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1. 发明授权

US5387197A Trocar safety shield locking mechanism 失效
标题翻译：套管安全盾锁机构
公开(公告)号：US5387197A
公开(公告)日：1995-02-07
申请号：US21935
申请日：1993-02-25
申请人： Richard S. Smith , Kevin L. Houser , Charles A. Hansford , Pamela K. Jacobs , Richard F. Schwemberger
发明人： Richard S. Smith , Kevin L. Houser , Charles A. Hansford , Pamela K. Jacobs , Richard F. Schwemberger
IPC分类号： A61B1/00 , A61B17/34 , A61M5/00
CPC分类号： A61B17/3496
摘要： A trocar and trocar obturator assembly having an obturator and a locking mechanism responsive to proximal, axial movement of the trocar obturator is disclosed. The trocar obturator has an elongated obturator shaft having a proximal end and a distal end with a piercing tip mounted thereto. The proximal end of the trocar obturator shaft is slidably mounted in a handle such that the obturator shaft is moveable axially. A protective safety shield having a distal end and a proximal end with a flange member mounted to the proximal end is slidably mounted on the trocar obturator. The safety shield is moveable, axially, between an extended distal position and a retracted proximal position. The protective safety shield is disposed concentrically about the obturator. A lockout arm for locking the safety shield in a locked extended position is mounted in the trocar obturator handle. An actuating collar member is mounted to the proximal end of the obturator shaft in the obturator handle and is moveable with the obturator shaft. The obturator collar disengages the locking arm when moved proximally and engages the locking arm when trocar is armed. The trocar obturator assembly may be concentrically mounted in a trocar cannula having a passageway for receiving the trocar obturator and safety shield. The locking mechanism is actuated by proximal, axial motion of the obturator.
摘要翻译：公开了具有闭塞器和针对套管针闭塞器的近端，轴向运动的锁定机构的套针和套管针闭塞器组件。套管针闭塞器具有细长的闭塞轴，其具有近端和远端，安装有穿刺尖端。套管针闭塞轴的近端可滑动地安装在手柄中，使得闭孔轴可轴向移动。具有远端和近端的保护性安全护罩具有安装到近端的凸缘构件，可滑动地安装在套管针闭塞器上。安全护罩可以在延伸的远端位置和缩回的近端位置之间轴向移动。保护性安全护罩围绕闭塞器同心放置。用于将安全防护罩锁定在锁定延伸位置的锁定臂安装在套管针闭塞手柄中。致动轴环构件安装到闭塞器手柄中的闭孔轴的近端，并且可与闭塞轴一起移动。当套管针布置时，闭塞套环向近侧移动时与锁定臂脱离并接合锁定臂。套管针闭塞器组件可以同心地安装在具有用于接收套管针闭塞器和安全护罩的通道的套管针插管中。锁定机构由闭塞器的近端轴向运动致动。

2. 发明授权

US09597143B2 Sterile medical instrument charging device 有权
公开(公告)号：US09597143B2
公开(公告)日：2017-03-21
申请号：US13151503
申请日：2011-06-02
申请人： Ashvani K. Madan , Donna L. Korvick , Aron O. Zingman , John W. Willis , Kevin L. Houser , Gavin M. Monson , Kevin D. Felder , Michael J. Stokes , Sora Rhee , Timothy G. Dietz , Jeffrey L. Aldridge
发明人： Ashvani K. Madan , Donna L. Korvick , Aron O. Zingman , John W. Willis , Kevin L. Houser , Gavin M. Monson , Kevin D. Felder , Michael J. Stokes , Sora Rhee , Timothy G. Dietz , Jeffrey L. Aldridge
IPC分类号： A61B18/14 , A61B17/00 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , A61B17/28 , A61N7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B90/00 , A61B17/064 , A61B17/285 , A61B17/29 , A61B34/00 , A61B90/40
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： A system includes a medical device and a charging device. A sterile barrier may be interposed between the medical device and the charging device. The medical device includes an integral power source and an active element. The charging device is configured to charge the integral power source. The charging device may charge the integral power source through direct contact between features of the charging device and features the medical device. The charging device may alternatively charge the integral power source wirelessly, such as through inductive coupling. The medical device may include conductive prongs that are retained by the charging device. The charging device may physically couple with the medical device via magnets. The medical device and the charging device may be provided together in a sterile package as a kit. The kit may also include a reclamation bag to facilitate reclamation of electrical components.

