CN110477892A - A kind of disposable simple central vein manograph for cardiac operation - Google Patents

A kind of disposable simple central vein manograph for cardiac operation Download PDF

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Publication number
CN110477892A
CN110477892A CN201910844552.3A CN201910844552A CN110477892A CN 110477892 A CN110477892 A CN 110477892A CN 201910844552 A CN201910844552 A CN 201910844552A CN 110477892 A CN110477892 A CN 110477892A
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CN
China
Prior art keywords
sleeve
guide
manograph
central vein
valve body
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Pending
Application number
CN201910844552.3A
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Chinese (zh)
Inventor
索莉娜
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Henan Provincial Peoples Hospital
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Henan Provincial Peoples Hospital
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Priority to CN201910844552.3A priority Critical patent/CN110477892A/en
Publication of CN110477892A publication Critical patent/CN110477892A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/02141Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/0215Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02152Measuring pressure in heart or blood vessels by means inserted into the body specially adapted for venous pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/0215Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02156Calibration means

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Vascular Medicine (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

The present invention relates to the field of medical instrument technology, specifically disclose a kind of disposable simple central vein manograph for cardiac operation, including fixed frame, valve body set by among the support frame and support frame that fixed frame upper end is fixedly connected, the upper end of the fixed frame is equipped with the guide sleeve of c-type sleeve-like structure, and the fixing sleeve of c-type sleeve-like structure is equipped in the lower end of guide sleeve, the lower end of support frame as described above is equipped with the bottom plate being fixedly linked with guide sleeve, two side plates are symmetrically arranged at left and right sides of the bottom plate upper surface, the lower end of the valve body is equipped with the three-way body of blocky three-port structure;Make valve body and pressure-measuring pipe that can remain vertical state by the cooperation of support frame and valve body, therefore improves the accuracy of liquid level readings;The wheel disc of guide sleeve and fixing sleeve side, the relative altitude distance of fine-tuning guide sleeve and fixing sleeve are adjusted by rotation, therefore the quick adjusting of " 0 " position may be implemented on pressure-measuring pipe.

