Mindray Hypervisor VI User manual

HYPERVISOR VI
Central Monitoring System
Operation Manual
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter
called Mindray) owns the intellectual property rights to this product and this manual.
This manual may refer to information protected by copyrights or patents and does
not convey any license under the patent rights of Mindray, nor the rights of others.
Mindray does not assume any liability arising out of any infringements of patents or
other rights of third parties.
Mindray intends to maintain the contents of this manual as confidential information.
Disclosure of the information in this manual in any manner whatsoever without the
written permission of Mindray is strictly forbidden. Release, amendment,
reproduction, distribution, rent, adaption and translation of this manual in any
manner whatsoever without the written permission of Mindray is strictly forbidden.
and are the registered trademarks or trademarks owned by
Mindray in China and other countries. All other trademarks that appear in this
manual are used only for editorial purposes without the intention of improperly
using them. They are the property of their respective owners.
Contents of this manual are subject to changes without prior notice.
© 2005 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
I
Manufacturer’s Responsibility
All information contained in this manual is believed to be correct. Mindray shall not
be liable for errors contained herein nor for incidental or consequential damages in
connection with the furnishing, performance, or use of this manual.
Mindray is responsible for safety, reliability and performance of this product only in
the condition that:
All installation operations, expansions, changes, modifications and repairs of
this product are conducted by Mindray authorized personnel; and
The electrical installation of the relevant room complies with the applicable
national and local requirements; and
This product is operated under strict observance of this manual.
Warranty
This warranty is exclusive and is in lieu of all other warranties, expressed or implied,
including warranties of merchantability or fitness for any particular purpose.
Exemptions
Mindray's obligation or liability under this warranty does not include any
transportation or other charges or liability for direct, indirect or consequential
damages or delay resulting from the improper use or application of the product or
the use of parts or accessories not approved by Mindray or repairs by people other
than Mindray authorized personnel.
This warranty shall not extend to
Any Mindray product which has been subjected to misuse, negligence or
accident; or
Any Mindray product from which Mindray's original serial number tag or
product identification markings have been altered or removed; or
Any product of any other manufacturer.
II
Return Policy
In the event that it becomes necessary to return a unit to Mindray, follow the
instructions below.
1. Obtain a return authorization.
Contact the Mindray Service Department and obtain a Mindray Customer Service
Authorization Number. The Mindray Customer Service Authorization Number must
appear on the outside of the shipping container. Return shipments will not be
accepted if the Mindray Customer Service Authorization Number is not clearly
visible. Please provide the model number, serial number, and a brief description of
the reason for return.
2. Freight policy
The customer is responsible for freight charges when this product is shipped to
Mindray for service (including any relevant customs fees or other freight related
charges).
3. Return address
Please send the part(s) or equipment to the address offered by Customer Service
Department.
III
Contact Information
Manufacturer: Address:
Tel: Fax: Website:
EC-Representative: Address: Tel: Fax:
Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Mindray Building, Keji 12th Road South, Hi-tech Industrial
Park, Nanshan, Shenzhen 518057 P.R. China
+86 755 26522479 +86 755 26582888
+86 755 26582500 +86 755 26582501
www.mindray.com.cn
Shanghai International Holding Corp. GmbH (Europe)
Eiffestraße 80, 20537 Hamburg Germany
0049-40-2513175
0049-40-255726
IV
Contents
Intellectual Property Statement.............................................................................I
Manufacturer’s Responsibility..............................................................................II
Warranty......................................................................................................... II
Exemptions..................................................................................................... II
Return Policy........................................................................................................ III
Contact Information ............................................................................................ IV
Contents ..................................................................................................................V
Preface......................................................................................................................1
Manual Purpose...............................................................................................1
Intended Audience...........................................................................................1
Version Information ........................................................................................1
Illustrations and Names...................................................................................2
Conventions ....................................................................................................2
1 Safety.................................................................................................................... 1-1
1.1 Safety Information ...................................................................................... 1-2
1.1.1 Dangers ......................................................................................... 1-3
1.1.2 Warnings........................................................................................ 1-3
1.1.3 Cautions......................................................................................... 1-4
1.1.4 Notes ............................................................................................. 1-5
1.2 Equipment Symbols .................................................................................... 1-6
2 The Basics............................................................................................................ 2-1
2.1 About the CMS ........................................................................................... 2-2
2.1.1 Intended Use.................................................................................. 2-2
2.1.2 Contraindications .......................................................................... 2-2
V
Contents
2.1.3 Functions ....................................................................................... 2-2
2.1.4 Components................................................................................... 2-4
