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Compact high-rigidity shaft bearing cam follower with a built-in needle bearing ideal as a cam mechanism for automatic and dedicated machines, and as a guide roller for linear motion. Its position can be easily finely adjusted by turning the stud because its mounting shaft and head are eccentric by 0.25 mm to 1.0 mm. The easy adjustment allows machining and assembly man-hours can be significantly reduced, such as alignment with the cam groove and precision machining of the mounting hole position.