Description

A kind of disposable simple central vein manograph for cardiac operation
Technical field
The present invention relates to the field of medical instrument technology, specially a kind of disposable simple center for cardiac operation Vein manograph.
Background technique
When urgent patient needs to carry out infusion treatment during surgery to sufferer in carrying out cardiac operation, and use Central venous catherization is a kind of directly effective mode being directly administered in openheart surgery to sufferer body, and central vein is surveyed Pressure is then to have one to understand in detail for the heart correlation function preferably to sufferer, is detected when surveying and press by central vein Whether normal value can reflect out heart to the ability that pumps out of blood back amount, and prompt venous return sufficient;When measuring center When vein pressure is excessively high, can there is that fluid infusion is excessive or too fast, has heart failure, vessel retraction, pericardial tamponade, acute or chronic pulmonary artery Hypertension, mechanical ventilation and high non-positive pressure equally likely possibility of exhaling;When measure center pulse pressure it is too low when, can exist hypovolemia, Blood vessel dilatation, the not normal equally likely possibility of vascular function, therefore there is more important meaning in clinic.
In the prior art, it generally being measured using pressure-measuring pipe when central vein surveys pressure, this measurement method is relatively simple, But it has the following deficiencies place in actual use:
1. because of the reason of installation and execute-in-place, pressure-measuring pipe meeting run-off the straight or beat phenomenon, therefore will lead to the reading of measurement Number is inaccurate, reduces the accuracy of measurement;
2. measurement pipe, during installation, zero-bit is required with the right atrium of patient in same level height, because of sufferer The placement reason in the orientation or bed body that lie down, will appear certain height tolerance after installation, and this height tolerance passes through repetition Installation, which is adjusted, is unable to reach satisfied effect;
3. the upper end of measurement pipe is directly contacted with outside air, lack effective preventive means, improves what sufferer was infected Probability.
Summary of the invention
The purpose of the present invention is to provide a kind of disposable simple central vein manograph for cardiac operation, with Solve the problems mentioned above in the background art.
To achieve the above object, the invention provides the following technical scheme: a kind of disposable letter for cardiac operation Valve body set by easy central vein manograph, the support frame being fixedly connected including fixed frame, fixed frame upper end and support frame centre, The upper end of the fixed frame is equipped with the guide sleeve of c-type sleeve-like structure, and is equipped with the fixation of c-type sleeve-like structure in the lower end of guide sleeve Set, the lower end of support frame as described above are equipped with the bottom plate being fixedly linked with guide sleeve, and the left and right sides of the bottom plate upper surface is symmetrically set There are two side plates, and are fixedly installed with valve body in the centre of both side plate, and the lower end of the valve body is equipped with the three of blocky three-port structure Entire body, the upper end of the valve body are inserted with pressure-measuring pipe, and the centre of the pressure-measuring pipe is equipped with graded tube.
Preferably, the guide sleeve, which is worn with fixing sleeve by guide rod, links up, and the lower end of guide rod and fixing sleeve Upper end bolt is fixed, and the centre of the guide rod is mutually worn with the wall body of guide sleeve matches.
Preferably, the lower end of the guide sleeve is socketed with the adjusting screw rod with fixing sleeve bolt by axle sleeve, and is adjusting The end of section screw rod is fixedly connected with wheel disc.
Preferably, the side of the side plate offers adjusting mouth, the upper end for adjusting mouth and on the inner wall of side plate Guide post there are two being symmetrically fixedly connected, and the starting taper of cone structure is equipped in the end of guide post.
Preferably, it is fixedly connected with feed liquor pipe connector at the port on the left of the three-way body, and on the right side of three-way body It is fixedly connected with outlet tube connector at port, measurement pipe connector, institute are fixedly connected at the port of the three-way body upper end The side for stating three-way body is fixedly installed with adjusting knob.
Preferably, the bottom surface of the three-way body is fixedly connected with the plummet block of inverted cone-shaped structure, the three-way body upper end The left and right sides is symmetrically arranged with two guide holders.
Preferably, the centre of the guide holder lateral surface is equipped with the guide groove of conical surface trough body structure, and guide groove and starting taper It plugs.
Preferably, the altitude scale that two rows of symmetric arrays are axially laid in the outer circle of the graded tube marks, and Altitude scale label side and in the outer circle of graded tube be equipped in upper, middle and lower arrangement high-low pressure label.