2.1.5 Networking Mode ......................................................................... 2-5
2.2 Main Screen ................................................................................................ 2-6
2.2.1 Main Menu Buttons....................................................................... 2-7
2.2.2 System Icons ................................................................................. 2-8
2.3 Other Screens .............................................................................................. 2-9
2.3.1 Auxiliary Screen in Single-Screen Mode...................................... 2-9
2.3.2 Default Screen in Dual-Screen Mode.......................................... 2-10
2.3.3 Auxiliary Screen in Dual-Screen Mode ...................................... 2-10
2.4 Controls......................................................................................................2-11
2.4.1 Mouse...........................................................................................2-11
2.4.2 Keyboard ..................................................................................... 2-12
2.4.3 Controls....................................................................................... 2-12
3 Installation and Maintenance............................................................................. 3-1
3.1 Unpacking and Inspection........................................................................... 3-2
3.2 Installation................................................................................................... 3-3
3.2.1 Environmental Requirements........................................................ 3-3
3.2.2 Power Requirements ..................................................................... 3-4
3.2.3 Installation..................................................................................... 3-4
3.3 Starting the System...................................................................................... 3-5
3.4 Shutting down the System........................................................................... 3-6
3.5 Maintenance ................................................................................................ 3-7
3.5.1 General Inspection......................................................................... 3-7
3.5.2 General Cleaning........................................................................... 3-8
4 Multibed Screen .................................................................................................. 4-1
4.1 Overview..................................................................................................... 4-2
4.2 Patient Window ........................................................................................... 4-3
4.2.1 Spot Patient Window ..................................................................... 4-3
4.2.2 Non-Spot patient widow................................................................ 4-4
4.2.3 Patient Window in Monitoring Status ........................................... 4-5
4.3 Patient Management.................................................................................... 4-9
4.3.1 Admitting Patient .......................................................................... 4-9
4.3.2 Modifying Patient Information.................................................... 4-13
4.3.3 Discharging a Patient................................................................... 4-14
4.3.4 Transferring a Patient.................................................................. 4-16
VI
Contents
4.4 Display Format.......................................................................................... 4-17
4.5 Auto Arrange............................................................................................. 4-18
5 Viewbed................................................................................................................ 5-1
5.1 Overview..................................................................................................... 5-2
5.2 Viewbed Screen........................................................................................... 5-3
5.3 Basic Operations ......................................................................................... 5-5
5.3.1 Pausing Alarms.............................................................................. 5-5
5.3.2 STANDBY .................................................................................... 5-5
5.3.3 NIBP Measurement....................................................................... 5-5
5.3.4 Freeze/Unfreeze Waveforms ......................................................... 5-6
5.3.5 Show/Hide Alarm High/Low Limits ............................................. 5-7
5.3.6 Show/Hide Dynamic Short Trend ................................................. 5-8
5.3.7 Set Module Order.......................................................................... 5-9
5.3.8 Record ......................................................................................... 5-10
5.3.9 Show/Hide Multi-lead ECG .........................................................5-11
5.3.10 Show/Hide OxyCRG................................................................... 5-12
5.3.11 Show/Hide NIBP Groups ............................................................ 5-13
5.3.12 Alarm Setup ................................................................................ 5-13
5.4 Parameter Setup ........................................................................................ 5-14
5.5 Display Setup ............................................................................................ 5-15
5.5.1 Multibed Wave Setup .................................................................. 5-15
5.5.2 Multibed Para Setup .................................................................... 5-17
6 Alarm Control..................................................................................................... 6-1
6.1 Alarm Structure........................................................................................... 6-2
6.2 Alarm Mode ................................................................................................ 6-3
6.2.1 Audible Alarms ............................................................................. 6-3
6.2.2 Alarm Messages ............................................................................ 6-4
6.2.3 Color Changes............................................................................... 6-4
6.2.4 Parameter Flashes.......................................................................... 6-4
6.3 Alarm Volume ............................................................................................. 6-5
6.4 Alarm Setup ................................................................................................ 6-6
6.4.1 Parameter Setup............................................................................. 6-6
6.4.2 Alarm Setup .................................................................................. 6-7
VII
Contents
