SELECT 
  1 
FROM 
  cscart_ec_print_temp_designs 
WHERE 
  session_id = '9O2Y-WGRW-BVO8-0LH2-2QUG-O4YK-QG3L-U7C8' 
  AND product_id = 222 
  AND expires_at > 1770975255 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00069

JSON explain

{
  "query_block": {
    "select_id": 1,
    "message": "no matching row in const table"
  }
}