JP4081379B2 - Medical gantry device - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention holds a medical device for performing various diagnostic treatments, and also drives and controls the medical device, a light source device, a monitor device for displaying diagnostic treatment information, a recording device for recording diagnostic treatment information, and an auxiliary device The present invention relates to a medical gantry device having a plurality of shelves on which various medical devices such as treatment devices are placed.
[0002]
[Prior art]
Conventionally, an endoscope apparatus, an ultrasonic diagnostic apparatus, and the like are used for diagnosis and treatment of an affected area in the medical field.
[0003]
Furthermore, the endoscopic device has built a solid-state image sensor at the distal end of the insertion portion to be inserted into the body cavity by developing a solid-state image sensor having a high pixel count, and based on the captured image generated by the solid-state image sensor. Electronic endoscope devices that perform diagnosis and treatment of affected areas in body cavities have become mainstream.
[0004]
The electronic endoscope apparatus includes an endoscope in which a solid-state image sensor is incorporated at the distal end of the insertion portion described above, and controls the drive of the solid-state image sensor, and performs predetermined signal processing on the imaged image signal generated and generated. A video processor that is an endoscope drive control device that generates a video signal, a light source device that generates illumination light to be projected from the distal end of the endoscope insertion portion to an observation site and supplies the illumination light to the endoscope, and is generated by the video processor The affected area is treated via a monitor that displays captured video based on the television video signal, a recording device that records the television video signal generated by the video processor, and a treatment instrument channel provided in the endoscope apparatus. It is comprised from the treatment tool control apparatus etc. which drive-control a treatment tool.
[0005]
This electronic endoscope apparatus is housed in a gantry having a multi-stage shelf on which an endoscope hanger that holds an endoscope, the video processor, a light source device, a monitor, a treatment instrument control device, and the like are placed. It is placed, and a caster is provided on this gantry, so that the place for diagnosis and treatment can be moved freely.
[0006]
Further, the electronic endoscope apparatus includes subject information (hereinafter referred to as patient information) such as a patient's name, age, sex, and date of diagnosis, which is a subject to be diagnosed and treated, the video processor, and the like. An input keyboard for inputting setting information and the like of various devices is provided, and patient information input from the input keyboard is displayed on the monitor and is imaged and generated by the endoscope on the recording device. It is recorded along with the TV video signal.
[0007]
The input keyboard and monitor are located at a position where the endoscope operator can easily operate the input keyboard according to the standing operation or sitting operation, and the screen displayed on the monitor is easy to see. Medical gantry devices that can move the monitor up and down have been proposed (see, for example, Patent Documents 1 to 3).
[0008]
[Patent Document 1]
Japanese Utility Model Publication No. 4-108501.
[0009]
[Patent Document 2]
Utility model registration number 25551398 gazette.
[0010]
[Patent Document 3]
JP-A-6-125900.
[0011]
[Problems to be solved by the invention]
The gantry proposed in Patent Documents 1 to 3 can move a keyboard and a monitor device placed and provided on the gantry in the vertical direction according to the operation posture of the endoscope operator.
[0012]
However, the input keyboard is used when inputting patient information prior to endoscopic diagnosis and treatment, and it is hoped that the input keyboard can be stored in a position that does not hinder endoscopic operation after the patient information is input. It is rare.
[0013]
For this reason, an input keyboard can be placed on the lower surface side of a shelf board with a plurality of shelf boards on which various medical devices constituting the electronic endoscope apparatus are placed, and the input keyboard can be pulled out and stored from the lower surface of the shelf board. The medical gantry device is also used.
[0014]
The patient information input keyboard provided on the gantry is stored and arranged on the lower surface side of the shelf with the gantry, and when inputting patient information, the input keyboard stored and arranged on the lower surface side of the gantry shelf is used. It can be pulled out in only one direction, which is the front direction of the gantry.
[0015]
On the other hand, the size and shape of the endoscopic diagnostic room for diagnosis and treatment with an electronic endoscope device and the installation positional relationship between the patient bed and the electronic endoscope device are diverse, and the input keyboard can be pulled out only in one direction. If not, move the pedestal of the electronic endoscope device from the endoscope diagnosis location, input patient information using the input keyboard, re-install at the predetermined diagnosis location, or unnatural Patient information may be input by posture.
