due to the difference in skin and flesh thickness, which has an adverse effect on the appearance of the labia after recovery.

[0003] In existing technologies, such as the "Labia Cutting and Suturing Device" disclosed in Chinese Invention Patent Publication No. CN111436990B, a pusher sleeve shell is included, which has a pusher sleeve receiving cavity and is elliptical at its left end; a pusher sleeve, which cooperates with the pusher sleeve receiving cavity, is elliptical at its left end and has pusher claws extending from the front and rear of the left end face, and a pusher claw is formed between the upper and lower parts of the pusher claw at the front of the left end face and the pusher claw at the rear of the left end face. The device includes: a nail claw notch; a nail carrier tray located within the nail pusher sleeve cavity, with nail loading holes on the tray; a suture nail foot bending disc that mates with the nail carrier tray; a nail pusher sleeve drive mechanism connected to the right end of the nail pusher sleeve housing; a knife anvil located to the left of the suture nail foot bending disc; a knife anvil tightening adjustment mechanism connected between the knife anvil and the nail pusher sleeve drive mechanism; and a pair of blades embedded in the cavity wall of the nail pusher sleeve cavity, with the left blade protruding from the end of the nail pusher claw and corresponding to the nail carrier tray cavity. While this technique can perform labial incision and suturing, it employs an inverted labial cutting and suturing structure. As is well known, the earliest foreskin cutting and suturing devices used an inverted structure, and the above technique follows the traditional inverted foreskin cutting and suturing method. The problem with this inverted structure in actual use is that, due to the significant differences between labial cutting and foreskin cutting, the labia are difficult to stabilize and fix after inversion like the foreskin. Moreover, the inverted labia, once fixed inside the cutting and suturing device, are difficult to observe. Therefore, it is difficult for doctors to accurately judge the clamping status and cutting situation of the labia, and the appearance of the labial cutting cannot be guaranteed, thus failing to meet the needs of doctors and clients.

[0004] For example, the "Labia Suturing Cutter" provided by Chinese Invention Patent Publication No. CN111436989B includes a pusher sleeve shell with a pusher sleeve receiving cavity and an elliptical shape at the left end; a pusher sleeve, which cooperates with the pusher sleeve receiving cavity, with an elliptical shape at the left end and pusher claws at the front and rear of the left end face; a nail carrier plate, which is elliptical and located in the pusher sleeve receiving cavity, and has nail carrier holes on it; a suture nail foot bending plate, which cooperates with the nail carrier plate, and has a recess for bending nail feet on its left side; a pusher sleeve driving mechanism, which is connected to the right end of the pusher sleeve shell; a labia guide positioning plate, which is located on the left side of the suture nail foot bending plate; and a labia guide positioning plate tightening adjustment mechanism, which is connected between the labia guide positioning plate and the pusher sleeve driving mechanism. This technical solution overcomes the limitation of inversion and adopts a labial eversion suture structure, exposing the labia to the outside of the suture cutter so that they can be observed. However, in actual operation, because the position of the labia is changed, the blade that was originally located on the inside cannot cut the labia. The doctor can only make a manual cut on the outside of the suture cutter with a scalpel. The suture cutter can only fix the labia and suture, so it still cannot meet the needs of doctors and clients.

[0005] In addition, the staple cartridges in the aforementioned existing technologies all use a structure of direct suturing with staples. When suturing thicker labia, the staples are easy to get embedded in the labia, which not only causes pain to the patient, but also makes it difficult for the staples to fall off automatically, and also affects the appearance of the labia after recovery.

[0006] In view of the aforementioned problems, it is necessary to design a labial stapler with a cutting and suturing mechanism that can perform cutting and suturing while the labia are everted, and that can prevent suture staples from embedding into the labia. To this end, the applicant has ingeniously designed this technical solution. Utility Model Content

[0007] The purpose of this invention is to provide a cutting and suturing mechanism for a labial cutting and anastomosis device. This mechanism helps to improve the blade and staple cartridge structure of the cutting and anastomosis device, enabling simultaneous cutting and suturing of the labia while they are everted. This helps to avoid staples embedding into the labia and causing pain to the patient, and also facilitates the automatic dislodgement of the staples, greatly improving the appearance of the labia after recovery.