7 Review.................................................................................................................. 7-1
7.1 Online Review............................................................................................. 7-2
7.1.1 Dynamic Short Trend .................................................................... 7-2
7.1.2 Trend Review ................................................................................ 7-3
7.1.3 Wave Review................................................................................. 7-6
7.1.4 CO Review .................................................................................. 7-10
7.1.5 NIBP Review............................................................................... 7-12
7.1.6 Alarm Review ............................................................................. 7-13
7.1.7 12-lead Analysis Review ............................................................. 7-16
7.2 History Review.......................................................................................... 7-17
7.2.1 All Patients .................................................................................. 7-17
8 Calculation........................................................................................................... 8-1
8.1 Drug Calculation ......................................................................................... 8-2
8.2 Hemodynamics Calculation ........................................................................ 8-5
9 Record, Print and Save as .................................................................................. 9-1
9.1 Record ......................................................................................................... 9-2
9.1.1 Installing Recorder Paper .............................................................. 9-3
9.1.2 Recorder Operations...................................................................... 9-4
9.1.3 Record Control .............................................................................. 9-7
9.2 Print............................................................................................................. 9-8
9.2.1 Printer Operations ......................................................................... 9-8
9.2.2 Print Control.................................................................................9-11
9.3 Save as....................................................................................................... 9-12
10 System Setup...................................................................................................... 10-1
10.1 General Setup............................................................................................ 10-2
10.2 User Setup ................................................................................................. 10-5
10.2.1 Color............................................................................................ 10-5
10.2.2 Screen Size .................................................................................. 10-7
10.2.3 Alarm........................................................................................... 10-8
VIII
Contents
10.2.4 Log ............................................................................................ 10-10
10.2.5 Monitor...................................................................................... 10-12
10.2.6 Telemetry................................................................................... 10-13
10.2.7 Others ........................................................................................ 10-15
11 System Help....................................................................................................... 11-1
11.1 Overview....................................................................................................11-2
12 Appendices......................................................................................................... 12-1
A Technical Specifications............................................................................ 12-2
A.1 Server Requirements ................................................................... 12-2
A.2 Recorder ...................................................................................... 12-3
A.3 Wire Network.............................................................................. 12-3
A.4 Wireless Network........................................................................ 12-3
A.5 Review......................................................................................... 12-3
A.6 Calculation .................................................................................. 12-4
A.7 Save as......................................................................................... 12-4
A.8 Print............................................................................................. 12-4
A.9 Record ......................................................................................... 12-4
B Units, Symbols and Terms......................................................................... 12-5
B.1 Units ............................................................................................ 12-5
B.2 Symbols....................................................................................... 12-6
B.3 Abbreviations .............................................................................. 12-6
IX
FOR YOUR NOTES
Contents
X
Preface
Manual Purpose
This manual provides the instructions necessary to operate the HYPERVISOR VI
Central Monitoring System (hereinafter called as CMS) in accordance with its
function and intended use. Observance of this manual is a prerequisite for proper
performance and correct operation, and ensures patient and operator safety.
This manual is written based on the maximum configuration. Part of this manual
may not apply to your CMS. If you have any question about the configuration of
your CMS, please contact our Customer Service.
This manual is an integral part of and should always be kept close to your CMS, so
that it can be obtained conveniently when necessary.
Intended Audience
This manual is geared for the clinical medical professionals. Clinical medical
professionals are expected to have working knowledge of medical procedures,
practices and terminology as required for monitoring of critically ill patients.
Version Information
This manual has a version number. This version number changes whenever the
manual is updated due to software or technical specification change. Content of this
manual is subject to change without prior notice. The version information of this
manual is as follows.
Version number Release date
1.2 March 2006
1
Illustrations and Names
All illustrations in this manual are provided as examples only. They may not
necessarily accord with the graph, settings or data displayed on your CMS.
All names appeared in this manual and illustrations are fictive. It is a mere
coincidence if the name is the same with yours.
Conventions
Italic text is used in this manual to quote the referenced chapters or sections.