[0016]
For this purpose, there is also provided a gantry in which the input keyboard can be pulled out and stored in two directions, the front direction of the gantry and one side direction, and the size and shape of the endoscope diagnosis room, and the patient couch In some cases, it is difficult to input patient information even if the input keyboard is pulled out in either of the two directions, depending on the installation positional relationship between the electronic endoscope apparatus and the electronic endoscope apparatus.
[0017]
In addition, when moving the platform with the electronic endoscope device to a room other than the endoscopic diagnosis room for endoscopic diagnosis, the patient information is input because the installation location of the platform is limited. In many cases, it is difficult to input even when the input keyboard is pulled out in two directions.
[0018]
The present invention has been made in view of the above circumstances. When inputting patient information, the input keyboard can be pulled out in an arbitrary direction with respect to the gantry. An object of the present invention is to provide a medical gantry device that is housed inside and does not interfere with endoscopic diagnosis and treatment.
[0019]
[Means for Solving the Problems]
The medical gantry device of the present invention is a gantry for holding and mounting various medical devices, and a tray for mounting an input device for inputting various information for diagnosis and treatment. Input device holding means configured to be movable in and out of the placement area in a horizontal direction, wherein the input device holding means has a first fixed end fixed to the tray. A hook, a second fixed hook whose one end is fixed to the gantry means, an end of each of the other end of the first fixed hook and the other end of the second fixed hook are horizontally rotatable. And a positioning stopper that regulates a range of relative rotation between the first fixing rod and the second fixing rod and the rotating rod, When the tray is pulled out of the placement area, the positioning slide is In a state where the relative rotation between the second fixed rod and the rotating rod is restricted by the hopper and the tray is stored in the placement area, the first fixed rod is caused by the positioning stopper. The relative rotation between the second fixed rod and the rotating rod is restricted .
[0024]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. FIG. 1 is a perspective view illustrating an overall configuration of an embodiment of a medical gantry device according to the present invention, and FIG. 2 is a perspective view illustrating a drawing position of an input terminal tray of the medical gantry device according to an embodiment of the present invention. FIG. 3 is a perspective view for explaining a drawer storage function of the input terminal tray of one embodiment of the medical gantry device according to the present invention. FIG. 4 is a diagram of the input terminal tray of one embodiment of the medical gantry device according to the present invention. It is a top view explaining drawer storing operation.
[0025]
First, the overall configuration of the medical gantry device according to the present invention will be described with reference to FIG. The gantry 11 has an upper shelf 13 attached to the upper ends of two struts 12a, 12b having a substantially L-shaped cross section, and a bottom shelf 14 attached to the lower ends thereof. Two sides on the rear surface side of the top shelf board 13 and the bottom shelf board 14 are attached and fixed at the L-shaped portions of the columns 12a and 12b, respectively. That is, the front side of the top shelf board 13 and the bottom shelf board 14 can store and place articles without any support in the front and side portions of about 2/3.
[0026]
In addition, casters 24a to 24d are provided at four corners on the bottom surface of the bottom shelf board 14, and the gantry 11 is movable.
[0027]
Further, grips 22 a and 22 b are provided at two corners on the front surface of the upper surface shelf 13. That is, the grips 22a and 22b are gripped, and the gantry 11 can be moved by the casters 24a to 24d.
[0028]
Further, a cylindrical portion to which the monitor support 18 and the endoscope hanger support 21 can be attached is integrally formed at the corner portion of the substantially L shape at the upper end of the support 12a, 12b.
[0029]
A monitor table 19 is provided on the monitor column 18, and a monitor 20 is placed on the monitor table 19.
[0030]
The endoscope hanger support column 21 is provided with an endoscope hanger 25, and an endoscope (not shown) is held on the endoscope hanger 25.
[0031]
Further, connector holders 23a and 23b are provided on one side surface of the top shelf 13 to which the cable connector of the endoscope held on the endoscope hanger 25 is attached and held.
[0032]
Between the top shelf 13 and the bottom shelf 14, a first intermediate shelf 15 and a second intermediate shelf 16 are attached and fixed to the columns 12a and 12b, respectively. The first and second intermediate shelf plates 15 and 16 can be mounted and fixed at arbitrary positions on the support columns 12a and 12b. That is, the mounting and fixing positions on the support columns 12a and 12b can be changed according to the height of the devices placed on the first and second intermediate shelf plates 15 and 16.