Preferably, the top of the graded tube is equipped with the end tank of trough body structure, and the intermediate of the end tank is fixedly mounted There is filter cotton, the upper end button of the end tank is equipped with pressing sleeve.
Compared with prior art, the beneficial effects of the present invention are: structure of the invention setting rationally, functional, have with Lower advantage:
1. making valve body and pressure-measuring pipe that can remain vertical state by the cooperation of support frame and valve body, therefore improve liquid level readings Accuracy;
2. adjust the wheel disc of guide sleeve and fixing sleeve side by rotation, the relative altitude of fine-tuning guide sleeve and fixing sleeve away from From, therefore the quick adjusting of " 0 " position is may be implemented on pressure-measuring pipe;
3. making to enter the air in graded tube by filter cotton obtains disinfection filtering, therefore reduces sufferer and infected by the external world Probability.
Detailed description of the invention
Fig. 1 is structure of the invention axis side view;
Fig. 2 is structure of the invention main view;
Fig. 3 is structure of the invention right view;
Fig. 4 is the schematic diagram of the section structure at A-A in Fig. 3;
Fig. 5 is partial structurtes enlarged diagram at B in Fig. 4;
Fig. 6 is partial structurtes enlarged diagram at C in Fig. 4.
In figure: 1, fixed frame;2, support frame;3, valve body;4, pressure-measuring pipe;101, guide sleeve;102, fixing sleeve;103, it is oriented to Bar;104, adjusting screw rod;105, wheel disc;201, bottom plate;202, side plate;203, mouth is adjusted;204, guide post;205, starting taper;301, Three-way body;302, feed liquor pipe connector;303, outlet tube connector;304, pipe connector is measured;305, guide holder;306, it is oriented to Slot;307, adjusting knob;308, plummet block;401, graded tube;402, altitude scale marks;403, high-low pressure marks;404, it holds Head slot;405, filter cotton;406, pressing sleeve.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other Embodiment shall fall within the protection scope of the present invention.
Fig. 1 to Fig. 6 is please referred to, the present invention provides a kind of technical solution: a kind of disposable letter for cardiac operation Set by among easy central vein manograph, the support frame 2 being fixedly connected including fixed frame 1,1 upper end of fixed frame and support frame 2 Valve body 3, the upper end of fixed frame 1 is equipped with the guide sleeve 101 of c-type sleeve-like structure, and is equipped with c-type shell-like in the lower end of guide sleeve 101 The fixing sleeve 102 of structure, the lower end of support frame 2 are equipped with the bottom plate 201 being fixedly linked with guide sleeve 101,201 upper surface of bottom plate The left and right sides is symmetrically arranged with two side plates 202, and is fixedly installed with valve body 3 in the centre of both side plate 202, and the lower end of valve body 3 is set There is the three-way body 301 of blocky three-port structure, the upper end of valve body 3 is inserted with pressure-measuring pipe 4, and the centre of pressure-measuring pipe 4 is equipped with graded tube 401。
In Fig. 4: guide sleeve 101 and fixing sleeve 102 are worn by guide rod 103 and are linked up, and the lower end of guide rod 103 with The upper end bolt of fixing sleeve 102 is fixed, and the centre of guide rod 103 and the wall body of guide sleeve 101 are mutually worn and matched, and this structure makes Guide sleeve 101 and fixing sleeve 102 can be along the opposite slidings of guiding of guide rod 103.
In Fig. 4: the lower end of guide sleeve 101 is socketed with the adjusting screw rod 104 with 102 bolt of fixing sleeve by axle sleeve, And wheel disc 105 is fixedly connected in the end of adjusting screw rod 104, when rotation roulette 105, can drive adjusting screw rod 104 and fixing sleeve 102 are spirally connected transmission, and then make fixing sleeve 102 and guide sleeve 101 along the opposite sliding of the guiding of guide rod 103, therefore can pass through The relative position height of rotation roulette 105 fine tuning guide sleeve 101 and fixing sleeve 102.
In Fig. 6: the side of side plate 202, which offers, adjusts mouth 203, through the adjusting conveniently adjusted three-way body 301 of mouth 203 The adjusting knob 307 of side adjusts the upper end of mouth 203 and there are two being symmetrically fixedly connected on the inner wall of side plate 202 Guide post 204, two guide posts 204 are kept coaxially herein, and are equipped with the starting taper 205 of cone structure, starting taper 205 in the end of guide post 204 Tip be spherical structure, this structure can reduce the friction between starting taper 205 and guide groove 306, and then make starting taper 205 Tip is able to maintain a good rotation with the bottom of guide groove 306 and contacts.