The terms danger, warning, and caution are used throughout this manual to point
out hazards and to designate a degree or level or seriousness.
Preface
2
1 Safety
1.1 Safety Information ...................................................................................... 1-2
1.2 Equipment Symbols .................................................................................... 1-6
1.1.1 Dangers ......................................................................................... 1-3
1.1.2 Warnings........................................................................................ 1-3
1.1.3 Cautions......................................................................................... 1-4
1.1.4 Notes ............................................................................................. 1-5
1-1
Safety
1.1 Safety Information
The safety statements presented in this chapter refer to the basic safety information
that the operator of the CMS shall pay attention to and abide by. There are additional
safety statements in other chapters or sections, which may be the same as or similar
to the followings, or specific to the operations.
DANGER
Indicates an imminent hazard situation that, if not avoided, will result in
death or serious injury.
WARNING
Indicates a potential hazard situation or unsafe practice that, if not
avoided, could result in death or serious injury.
CAUTION
Indicates a potential hazard or unsafe practice that, if not avoided, could
result in minor personal injury or product/property damage.
NOTE
Provides application tips or other useful information to ensure that you
get the most from your product.
1-2
Safety
1.1.1 Dangers
There are no dangers that refer to the product in general. Specific “Danger”
statements may be given in the respective sections of this operation manual
1.1.2 Warnings
WARNING
The device is intended for use by qualified clinical physicians or
well-trained nurses in the specified places. Anyone unauthorized or untrained must not perform any operation on it.
The physiological waveforms, parameters and alarms displayed on the
screen of the CMS are for doctor’s reference only and cannot be directly used as the basis for clinical treatment. Before giving invasive treatment to a patient, you must go to the corresponding monitor to confirm the results you have obtained from the CMS.
If any value displayed on the screen of the CMS is abnormal or
questionable, first determine the patient’s vital signs by alternative means and then verify that the CMS or monitor is working correctly.
The CMS is a clinical information device. Except for using such
components as the mouse and keyboard to perform normal operations, do not touch or disassemble any other component, especially the power component; otherwise, it may result in personnel injury.
The computer running the CMS software must comply with local relevant
regulations. The CMS is intended to connect our monitors only. Connecting the monitors made by other manufacturers may cause the values displayed on the CMS inaccurate.
The service life of the CMS depends on its hardware, so violence, drop
or collision should be avoided in the operation on the keyboard, mouse and computer; otherwise, the service life of the CMS may be shortened.
Components of the CMS, such as the keyboard and mouse, may be
contaminated by microorganism during transport, storage and use. Before removing them from their packaging, the packaging should be inspected for damage. In case of any damage, contact the carrier or our company immediately.
1-3
Safety
WARNING
The CMS can construct a wireless local area network (WLAN) by
connecting monitors. When data is transmitted via wireless radio frequency (RF) signals, it may impair the environment or the use of other equipment. Therefore, the wireless RF equipment must comply with local relevant standards and regulations.
When the CMS is transmitting data via wireless RF signals, loss of
patient data may be caused by the interference of other RF signals.
1.1.3 Cautions
CAUTION
Hospitals without stable power source should use an Uninterruptible
Power Supply (UPS) to power the CMS. When there is a power failure, the system should be shut down by following the specified shutdown procedure before the UPS is turned off. If the system has a sudden power failure, system failure may occur and consequently the system will not work correctly next time or even have a serious result.
Never start or transport the system under the condition other than that
specified; otherwise, the system may be damaged. We shall assume no responsibility for such damages.
System time should be setup before the CMS is put into use. If the
system time is modified when the CMS is running, the dat a that has been stored may get lost or the network may be interrupted.
Be sure to use standard thermal recorder paper only; otherwise, the
recorder may show poor quality on record, or may be unusable, or the print head of the recorder may be damaged.
The CMS is capable of connecting up to 64 monitors. The cable
connecting the monitor to the hub or exchange shall not exceed 100m; otherwise, it may result in network overload or w eak network signals and consequently errors will occur during data transmission or displaying.
The host of the CMS should be maintained every three to six months. Its
long time continuous operating may lead to failure of the operating system.
1-4
Safety
CAUTION
The host of the CMS should be installed with the original Microsoft
Windows’s system and standard upgrade program, such as the service package. Illegal software may lead to abnormal or incorrect system operating.