3. 发明授权

US09161803B2 Motor driven electrosurgical device with mechanical and electrical feedback 有权
标题翻译：电机驱动的电外科手术器具有机械和电气反馈
公开(公告)号：US09161803B2
公开(公告)日：2015-10-20
申请号：US13151481
申请日：2011-06-02
申请人： David C. Yates , Aron O. Zingman , Ashvani K. Madan , Kevin L. Houser , Danius P. Silkaitis , William D. Dannaher , Timothy G. Dietz , Richard W. Timm , Robert J. Laird , Gavin M. Monson
发明人： David C. Yates , Aron O. Zingman , Ashvani K. Madan , Kevin L. Houser , Danius P. Silkaitis , William D. Dannaher , Timothy G. Dietz , Richard W. Timm , Robert J. Laird , Gavin M. Monson
IPC分类号： A61B18/14 , A61B17/00 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An electrosurgical device comprises an end effector, a cutting member, and en electromechanical driver. The end effector comprises a pair of jaws that clamp tissue. The jaws include electrodes that deliver RF energy to clamped tissue. The cutting member cuts tissue clamped between the jaws. The electromechanical driver drives the cutting member. A control module commands the electromechanical driver, and regulates the delivery of RF energy to the electrodes, based on a combination of user input and feedback signals from the electrodes and from the electromechanical driver. The device may provide tactile feedback to the user through the user input feature, based on a load encountered by the cutting member. The device may alert the user when the exterior of end effector makes incidental contact with tissue, to avoid inadvertently burning the tissue. The device may include a removable battery pack to power the electromechanical driver and the electrodes.
摘要翻译：电外科装置包括端部执行器，切割构件和机电驱动器。末端执行器包括夹持组织的一对钳口。钳口包括将RF能量提供给夹紧的组织的电极。切割构件切割夹在夹爪之间的组织。机电驱动器驱动切割构件。控制模块命令机电驱动器，并且基于来自电极和来自机电驱动器的用户输入和反馈信号的组合来调节对电极的RF能量的传递。该装置可以基于切割构件遇到的负载，通过用户输入特征向用户提供触觉反馈。当末端执行器的外部与组织偶然接触时，该装置可以警告用户，以避免无意中燃烧组织。该装置可以包括可拆卸的电池组，以为机电驱动器和电极提供动力。

4. 发明授权

US08986331B2 Instrument for debriding fistula and applying therapeutic cells 有权
标题翻译：用于清除瘘管和应用治疗细胞的仪器
公开(公告)号：US08986331B2
公开(公告)日：2015-03-24
申请号：US12778731
申请日：2010-05-12
申请人： Edward G. Chekan , Kevin L. Houser , Robert E. Sackett
发明人： Edward G. Chekan , Kevin L. Houser , Robert E. Sackett
IPC分类号： A61B17/22 , A61B17/32 , A61M25/00 , A61B17/00 , A61M25/01 , A61B18/14 , A61B10/02 , A61M1/00 , A61B17/3207
CPC分类号： A61B17/0057 , A61B10/0283 , A61B17/00491 , A61B17/32002 , A61B18/1492 , A61B2017/00398 , A61B2017/00623 , A61B2017/00641 , A61B2017/00654 , A61B2017/00893 , A61B2017/00969 , A61B2017/320004 , A61B2017/32006 , A61B2017/320775 , A61B2018/1472 , A61B2217/005 , A61B2217/007 , A61M1/0084 , A61M25/007 , A61M2025/0175
摘要： A treatment instrument comprises an end effector and a plunger. The end effector comprises a plurality of cutting features and an interior cavity. At least a portion of the plunger is slidably positioned within the interior cavity of the end effector. The plunger comprises a distal head attached to the distal end of a central shaft. The plunger is configured to rotate within the end effector, and comprises a cutting member that is operable to mince tissue specimens captured by the cutting features of the end effector. An alternative treatment system comprises an end effector, a plunger, and a plug. The central shaft of the plunger and the plug are slidably located within an inner tube of the end effector, with the plug being positioned distal to the central shaft.
摘要翻译：治疗仪器包括端部执行器和柱塞。末端执行器包括多个切割特征和内部空腔。柱塞的至少一部分可滑动地定位在端部执行器的内腔内。柱塞包括附接到中心轴的远端的远侧头部。柱塞构造成在末端执行器内旋转，并且包括切割构件，该切割构件可操作以破坏由末端执行器的切割特征捕获的组织标本。替代治疗系统包括末端执行器，柱塞和塞子。柱塞和插塞的中心轴可滑动地位于端部执行器的内管内，其中插头位于中心轴的远侧。