In Fig. 1: being fixedly connected with feed liquor pipe connector 302 at the port in 301 left side of three-way body, and in three-way body 301 It is fixedly connected with outlet tube connector 303 at the port on right side, measurement pipe company is fixedly connected at the port of 301 upper end of three-way body Connector 304, the side of three-way body 301 are fixedly installed with adjusting knob 307, when in use, feed liquor pipe connector 302 and perfusion tube It is connected, outlet tube connector 303 is connected with ductus venosus, sets in the centre of adjusting knob 307 there are three vertical connection Hole changes position of the intercommunicating pore among three-way body 301 by rotation of adjustment knob 307, and then can realize: valve body 3 keeps whole Body is closed, and feed liquor pipe connector 302 is kept to be connected with measurement pipe connector 304, and feed liquor pipe connector 302 and outlet tube is kept to connect The functions such as connector 303 is connected, and holding measurement pipe connector 304 is connected with outlet tube connector 303.
In Fig. 2: the bottom surface of three-way body 301 is fixedly connected with the plummet block 308 of inverted cone-shaped structure, 301 upper end of three-way body The left and right sides be symmetrically arranged with two guide holders 305, wherein the main function of plummet block 308 is to maintain the lower end of entire valve body 3 For vertical hang, and the main function of guide holder 305 is then to provide for the support of the connection between valve body 3 and support frame 2 Effect.
In Fig. 6: the centre of 305 lateral surface of guide holder is equipped with the guide groove 306 of conical surface trough body structure, and guide groove 306 It is plugged with starting taper 205, the spherical surface groove body to match with the vertex of a cone of starting taper 205 is equipped in the slot bottom of guide groove 306, in the prior art In test during because installation or shake etc. reasons, will lead to entire manograph and beat state occur, at this time to survey The reading of pressure pipe 4 be it is inaccurate, in the present invention, matched by guide groove 306 and starting taper 205, while in plummet block 308 Under plummet effect, so that valve body 3 integrally can be remained a vertical state between support frame 2, therefore make the reading of pressure-measuring pipe The result of measurement can accurately be also read under beat state.
In Fig. 1: the altitude scale label 402 of two rows of symmetric arrays is axially laid in the outer circle of graded tube 401, and Altitude scale label 402 side and in the outer circle of graded tube 401 be equipped in upper, middle and lower arrangement high-low pressure label 403, red greenish-yellow tricolor marker is had on the label of high-low pressure label 403 herein, is respectively represented from high to low by its mark position High pressure, positive normal pressure and low pressure, wherein the effect of altitude scale label 402 is read in the outer circle in order to direct graded tube 401 The reading of liquid level is measured, and the effect of high-low pressure label 403 is directly to differentiate measurement result from reading is upper in order to more eye-catching Within the scope of which, and then it can quickly make anticipation and feedback.
In Fig. 5: the top of graded tube 401 is equipped with the end tank 404 of trough body structure, the intermediate fixed peace of end tank 404 Equipped with filter cotton 405, filter cotton 405 is chosen as nano silver filtering cotton herein, and the upper end button of end tank 404 is equipped with pressing sleeve 406, when Outside air can form filtrated air when entering in 401 cavity of graded tube by the filter sterilization of filter cotton 405, therefore reduce Entire manograph with extraneous infection probability.
Working principle: when installation, first by fixing sleeve 102 with 101 sets of guide sleeve be stuck on the transfusion pole of the head of a bed, pay attention in order to Opposite sliding between fixing sleeve 102 and transfusion pole is prevented, one layer of glue can be first wrapped up on the transfusion pole of 102 corresponding position of fixing sleeve Cloth, then rotation roulette 105 makes adjusting screw rod 104 and fixing sleeve 102 is spirally connected rotation, and then makes guide sleeve 101 along guide rod 103 Guiding finely tune upward or downward, pay attention to position height adjusted, make " 0 " of 401 outside height scale mark 402 of graded tube Sufferer atrium dextrum position keeps sustained height on scale mark and bed, then adjusts 307 valve body 3 of adjusting knob, respectively will Feed liquor pipe connector 302 is connected with perfusion tube, and outlet tube connector 303 is connected with ductus venosus, and first rotation adjusts rotation Perfusion tube is connected by button 307 with the pressure-measuring pipe 4 of measurement 304 upper end of pipe connector, and liquid level rises in graded tube 401, then Graded tube 401 is connected by rotation of adjustment knob 307 with ductus venosus, the decline of liquid level in graded tube 401, when liquid level no longer under It is read on the altitude scale label 402 in 401 outside of graded tube when drop, and reading value can directly be determined by liquid level In which interval range of high-low pressure label 403, after measurement, rotation of adjustment knob 307 is by perfusion tube and ductus venosus phase Connection, infusion pipeline carry out infusion work.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding And modification, the scope of the present invention is defined by the appended.