When printing data through an external printer, be sure to follow the
printer’s instructions. In case any problem occurs during printing, consult the printer’s instructions.
1.1.4 Notes
NOTE
Keep this manual close to the CMS so that it can be obtained
conveniently when necessary.
Choose a location that affords an unobstructed view of the CMS’s
screen and easy access to the operating and maintaining.
1-5
Safety
1.2 Equipment Symbols
NOTE
Some symbols may not appear on all equipment.
ATTENTION: Consult accompanying documents (this manual).
CAUTION: To reduce the risk of electric shock, do NOT remove.
cover. Refer servicing to qualified service personnel.
Alternating current(AC)
Power switch
Keyboard port
Mouse port
Serial communication(COM)port
Display port
Printer port
USB port or device
Network port
1-6
Safety
Sound output port
Sound input port
Microphone port
TYPE B APPLIED PART
Manufacture date
Serial number
CE marking. 0123 is the number of the EU-notified body.
The following definition of the WEEE label applies to EU member
states only.
This symbol indicates that this product should not be treated as
household waste. By ensuring that this product is disposed of
correctly, you will help prevent bringing potential negative
consequences to the environment and human health. For more detailed
information with regard to returning and recycling this product, please
consult the distributor from whom you purchased it.
* For system products, this label may be attached to the main unit
only.
1-7
FOR YOUR NOTES
Safety
1-8
2 The Basics
2.1 About the CMS ........................................................................................... 2-2
2.1.1 Intended Use.................................................................................. 2-2
2.1.2 Contraindications .......................................................................... 2-2
2.1.3 Functions ....................................................................................... 2-2
2.1.4 Components................................................................................... 2-4
2.1.5 Networking Mode ......................................................................... 2-5
2.2 Main Screen ................................................................................................ 2-6
2.2.1 Main Menu Buttons....................................................................... 2-7
2.2.2 System Icons ................................................................................. 2-8
2.3 Other Screens .............................................................................................. 2-9
2.3.1 Auxiliary Screen in Single-Screen Mode...................................... 2-9
2.3.2 Default Screen in Dual-Screen Mode.......................................... 2-10
2.3.3 Auxiliary Screen in Dual-Screen Mode ...................................... 2-10
2.4 Controls......................................................................................................2-11
2.4.1 Mouse...........................................................................................2-11
2.4.2 Keyboard ..................................................................................... 2-12
2.4.3 Controls....................................................................................... 2-12
2-1
The Basics
2.1 About the CMS
2.1.1 Intended Use
The central monitoring system (CMS) is intended to conduct centralized monitoring
of vital sign information from multiple monitors and/or telemetry transmitters in
hospitals or medical institutions. It is not intended for home use.
WARNING
The device is intended for use by qualified clinical physicians or
well-trained nurses in the specified places. Anyone unauthorized or untrained must not perform any operation on it.
The physiological waveforms, parameters and alarms displayed on the
screen of the CMS are for doctor’s reference only and cannot be directly used as the basis for clinical treatment.
If any value displayed on the screen of the CMS is abnormal or
questionable, first determine the patient’s vital signs by alternative means and then verify that the CMS, or corresponding monitor or telemetry transmitter is working correctly.
2.1.2 Contraindications
None.
2.1.3 Functions
The CMS comprises powerful system software and high-performance computer
components. It constructs a monitoring network by connecting monitors and
telemetry transmitters. By collecting, processing, analyzing and outputting the
information coming from monitors and telemetry transmitters, the CMS can achieve
centralized monitoring over multiple patients so as to greatly promote the efficiency
and quality of the monitoring work.
2-2
The Basics
The CMS:
Is capable of connecting up to 64 monitors that supports the CMS or CMS+
network protocol.
Is capable of connecting up to 64 telemetry transmitters.
Supports multi-screen display mode, including two primary displays and
multiple secondary displays.
Is capable of displaying information from 16 monitors in the single-screen mode
and 32 monitors in the dual-screen mode.
Allows you to view a single patient emphatically.
Allows you to review up to 240 hours of trend data for each online patient.
Allows you to review up to 720 alarm events for each online patient.
Allows you to review a 4-hour dynamic short trend for each online patient.