[0008] The purpose of this utility model is achieved as follows: a cutting and suturing mechanism for a labiaplasty device, comprising a cutting and suturing mechanism, which includes an outer shell, a movable cutting pusher sleeve disposed within the outer shell, a staple cartridge sleeve fixedly installed at the opening of the outer shell, and a pair of blades respectively disposed between the outer shell and the cutting pusher sleeve and fixedly installed with the cutting pusher sleeve. The staple cartridge sleeve has a staple cartridge cavity in the middle, and two rows of staple cartridges are arranged in an arc shape around the staple cartridge cavity on both sides of the staple cartridge sleeve. Each staple cartridge contains a suture staple. The staple cartridge sleeve has a suture staple pad groove on the side away from the cutting pusher sleeve and at the position of the two rows of staple cartridges, and a suture staple pad is disposed in each of the suture staple pad grooves. The staple cartridge sleeve has a blade clearance groove at the position corresponding to the blade. When the cutting pusher sleeve moves forward and pushes the suture staple, the suture staple can achieve suturing of the labia after passing through the suture staple pad.

[0009] In a specific embodiment of this utility model, the front end of the outer protective shell, the front end of the cutting pusher sleeve, and the cross-section of the nail cartridge sleeve are generally elliptical.

[0010] In another specific embodiment of this utility model, the cutting and sewing mechanism is fixedly mounted on a driving mechanism via an outer protective shell. A knife and anvil plate is provided at the front end of the cutting and sewing mechanism and connected to the driving mechanism. An outer protective sleeve connecting cylinder is formed at the end of the outer protective shell facing the driving mechanism. An outer protective sleeve connecting cylinder has a connecting groove for the outer protective sleeve. The outer protective sleeve connecting cylinder is fitted onto the driving mechanism and fixedly installed with the driving mechanism through the snap-fit ​​connection of the outer protective sleeve connecting groove. A cutting pusher sleeve connecting cylinder is formed at the end facing the driving mechanism. The cutting pusher sleeve connecting cylinder has a pair of cutting pusher sleeve connecting feet. The cutting pusher sleeve connecting cylinder passes through the driving mechanism and is snap-fit ​​connected to the top body inside the driving mechanism. A knife and anvil plate guide hole is also provided at the position corresponding to the knife and anvil plate. A set of guide grooves are spaced apart circumferentially around the hole wall within the knife and anvil plate guide hole.

[0011] In another specific embodiment of this utility model, the cutting pusher sleeve has a set of pusher teeth arranged in an elliptical interval on the end face facing the nail cartridge sleeve. The cutting pusher sleeve has a cutting groove on the left and right outer surfaces and on the side close to the nail cartridge sleeve. The blades are inserted into the corresponding cutting grooves from front to back, and the pair of blades are arc-shaped relative to each other.

[0012] In another specific embodiment of the present invention, a cutting pusher sleeve cavity is formed inside the cutting pusher sleeve cavity, and a pair of blade fixing holes communicating with the blade groove are respectively opened on the left and right sides of the cutting pusher sleeve cavity, and a blade locking block is formed at the position corresponding to the blade fixing hole of the blade.

[0013] In another specific embodiment of this utility model, an outer shell cavity is formed inside the outer shell, the shape of the cutting pusher sleeve matches the shape of the outer shell cavity and can move back and forth within the outer shell cavity, the outer shell has a staple cartridge sleeve slot on the end near its opening and on the upper and lower sides respectively, the shape of the staple cartridge sleeve matches the shape of the opening end of the outer shell, and the upper and lower sides of the staple cartridge sleeve are respectively provided with staple cartridge sleeve feet for fitting into the corresponding staple cartridge sleeve slots.

[0014] In a further specific embodiment of this utility model, the suture staple is in the form of the character "[".

[0015] In a further specific embodiment of this utility model, the suture pad is a silicone pad.

[0016] In a further specific embodiment of this utility model, a suture pad insertion hole is respectively opened in the suture pad groove and at the position between two adjacent suture cartridges. The suture pad forms a suture pad insertion foot at the position of the suture pad insertion hole, and the suture pad insertion foot and the corresponding suture pad insertion hole are mutually fitted.