5. 发明授权

US08636751B2 Methods and devices for the rerouting of chyme to induce intestinal brake 有权
标题翻译：用于重新路由食糜诱导肠内制动的方法和装置
公开(公告)号：US08636751B2
公开(公告)日：2014-01-28
申请号：US13104192
申请日：2011-05-10
申请人： Thomas E. Albrecht , Jeffrey L. Aldridge , Sean P. Conlon , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos, Jr. , Jason L. Harris , Christopher J. Hess , Kevin L. Houser , Mario Gutierrez , Prasanna Malaviya , Amy L. Marcotte , Jeffrey D. Messerly , Anthony Nguyen , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Galen C. Robertson , Frederick E. Shelton, IV , Michael J. Stokes , Foster B. Stulen , James W. Voegele , Lauren S. Weaner , Tamara S. Vetro Widenhouse , James A. Woodard, Jr. , Mark S. Zeiner
发明人： Thomas E. Albrecht , Jeffrey L. Aldridge , Sean P. Conlon , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos, Jr. , Jason L. Harris , Christopher J. Hess , Kevin L. Houser , Mario Gutierrez , Prasanna Malaviya , Amy L. Marcotte , Jeffrey D. Messerly , Anthony Nguyen , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Galen C. Robertson , Frederick E. Shelton, IV , Michael J. Stokes , Foster B. Stulen , James W. Voegele , Lauren S. Weaner , Tamara S. Vetro Widenhouse , James A. Woodard, Jr. , Mark S. Zeiner
IPC分类号： A61B17/10
CPC分类号： A61B17/00234 , A61B5/0031 , A61B5/036 , A61B5/073 , A61B5/076 , A61B5/1107 , A61B5/14532 , A61B5/14539 , A61B5/42 , A61B17/0469 , A61B17/1114 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2560/0219 , A61F2/04 , A61F5/0013 , A61F2002/045
摘要： Methods and devices reroute chyme to induce intestinal brake in order to improve the effectiveness of bariatric surgical procedures and to improve comorbidity resolution. A bowel is manipulated to provide a shortened path for chyme to travel to the ileum. These methods and devices of rerouting chyme to induce intestinal brake may include one or more of a surgical procedure, an implanted device, or a combination of an implant with an improved surgical procedure.
摘要翻译：方法和装置重新路由食糜诱导肠道制动，以提高减肥手术的有效性和改善共病分解。肠道被操纵以提供用于食糜行进到回肠的缩短路径。用于诱导肠内制动器的这些重新路由食糜的方法和装置可以包括外科手术，植入装置或具有改进的外科手术的植入物的组合中的一种或多种。