Allows you to review up to 720 CO measurements for each online patient.
Allows you to review up to 72 hours of 64 waveforms.
Allows you to review up to 720 NIBP measurements for each online patient.
Allows you to review up to 720 12-lead analysis results for each online patient.
Allows you to search and review the data of up to 20,000 history patients.
Provides the patient information management function.
Provides audible and visual alarms.
Provides the functions of drug calculation, titration table calculation and
hemodynamics calculation.
Provides the functions to record, print and save data.
Provides comprehensive help information, prompts and operational guide.
Provides 1280×1024 high display resolution.
Provides two waveform display modes: color and mono.
Facilitates the setup of language, waveform and parameter color.
Supports such peripherals as the keyboard, mouse, thermal recorder, laser
printer, speaker, etc.
Supports wire and wireless network.
The CMS has a USB watchdog to protect the copyright. You must plug the
watchdog into the system’s USB interface before starting the system. Otherwise, the
system cannot start.
2-3
2.1.4 Components
The CMS consists of system software, computer (server), USB watchdog, network
devices, recorder, printer and UPS etc. Some of them are optional.
The Basics
1
3
Figure 2-1 CMS
As shown above, a typical computer (server) consists of the following components:
1. Host
2. Display
3. USB watchdog
2
4
5
4. Mouse
5. Keyboard
This manual is written based on the maximum configuration. Some contents may
not apply to your system.
2-4
2.1.5 Networking Mode
A typical networking diagram of the CMS is as follows:
The Basics
Central monitoring system
Wireless network
Wire network
The CMS, exchange and monitors interconnect through network cable.
Wireless network
Through network cable the CMS is connected to an AP (Access Point), which via
wireless RF connects multiple monitors equipped with wireless network cards.
Telemetry network
Telemetry network
Wire network
Figure 2-2 Central Monitoring Network
Through network cable the CMS is connected to the telemetry receiver, which via
wireless RF connects multiple telemetry transmitters.
2-5
2.2 Main Screen
The CMS supports two display modes: single-screen and dual-screen. For the
dual-screen mode, a dual-head card is needed for connecting two displays to the host,
respectively called primary display and secondary display. The figure below shows
the main screen (default screen) under the single-screen mode.
The Basics
5
1
2 3
4
6
Figure 2-3 Main Screen
1 Hospital information: Displays the hospital and office where the CMS is located.
2 System start time: Displays the time when the system starts.
3 System prompt area: Displays the prompts coming from the system itself. If more than
one prompt occur, they will be displayed alternately and circularly
circularly.
4 Current time: Displays the current time.
5 Patient window area: For details, refer to 4.2 Patient Window.
7
2-6
8
The Basics
6 Help information area: Displays online help information.
7 Main menu buttons: For details, refer to 2.2.1 Main Menu Buttons. 8 System icons: For details, refer to 2.2.2 System Icons.
2.2.1 Main Menu Buttons
1 2 3 4 5 6
Figure 2-4 Main Menu Buttons
1 Auto Arrange: Click it to re-assign patients to patient windows in a top-to-bottom,
left-to-right format by order of importance (or by alarm level). For
details, refer to 4.5 Auto Arrange.
2 Admit Patient: Click it to enter the Connected patient list screen
3 System Setup: Click it to to enter the System Setup tab sheet.
4 History Review: Click it to to enter the History Review tab sheet.
5 Help: Click it to to enter the Help screen.
6 Main Screen: Click it to to return to the Multibed screen.
2-7
The Basics
2.2.2 System Icons
1 23456
Figure 2-5 System Icons
No. Icon name Icon Description
1 USB
2
3
4 Recorder state
5
Sound state
Printer state
Networking
prompt
Indicates that the system connects other USB device besides
the USB wachtdog.
Indicates that the system alarm sound is turned on.
Indicates that the alarm is silenced.
Indicats that the alarm sound is totally turned off.
Indicates that the printer is normal.
Indicates a printer error.
Indicates that no printer is connected.
Indicates that the recorder is normal
Indicates that the recorder is under test.
Indicates a recorder error.
Indicates that no recorder is connected.
Flash: indicates new monitors log on.
Not flash: indicates no new monitor logs on
6
Network
status
Indicates that the network is normal
Indicates that the network is disconnected.
2-8
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