[0033]
On the top shelf 13, diagnostic auxiliary members such as various medicines and gauze used for endoscopic diagnosis are placed.
[0034]
The first intermediate shelf 15 drives a light source device 61 that generates and supplies illumination light to a light guide fiber provided in an endoscope (not shown), and a solid-state imaging device built in the endoscope A video processor 62 is mounted that controls and captures an image signal generated and generated by a solid-state image sensor, performs predetermined signal processing, and generates and processes a television video signal to be displayed on the monitor 20.
[0035]
The second intermediate shelf plate 16 is driven and controlled by the various treatment tools inserted into the treatment tool insertion channel provided in the endoscope during sample collection and treatment of the affected part in the body cavity. A treatment instrument drive control device 63 to be operated is placed.
[0036]
In addition, a recording device 64 such as a video cassette recorder for recording a TV video signal generated by the video processor 62 mounted on the first intermediate shelf 15 is mounted on the bottom shelf 14. .
[0037]
An input terminal tray 17 is disposed above the first intermediate shelf 15 and in the vicinity of the lower surface side of the upper surface shelf 13. The input terminal tray 17 is provided with a keyboard or a touch panel for inputting patient information for performing endoscopic diagnosis treatment and setting information of various devices such as the video processor 62 mounted on the gantry 11. ing.
[0038]
The input terminal tray 17 can be stored on the lower surface side of the placement area of the upper surface shelf 13 and can be pulled out to any position on the outer periphery of the placement area of the upper surface shelf 13 as necessary. It has become.
[0039]
That is, as shown by the solid line in FIG. 2, the input terminal tray 17 can be pulled out and stored in the front direction of the top shelf 13, and the top shelf as in the input terminal tray 17 'shown by the dotted line in the figure. 13 can be pulled out and stored in the left and right side directions, and further rotated in the left and right side directions after being pulled out in the front direction and from the left and right side directions to the front direction.
[0040]
Thereby, when inputting patient information, the input terminal tray 17 accommodated in the lower surface side of the upper surface shelf 13 is pulled out in an arbitrary direction, and the keyboard provided in the input terminal tray 17 or Patient information and the like are input using a touch panel, and when the input is completed, the input terminal tray 17 is stored on the lower surface side of the upper surface end plate 13.
[0041]
Next, a drive mechanism that enables the input terminal tray 17 to be stored and pulled out to an arbitrary position will be described with reference to FIG.
[0042]
The input terminal tray 17 has a substantially rectangular shape, and side walls 18a to 18d (however, the side walls 18d are not shown in the figure) are provided at the front and rear ends and the left and right ends, respectively. That is, the input terminal tray 17 is formed in the shape of a substantially rectangular tray, and the input device 50 such as a keyboard or a touch panel is placed thereon.
[0043]
A handle 17a is installed in the central portion of the side wall 18a on the front side of the input terminal tray 17, and a rotating hook fixing piece 31 is formed in the central portion of the side wall 18c on the back side.
[0044]
One end 32a of the first fixing rod 32 is attached and fixed to the rotating rod fixing piece 31 with screws 35a and 35b.
[0045]
The first fixing rod 32 is formed in a long shape having a substantially U-shaped cross section. The other end 32b of the first fixed rod 32 is pivotally fixed to the one end 33a of the rotating rod 33 by a rotating shaft 37 and a sliding spacer 37a.
[0046]
As with the first fixed rod 32, the rotary rod 33 is formed in a long shape with a substantially U-shaped cross section. The other end 33b of the rotating rod 33 is pivotally fixed to the one end 34a of the second fixed rod 34 by a rotating shaft 39 and a sliding spacer 39a.
[0047]
Similar to the first fixed rod 32 and the rotating rod 33, the second fixed rod 34 is formed in an elongated shape having a substantially U-shaped cross section. The other end 34b of the second fixing rod 34 is fixedly attached to the column 12a with screws 45a and 45b (the screw 45a is not shown in the figure).
[0048]
In other words, the pivot rod 33 can pivot about the rotation shaft 37 with respect to the first fixed rod 32, and the pivot rod 33 can rotate with respect to the second fixed rod 34. It can be rotated around the center.