[0017] With the above-mentioned structure, this utility model, by employing a blade positioned between the outer protective shell and the cutting pusher sleeve, and by setting a suture pad inside the suture cartridge sleeve to prevent the suture from embedding into the labia, not only can the labia be cut and sutured simultaneously while everted, reducing the difficulty of labia surgery, but it also avoids the pain caused to the patient by the suture embedding into the labia and facilitates the automatic dislodgement of the suture, greatly improving the appearance of the labia after recovery. Attached Figure Description

[0018] Figure 1 This is an exploded three-dimensional view of the cutting and sewing mechanism according to an embodiment of the present invention; Figure 2 This is a usage diagram of an embodiment of the present invention.

[0019] In the diagram: 1. Cutting and stitching mechanism; 11. Outer shell; 111. Outer shell cavity; 112. Outer sheath connecting sleeve; 1121. Outer sheath connecting slot; 113. Staple cartridge slot; 12. Cutting pusher sleeve; 121. Cutting pusher sleeve connecting sleeve; 1211. Cutting pusher sleeve connecting foot; 122. Cutting pusher sleeve cavity; 123. Knife groove; 124. Pusher tooth; 125. Blade fixing hole; 126. Knife anvil. 1261. Guide groove; 13. Attachment cartridge sleeve; 131. Attachment cartridge sleeve cavity; 132. Attachment cartridge; 1321. Attachment staple; 133. Attachment staple pad groove; 1331. Attachment staple pad; 13311. Attachment staple pad insert; 1332. Attachment staple pad insert hole; 134. Blade clearance groove; 135. Attachment cartridge sleeve retainer; 14. Blade; 141. Blade retainer block; 2. Drive mechanism; 3. Blade anvil. Detailed Implementation

[0020] The specific embodiments of this utility model are described in detail below with reference to the accompanying drawings. However, the description of the embodiments is not a limitation on the technical solution. Any formal but not substantive changes made based on the concept of this utility model should be considered within the protection scope of this utility model.

[0021] In the following description, all directional or positional concepts involving up, down, left, right, front, and back are based on... Figure 1 The positions shown are for reference only and should not be construed as a particular limitation on the technical solutions provided by this utility model.

[0022] Please see Figure 1The diagram illustrates a cutting and stitching mechanism 1, which includes an outer housing 11, a movable cutting pusher sleeve 12 disposed within the outer housing 11, a staple cartridge sleeve 13 installed at the opening of the outer housing 11, and a pair of blades 14 respectively disposed between the outer housing 11 and the cutting pusher sleeve 12 and fixedly installed on the cutting pusher sleeve 12. The staple cartridge sleeve 13 has a staple cartridge cavity 131 in its middle, and two rows of staple cartridges 132 are arranged in an arc shape on both sides of the staple cartridge cavity 131. Each of the aforementioned staples 1321 is provided inside. The staple cartridge sleeve 13 has a staple pad groove 133 on its side away from the cutting and pushing staple sleeve 12 and located between the two rows of staple cartridges 132. A staple pad 133 is provided within each of the staple pad grooves 133. The staple cartridge sleeve 13 has a blade clearance groove 134 at a position corresponding to the blade 14. When the cutting and pushing staple sleeve 12 moves forward and pushes the staples 1321, the staples 1321 pass through the staple pads 1331, thus achieving suturing of the labia. The front end of the outer shell 11, the front end of the cutting and pushing staple sleeve 12, and the staple cartridge sleeve 13 have a generally elliptical cross-section.

[0023] The aforementioned cutting pusher sleeve 12 has a set of pusher teeth 124 arranged in an elliptical pattern on the end face facing the nail cartridge sleeve 13. The aforementioned cutting pusher sleeve 12 has a cutting groove 123 on the left and right outer surfaces and on the side close to the nail cartridge sleeve 13. The aforementioned blades 14 are inserted into the corresponding cutting grooves 123 from front to back. The pair of aforementioned blades 14 are arc-shaped relative to each other.

[0024] The aforementioned cutting pusher sleeve 12 has a cutting pusher sleeve cavity 122. A pair of blade fixing holes 125 communicating with the blade groove 123 are respectively opened on the left and right sides of the aforementioned cutting pusher sleeve cavity 122. The aforementioned blade 14 has a blade locking block 141 at the position corresponding to the blade fixing hole 125.