Claims (9)

1. a kind of disposable simple central vein manograph for cardiac operation, including fixed frame (1), fixed frame (1) The support frame (2) that upper end is fixedly connected and valve body (3) set by support frame (2) centre, it is characterised in that: the fixed frame (1) Upper end be equipped with c-type sleeve-like structure guide sleeve (101), and the lower end of guide sleeve (101) be equipped with c-type sleeve-like structure fixation It covers (102), the lower end of support frame as described above (2) is equipped with the bottom plate (201) being fixedly linked with guide sleeve (101), the bottom plate (201) It is symmetrically arranged with two side plates (202) at left and right sides of upper surface, and is fixedly installed with valve body (3) in the centre of both side plate (202), The lower end of the valve body (3) is equipped with the three-way body (301) of blocky three-port structure, and the upper end of the valve body (3) is inserted with pressure-measuring pipe (4), the centre of the pressure-measuring pipe (4) is equipped with graded tube (401).
2. a kind of disposable simple central vein manograph for cardiac operation according to claim 1, special Sign is: the guide sleeve (101) is worn by guide rod (103) with fixing sleeve (102) and is linked up, and under guide rod (103) It holds and is fixed with the upper end bolt of fixing sleeve (102), the centre of the guide rod (103) and the wall body of guide sleeve (101) are mutually worn Match.
3. a kind of disposable simple central vein manograph for cardiac operation according to claim 1, special Sign is: the lower end of the guide sleeve (101) is socketed with by axle sleeve and the adjusting screw rod (104) of fixing sleeve (102) bolt, And wheel disc (105) are fixedly connected in the end of adjusting screw rod (104).
4. a kind of disposable simple central vein manograph for cardiac operation according to claim 1, special Sign is: the side of the side plate (202) offer adjust mouth (203), it is described adjust mouth (203) upper end and in side plate (202) there are two being symmetrically fixedly connected on inner wall guide post (204), and cone structure is equipped in the end of guide post (204) Starting taper (205).
5. a kind of disposable simple central vein manograph for cardiac operation according to claim 1, special Sign is: being fixedly connected with feed liquor pipe connector (302) at the port on the left of the three-way body (301), and in three-way body (301) It is fixedly connected at the port on right side outlet tube connector (303), is fixedly connected at the port of three-way body (301) upper end It measures pipe connector (304), the side of the three-way body (301) is fixedly installed with adjusting knob (307).
6. a kind of disposable simple central vein manograph for cardiac operation according to claim 4, special Sign is: the bottom surface of the three-way body (301) is fixedly connected with the plummet block (308) of inverted cone-shaped structure, the three-way body (301) Two guide holders (305) are symmetrically arranged at left and right sides of upper end.
7. a kind of disposable simple central vein manograph for cardiac operation according to claim 6, special Sign is: the centre of guide holder (305) lateral surface is equipped with the guide groove (306) of conical surface trough body structure, and guide groove (306) It is plugged with starting taper (205).
8. a kind of disposable simple central vein manograph for cardiac operation according to claim 1, special Sign is: the altitude scale label (402) of two rows of symmetric arrays is axially laid in the outer circle of the graded tube (401), and The side of (402) is marked in altitude scale and the high-low pressure mark in upper, middle and lower arrangement is equipped in the outer circle of graded tube (401) Remember (403).
9. a kind of disposable simple central vein manograph for cardiac operation according to claim 1, special Sign is: the top of the graded tube (401) is equipped with the end tank (404) of trough body structure, and the centre of the end tank (404) is solid Dingan County is equipped with filter cotton (405), and the upper end button of the end tank (404) is equipped with pressing sleeve (406).
CN201910844552.3A 2019-09-06 2019-09-06 A kind of disposable simple central vein manograph for cardiac operation Pending CN110477892A (en)

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CN201910844552.3A CN110477892A (en) 2019-09-06 2019-09-06 A kind of disposable simple central vein manograph for cardiac operation

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Application Number Priority Date Filing Date Title
CN201910844552.3A CN110477892A (en) 2019-09-06 2019-09-06 A kind of disposable simple central vein manograph for cardiac operation

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GB1362170A (en) * 1971-07-08 1974-07-30 Warring Davies K J P P Central venous pressure manometer zero device
CN2185095Y (en) * 1993-11-05 1994-12-14 王欣 Bed-type centre venous pressure measuring rule
CN1438865A (en) * 2000-06-26 2003-08-27 杨正成 Portable cardiopulmonary resuscitation device with precise compression
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CN108664100A (en) * 2018-08-16 2018-10-16 芜湖寅越信息科技有限公司 A kind of computer mechanical hard disk having Anti-inclining function
CN209270491U (en) * 2018-11-02 2019-08-20 溧阳市中医医院 Oncology special-purpose multifunctional infusion support

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