[0049]
A first stopper 40 is formed at one end 33 a of the rotating rod 33. The first stopper 40 restricts and stops the rotational positional relationship between the first fixed rod 32 and the rotary rod 33 when the first fixed rod 32 is rotated in the direction indicated by the arrow A in the drawing. It is provided as follows.
[0050]
In addition, a second stopper 41 is provided in the vicinity of the rotation shaft 39 of the other end 33 b of the rotating rod 33. The second stopper 41 has a round bar shape, and when the rotating rod 33 is rotated toward the second fixed rod 34 as indicated by an arrow C in the drawing, the rotating rod 33 is moved to the second fixed rod 34. Is provided so as to restrict and stop the rotational positional relationship.
[0051]
Further, a third stopper 43 is provided at the tip of the one end 34a of the second fixed rod 34 where the rotary shaft 39 is provided. When the third stopper 43 is rotated in a direction away from the second fixed rod 34 as indicated by an arrow C in the figure, the third stopper 43 is connected to the second fixed rod 34. It is provided so that the rotational position relationship is regulated and stopped.
[0052]
That is, the first fixed rod 32 fixed to the input terminal tray 17 can be rotated around the rotation shaft 37 in the directions indicated by the arrows A and B in the figure, and the rotation rod 33 is rotated to the rotation shaft 39. Can be rotated in the direction indicated by the arrow C in the figure.
[0053]
The first fixing rod 32, the rotating rod 33, and the second fixing rod 34 are formed in a U-shaped long shape, so that the input terminal tray 17 can be loaded in the vertical direction. No rocking occurs.
[0054]
Further, the opening 36 of the first fixing rod 32, the opening 38 of the rotating rod 33, and the opening 42 of the second fixing rod 34 formed in the U-shape are assembled in the same direction. In these openings 36, 38, 42, a signal cable 51 for signal input / output extended from the input device 50 placed on the input terminal tray 17 is accommodated. .
[0055]
For this reason, the fixed piece 31 attached and fixed to the input terminal tray 17 is provided with a signal cable insertion port 31a, and further, the first fixed rod 32, the rotating rod 33, and the second By fitting the cover 46 after the signal cable 51 is housed and arranged in the openings 36, 38, 42 of the fixed rod 34, exposure and protrusion from the openings 36, 38, 42 can be prevented. In FIG. 3, only the cover 46 to the opening 42 of the second fixing rod 34 is shown from the relationship in the figure.
[0056]
Next, the input terminal tray 17 attached and fixed to the column 12a of the gantry 11 by the first fixing rod 32, the rotating rod 33, and the second fixing rod 34 in the vicinity of the lower side of the top shelf 13 is shown. The drawer storing operation will be described with reference to FIG.
[0057]
When the input terminal tray 17 is pushed from the front surface of the gantry 11 to the rear surface side, the first fixed rod 32 attached and fixed to the input terminal tray 17 is also pushed to the rear surface side, and the movable rod 33 is rotated by the rotary shafts 37 and 39. It rotates counterclockwise in the figure around the center. By pushing the input terminal tray 17 toward the rear surface side, the first fixed rod 32 comes into contact with the first stopper 40 provided on the rotary rod 33, and the first fixed rod 32, the rotary rod 33, Is stopped. Further, the counterclockwise rotation of the rotating rod 33 is restricted and stopped when the second stopper 41 provided on the rotating rod 33 comes into contact with the second fixed rod 34.
[0058]
That is, as indicated by the solid line in the drawing, the input terminal tray 17 is mounted on the first fixing rod 32 and the rotation rod 33 until the rotation is stopped by the first stopper 40 and the second stopper 41. When the input terminal tray 17 is pushed from the front surface to the rear surface side, the input terminal tray 17 is accommodated in the placement region of the upper surface shelf 13 of the mount 11.
[0059]
When the input terminal tray 17 is pulled out from the storage state of the input terminal tray 17 in the front direction of the gantry 11, the rotating rod 33 rotates around the rotating shafts 37 and 39 in the clockwise direction in the figure. The input terminal tray 17 is pulled out in the front direction, and the rotating rod 33 contacts the third stopper 43 provided on the second fixed rod 34 and rotates at the position of the rotating rod 33 ′ shown by the dotted line in the figure. The restriction is stopped, the drawing restriction is stopped at the position of the first fixing rod 32 ′, and the input terminal tray 17X indicated by the dotted line in the drawing is stopped.