6. 发明授权

US08591459B2 Use of biomarkers and therapeutic agents with surgical devices 有权
标题翻译：使用生物标志物和治疗剂与外科手术器械
公开(公告)号：US08591459B2
公开(公告)日：2013-11-26
申请号：US12971249
申请日：2010-12-17
申请人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Foster B. Stulen , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
发明人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Foster B. Stulen , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
IPC分类号： A61M37/00 , A61B10/00
CPC分类号： A61B5/4839 , A61B5/14546 , A61B5/486 , A61B5/7282 , A61B5/742 , A61B10/0283 , A61B10/06 , A61B18/1445 , A61B2046/236 , A61B2218/008 , A61M2037/0007
摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).
摘要翻译：生物标志物被收集并用于确定患者的生物倾向性，以确定医疗装置的功效，选择和施用治疗剂，选择医疗装置，调整医疗装置和/或调整手术技术。一种装置包括从外科手术部位抽取生物流体（例如，雾）的端口。该装置包括具有悬臂梁的传感器。梁包括当流体在横梁上连通时选择用于吸引某些生物标志物的物质。使用相同的装置或另一装置至少部分地基于收集的生物标志物数据来施用治疗剂。治疗剂递送装置可以包括也用于在手术部位创建伤口的装置。例如，可以使用谐波手术器械来收集生物标志物并施用治疗剂（例如，使用声波光刻的基因治疗）。

7. 发明授权

US08546999B2 Housing arrangements for ultrasonic surgical instruments 有权
标题翻译：超声波手术器械的住房安排
公开(公告)号：US08546999B2
公开(公告)日：2013-10-01
申请号：US13555523
申请日：2012-07-23
申请人： Kevin L. Houser , Foster B. Stulen , Scott A. Nield , Shan Wan
发明人： Kevin L. Houser , Foster B. Stulen , Scott A. Nield , Shan Wan
IPC分类号： H01L41/08 , A61B8/00 , H04R17/00
CPC分类号： A61B17/320068 , A61B8/4209 , A61B8/4494 , A61B2017/0023 , A61B2017/00402 , A61B2017/320072 , A61B2017/320078 , A61B2017/320088 , A61B2018/00607 , A61N7/02 , H01L41/0906 , Y10T29/42 , Y10T29/49005 , Y10T29/49155
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer.
摘要翻译：在一个一般方面，各种实施例涉及一种超声手术器械，其包括被配置为以预定频率沿着纵向轴线产生振动的换能器。在各种实施例中，超声刀片沿着纵向轴线延伸并且耦合到换能器。在各种实施例中，超声波刀片包括具有近端和远端的主体，其中远端可通过由换能器产生的振动相对于纵向轴线移动。

8. 发明授权

US08468891B2 Tissue processing device with ultrasonic measuring chamber 有权
标题翻译：带超声波测量室的组织处理装置
公开(公告)号：US08468891B2
公开(公告)日：2013-06-25
申请号：US12778769
申请日：2010-05-12
申请人： Edward G. Chekan , Kevin L. Houser , Robert E. Sackett
发明人： Edward G. Chekan , Kevin L. Houser , Robert E. Sackett
IPC分类号： G01N29/00
CPC分类号： A61B10/0275 , A61B10/0283 , B01D21/283 , B33Y80/00 , G01N15/02
摘要： A device is operable to measure the size of tissue particles. The device includes a reservoir for receiving tissue particles and an ultrasonic transducer. The ultrasonic transducer is operable to emit ultrasonic energy toward tissue particles in the reservoir. Control circuitry is operable to process ultrasonic energy received from the ultrasonic transducer to determine the size of tissue particles in the reservoir. If the tissue particles are larger than a predetermined size range, the particles may be minced to reduce their size. If the tissue particles are smaller than a predetermined size range, the particles may be disposed of. It the tissue particles have a size within a predetermined range, they may be processed further, such as by stimulating the tissue particles and dewatering the tissue particles. The tissue particles may then be incorporated in a medical fluid and be therapeutically administered to a patient.
摘要翻译：装置可操作以测量组织颗粒的尺寸。该装置包括用于接收组织颗粒的储存器和超声波换能器。超声波换能器可操作地朝储存器中的组织颗粒发射超声波能量。控制电路可操作以处理从超声波换能器接收的超声波能量，以确定储层中组织颗粒的尺寸。如果组织颗粒大于预定尺寸范围，则可以将颗粒切碎以减小其尺寸。如果组织颗粒小于预定尺寸范围，则可以处理颗粒。组织颗粒具有在预定范围内的尺寸，可进一步加工，例如通过刺激组织颗粒并使组织颗粒脱水。然后可以将组织颗粒并入医疗流体中并且对患者进行治疗性施用。