[0025] The aforementioned outer shell 11 contains an outer shell cavity 111. The shape of the aforementioned cutting pusher sleeve 12 matches the shape of the outer shell cavity 111 and can move back and forth within the outer shell cavity 111. The aforementioned outer shell 11 has staple cartridge sleeve slots 113 on its upper and lower sides near its opening end. The shape of the aforementioned staple cartridge sleeve 13 matches the shape of the opening end of the outer shell 11. The upper and lower sides of the aforementioned staple cartridge sleeve 13 are respectively provided with staple cartridge sleeve feet 135 for fitting into the corresponding staple cartridge sleeve slots 113. The number of the aforementioned staple cartridge sleeve slots 113 and staple cartridge sleeve feet 135 is not limited. In this embodiment, for example... Figure 1 As shown, there are two pairs, one at the top and one at the bottom.

[0026] The aforementioned suture staple 1321 has a structure resembling the character "[", and the aforementioned suture staple pad 1331 is a silicone pad.

[0027] A suture pad insertion hole 1332 is provided in the aforementioned suture pad groove 133 and at a position between two adjacent suture cartridges 132. The aforementioned suture pad 1331 forms a suture pad insertion foot 13311 at the position of the suture pad insertion hole 1332. The aforementioned suture pad insertion foot 13311 and the corresponding suture pad insertion hole 1332 are mutually fitted.

[0028] Please see Figure 2 and combined Figure 1 The aforementioned cutting and sewing mechanism 1 is fixedly mounted on a drive mechanism 2 via an outer protective shell 11. A cutting and sewing mechanism 1 has a cutting and sewing board 3 that passes through it and connects to the drive mechanism 2 at its front end. The outer protective shell 11 has an outer sheath connecting sleeve 112 at one end facing the drive mechanism 2. The outer sheath connecting sleeve 112 has an outer sheath connecting slot 1121. The outer sheath connecting sleeve 112 is sleeved on the drive mechanism 2 and fixed to it via the snap-fit ​​connection of the outer sheath connecting slot 1121. Installation: The aforementioned cutting pusher sleeve 12 has a cutting pusher sleeve connecting cylinder 121 at one end facing the drive mechanism 2. The cutting pusher sleeve connecting cylinder 121 has a pair of cutting pusher sleeve connecting feet 1211. The cutting pusher sleeve connecting cylinder 121 passes through the drive mechanism 2 and is snapped into the top body inside the drive mechanism 2. The cutting pusher sleeve 12 also has a knife anvil guide hole 126 at the position corresponding to the knife anvil 3. A set of guide grooves 1261 are spaced around the circumference of the hole wall in the knife anvil guide hole 126. In this embodiment, the aforementioned drive mechanism 2 and knife anvil 3 adopt the drive and knife anvil structure of "A Labia Suturing Cutter" provided by Chinese Invention Patent Publication No. CN111436989B, so it will not be described again here.

[0029] Please continue reading. Figure 1 , Figure 2When surgery is required, the labia are introduced into the position between the anvil plate 3 and the cutting and suturing mechanism 1 through the aforementioned anvil plate 3. The driving mechanism 2 is then operated to make the anvil plate 3 and the cutting and suturing mechanism 1 cooperate to clamp the labia. Then, the aforementioned driving mechanism 2 is operated to push the cutting pusher sleeve 12 forward. The aforementioned blade 14 passes through the corresponding blade relief groove 134 to cut the outer edge of the labia until it is completely against the anvil plate 3. At the same time, the aforementioned pusher teeth 124 extend into the staple cartridge 132 and push out the suture staples 1321 to suture the cut position of the labia. The aforementioned suture staples 1321 first pass through the suture staple pad 1331 and then through the labia. Finally, they are squeezed and bent on the anvil plate 3 and fixed at the wound. At this time, not only is the purpose of cutting and suturing completed simultaneously while the labia are everted, but also the method of the aforementioned suture staples 1321 passing through the suture staple pad 1331 before suturing effectively avoids the situation where the suture staples 1321 are embedded in the labia.

[0030] In summary, the technical solution provided by this utility model makes up for the shortcomings of the prior art, successfully completes the utility model task, and faithfully realizes the technical effects described by the applicant in the above-mentioned technical effects column.