[0060]
That is, when the input terminal tray 17 is moved in the direction of the arrow X in the figure, it is possible to put in and out between the input terminal tray 17 indicated by a solid line and the input terminal tray 17X indicated by a dotted line.
[0061]
Next, when the input terminal tray 17 indicated by the solid line in the drawing is rotated in the left direction in the drawing, the first fixed rod 32 and the rotating rod 33 are rotated around the rotation shafts 37 and 39. The pivot rod 33 is brought into contact with a third stopper 43 provided on the second fixed rod 34, and the pivot regulation is stopped at the position of the pivot rod 33 ′ indicated by the dotted line in the drawing, and the first The fixed rod 32 is turned and stopped at the position of the first stopper 40 'of the turning rod 33', and is stopped at the position of the input terminal tray 17Y indicated by the dotted line in the drawing.
[0062]
That is, when the input terminal tray 17 is moved in the direction of the arrow Y in the figure, it is possible to put in and out between the input terminal tray 17 indicated by a solid line and the input terminal tray 17Y indicated by a dotted line.
[0063]
Further, when the input terminal tray 17 indicated by the solid line in the figure is rotated in the right direction in the figure, the first fixed rod 32 and the rotary rod 33 are rotated around the rotation shafts 37 and 39, and The pivot rod 33 is brought into contact with a third stopper 43 provided on the second fixed rod 34, and the pivot regulation is stopped at the position of the pivot rod 33 ′ indicated by the dotted line in the drawing, and the first rod The fixed rod 32 is rotated to the position of the first fixed rod 32 ″ indicated by the dotted line in the drawing, and can be pulled out to the position of the input terminal tray 17Z indicated by the dotted line in the drawing.
[0064]
That is, when the input terminal tray 17 is moved in the direction of the arrow Z in the drawing, it is possible to put in and out between the input terminal tray 17 indicated by a solid line and the input terminal tray 17Z indicated by a dotted line.
[0065]
That is, the input terminal trays 17X and 17Y indicated by dotted lines outside the placement area of the top shelf 13 of the gantry 11 from the position of the input terminal tray 17 indicated by the solid line located within the placement area of the top shelf 13 , 17Z, etc., and can also be rotated between the input terminal trays 17X, 17Y, 17Z. Patient information can be input using the provided input device 50, and can be stored in the placement area of the top shelf 13 after the patient information is input.
[0066]
Further, the first fixing rod 32, the rotating rod 33, and the second fixing rod 34 are formed in a U-shaped cross section, so that patient information and the like by the input device 50 provided in the input terminal tray 17 can be obtained. The input terminal tray 17 can be stably input without bending with respect to the weight applied during input.
[0067]
The first stopper 40 provided on the rotating rod 33 is in contact with the first fixed rod 32 and the third stopper 43 provided on the second fixed rod 34 is rotated. An elastic member is provided on the contact side of the flange 33, and the first fixed rod 32 and the rotating rod 33 are elastically restricted and stopped.
[0068]
Furthermore, although it has been described that the input device 50 such as a keyboard or a touch panel is placed on the input terminal tray 17, the input device 50 such as a keyboard or a touch panel may be directly attached and fixed to the first fixing rod 32. .
[0069]
In addition, when an endoscope (not shown) is held on the endoscope hanger 25 of the gantry 11, universal cable ends such as various signal cables and light guide fibers extended from the operation unit of the endoscope. The connectors connected to the light source device 61 and the video processor 62 are held by connector holders 23a and 23b provided on the top shelf 13 of the gantry 11, and the endoscope insertion portion is also connected to this connector. It hangs down and is held on the side where the holders 23a and 23b are provided.
[0070]
For this reason, when the endoscope is held on the endoscope hanger 25 of the gantry 11, the input terminal tray 17 is not pulled out to the side of the top shelf 13 where the connector holders 23a and 23b are provided. Need to be restricted.