9. 发明授权

US08388638B2 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue 有权
标题翻译：超声波手术器械，剪刀和组织垫，密封血管的方法和横切患者组织的方法
公开(公告)号：US08388638B2
公开(公告)日：2013-03-05
申请号：US12357569
申请日：2009-01-22
申请人： Kevin L. Houser
发明人： Kevin L. Houser
IPC分类号： A61B17/32
CPC分类号： A61B17/12 , A61B17/320092 , A61B2017/00831 , A61B2017/2825
摘要： An ultrasonic surgical shears has a bifurcated ultrasonic surgical blade, a clamping arm and a substantially “T”-shaped tissue pad. An alternate ultrasonic surgical shears has an ultrasonic surgical blade, a clamping arm, and a tissue pad having first and second transverse outer portions and a movable transverse central portion. An ultrasonic surgical instrument has an ultrasonic surgical clamp including an ultrasonic member adapted to ultrasonically vibrate and has a surgical cutter distinct from the ultrasonic member. A method for sealing a blood vessel of a patient includes obtaining an ultrasonic surgical clamp, sealing the blood vessel with the ultrasonic member, and transecting the sealed blood vessel using the surgical cutter. An alternate method similarly transects patient tissue and seals a blood vessel therein. An ultrasonic-surgical-shears tissue pad includes first and second transverse outer portions which are more resiliently flexible than is a transverse central portion.
摘要翻译：超声手术剪刀具有分叉的超声手术刀片，夹持臂和基本上T形的组织垫。替代的超声手术剪切具有超声手术刀片，夹持臂和具有第一和第二横向外部部分和可移动横向中心部分的组织垫。超声波手术器械具有超声波手术夹具，其包括适于超声振动的超声波部件，并且具有与超声波部件不同的外科手术刀。用于密封患者血管的方法包括获得超声外科夹具，用超声波构件密封血管，并使用外科切割器切断密封的血管。替代方法类似地横切患者组织并将血管密封在其中。超声外科剪切组织垫包括比横向中心部分更具弹性的第一和第二横向外部部分。

10. 发明申请

US20120203257A1 FOLDED ULTRASONIC END EFFECTORS WITH INCREASED ACTIVE LENGTH 有权
标题翻译：折叠的超声波终端效应增加了活跃的长度
公开(公告)号：US20120203257A1
公开(公告)日：2012-08-09
申请号：US13452386
申请日：2012-04-20
申请人： Foster B. Stulen , Kevin L. Houser , Eitan T. Wiener
发明人： Foster B. Stulen , Kevin L. Houser , Eitan T. Wiener
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/22015 , A61B2017/22018 , A61B2017/320072 , B06B3/00
摘要： An end effector for use with an ultrasonic surgical instrument. A body extends along a longitudinal axis. The body includes a proximal end and a distal end. The body comprises an outer surface that defines an inner portion. The proximal end of the body is configured to couple to an ultrasonic transducer configured to produce vibrations at a predetermined frequency and a predetermined amplitude. An extendable folded element includes a first end coupled to the distal end of the body and extending proximally along the longitudinal axis from the distal end of the body toward the proximal end of the body. The extendable folded element comprises a second free acoustic end. The extendable folded element and the outer surface of the body define a single substantially parallel acoustic path.
摘要翻译：用于超声波手术器械的末端执行器。主体沿纵轴延伸。主体包括近端和远端。主体包括限定内部部分的外表面。身体的近端构造成耦合到被配置为以预定频率和预定振幅产生振动的超声换能器。可延伸的折叠元件包括联接到主体的远端的第一端，并且沿着纵向轴线从主体的远端朝向身体的近端向近侧延伸。可伸缩折叠元件包括第二自由声端。该可延伸的折叠元件和本体的外表面限定了单个基本平行的声学路径。

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