Claims

1. A cutting and suturing mechanism for a labiaplasty stapler, characterized in that: The device includes a cutting and stitching mechanism (1), which comprises an outer shell (11), a movable cutting and suturing sleeve (12) disposed within the outer shell (11), a staple cartridge sleeve (13) installed at the opening of the outer shell (11), and a pair of blades (14) respectively disposed between the outer shell (11) and the cutting and suturing sleeve (12) and fixedly installed on the cutting and suturing sleeve (12). The staple cartridge sleeve (13) has a staple cartridge cavity (131) in the middle, and two rows of staple cartridges (132) are arranged in an arc shape around the staple cartridge cavity (131) on both sides of the staple cartridge sleeve (13). Each staple cartridge (132) is provided with a staple cartridge cavity (132) and a staple cartridge (132) respectively. A suture staple (1321) is provided. The staple cartridge sleeve (13) has a suture staple pad groove (133) on the side away from the cutting pusher sleeve (12) and at the position of the two rows of staple cartridges (132). A suture staple pad (1331) is provided in the suture staple pad groove (133). The staple cartridge sleeve (13) has a blade clearance groove (134) at the position corresponding to the blade (14). When the cutting pusher sleeve (12) moves forward and pushes the suture staple (1321) to move, the suture staple (1321) can suture the labia after passing through the suture staple pad (1331).

2. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: The front end of the outer shell (11), the front end of the cutting push pin sleeve (12), and the cross-section of the pin cartridge sleeve (13) are generally elliptical.

3. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: The cutting and sewing mechanism (1) is fixedly mounted on a driving mechanism (2) via an outer shell (11). A cutting and sewing mechanism (1) has a cutting board (3) at its front end that passes through and connects to the driving mechanism (2). The outer shell (11) has an outer sheath connecting sleeve (112) at one end facing the driving mechanism (2). The outer sheath connecting sleeve (112) has an outer sheath connecting slot (1121). The outer sheath connecting sleeve (112) is fitted onto the driving mechanism (2) and connected to the driving mechanism (2) via the snap-fit ​​of the outer sheath connecting slot (1121). The cutting pusher sleeve (12) has a cutting pusher sleeve connecting cylinder (121) at one end facing the driving mechanism (2). The cutting pusher sleeve connecting cylinder (121) has a pair of cutting pusher sleeve connecting feet (1211). The cutting pusher sleeve connecting cylinder (121) passes through the driving mechanism (2) and is snapped with the top body inside the driving mechanism (2). The cutting pusher sleeve (12) also has a knife anvil guide hole (126) at the position corresponding to the knife anvil (3). A set of guide grooves (1261) are spaced around the circumference of the hole wall in the knife anvil guide hole (126).

4. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: The cutting pusher sleeve (12) has a set of pusher teeth (124) arranged in an elliptical pattern on the end face facing the nail cartridge sleeve (13). The cutting pusher sleeve (12) has a cutting groove (123) on the left and right outer surfaces and on the side close to the nail cartridge sleeve (13). The blades (14) are inserted into the corresponding cutting grooves (123) from front to back. The pair of blades (14) are arc-shaped with each other.

5. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: The cutting pusher sleeve (12) has a cutting pusher sleeve cavity (122) inside. A pair of blade fixing holes (125) communicating with the blade groove (123) are respectively opened on the left and right sides of the cutting pusher sleeve cavity (122). The blade (14) has a blade locking block (141) at the position corresponding to the blade fixing hole (125).

6. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: The outer shell (11) has an outer shell cavity (111) inside. The shape of the cutting pusher sleeve (12) matches the shape of the outer shell cavity (111) and can move back and forth in the outer shell cavity (111). The outer shell (11) has a staple cartridge sleeve slot (113) on the end near its opening and on the upper and lower sides. The shape of the staple cartridge sleeve (13) matches the shape of the opening end of the outer shell (11). The upper and lower sides of the staple cartridge sleeve (13) are respectively provided with staple cartridge sleeve feet (135) for fitting into the corresponding staple cartridge sleeve slot (113).

7. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: The suture staple (1321) has a structure resembling the character "[".

8. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: The suture pad (1331) is a silicone pad.

9. The cutting and suturing mechanism of the labiaplasty stapler according to claim 1, characterized in that: A suture pad insertion hole (1332) is provided in the suture pad groove (133) and located between two adjacent suture cartridges (132). The suture pad (1331) forms a suture pad insertion foot (13311) at the position of the suture pad insertion hole (1332). The suture pad insertion foot (13311) and the corresponding suture pad insertion hole (1332) are mutually fitted.