[0071]
Therefore, when a universal cable connector (not shown) is attached and held in the connector holders 23a and 23b, a fourth stopper (not shown) is provided from the lower surface of the upper shelf 13 in conjunction with the attachment and holding of the connector. You may make it project and restrict | draw out the input terminal tray 17 to the input terminal tray 17Z direction shown with the dotted line in the figure.
[0072]
[Appendix]
According to the embodiment of the present invention described in detail above, the following configuration can be obtained.
[0073]
(Supplementary note 1) Mounting means for holding and mounting various medical devices;
An input device holding means for placing an input device that can be installed in any direction with respect to the gantry means and that inputs various information for diagnosis and treatment;
A medical gantry device characterized by comprising:
[0074]
(Supplementary note 2) The medical gantry device according to supplementary note 1, wherein the input device holding means can be stored in a placement area of various medical devices placed on the gantry means.
[0075]
(Supplementary Note 3) The input device holding means includes a first fixed rod having various information input portions at one end, a second fixed rod having one end fixed to the gantry means, and the first fixed rod. The medical gantry device according to appendix 1, characterized in that it comprises a pivot rod whose end is pivotally supported on each of the end and the other end of the second fixed rod.
[0076]
(Supplementary note 4) The medical gantry device according to supplementary note 3, wherein the second fixed rod and the rotary rod of the input device holding means have a positioning stopper for positioning and regulating the various information input portions.
[0077]
(Supplementary Note 5) The first fixed rod, the rotary rod, and the second fixed rod of the input device holding means are formed in an elongated body shape having a substantially U-shaped cross section, and the U-shaped cross section. 4. The medical gantry device according to appendix 3, wherein a cable for signals from various information input units is incorporated in the interior of the medical device.
[0078]
(Additional remark 6) The said information input part consists of a keyboard or a touch panel etc., and can input the various information for identifying a subject, and the setting information of various apparatuses, such as a video processor mounted in a mount, It is characterized by the above-mentioned. The medical gantry device according to any one of Supplementary notes 3 and 5.
[0079]
【The invention's effect】
The medical gantry device of the present invention, when inputting various information operated prior to the medical diagnostic treatment action, according to the shape and size of the diagnostic treatment room, and the positional relationship between the medical gantry and the subject bed, The input means can be pulled out and installed at the position where the input operation of various information is most easily performed. After inputting various information, the input means can be stored inside the medical stand, so that the input means does not interfere with the diagnostic treatment action. It has the effect of improving the efficiency of various information input and diagnostic treatment.
[Brief description of the drawings]
FIG. 1 is a perspective view showing an overall configuration of an embodiment of a medical gantry device according to the present invention.
FIG. 2 is a perspective view illustrating a drawing position of the input terminal tray of the medical gantry device according to the embodiment of the present invention.
FIG. 3 is a perspective view for explaining a drawer storage function of an input terminal tray of an embodiment of a medical gantry device according to the present invention.
FIG. 4 is a plan view for explaining a drawer storage operation of the input terminal tray of the medical gantry device according to the embodiment of the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 11 ... Base 12 ... Support | pillar 13 ... Top shelf 17 ... Input terminal tray 31 ... Fixed piece 32 ... 1st fixing rod 33 ... Turning rod 34 ... 2nd fixing rod 37, 39 ... Rotating shaft 40 ... 1st Stopper 41 ... second stopper 43 ... third stopper

Claims (1)

A frame means for holding mounting the various medical devices, diagnosis tray for placing an input device for inputting various information to the cross-sectional treating horizontally in and out of the mounting area of various medical devices to be placed on the platform means and is movable in the input-device holding means, a to that physician Ryoyo gantry device comprises a,
The input device holding means is
A first fixing rod having one end fixed to the tray;
A second fixing rod having one end fixed to the gantry means;
A rotating rod whose ends are pivotally supported in the horizontal direction at the other end of the first fixed rod and the other end of the second fixed rod;
A positioning stopper that regulates a range of relative rotation between the first fixed rod and the second fixed rod and the rotating rod;
In the state where the tray is pulled out of the placement area, relative rotation between the second fixing rod and the rotating rod is restricted by the positioning stopper,
In the state in which the tray is stored in the placement area, the positioning stopper restricts relative rotation of the first fixed rod, the second fixed rod, and the rotating rod. Medical gantry device characterized by.

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