Ohmeda BiliBlanket Plus User manual

АСТИ
BiliBlanket® Phototherapy
Operation,
Plus
System
and
W =
Service
Manual
\
General
Precautions
Care
PLEASE
of
the
IMPORTANT
READ
Skin
The
skin
insults. a
route
intensive-care
small,
premature coupled problems
Please
1.
Please literature?
given *
Observe
+
Clean
CAREFULLY
serves
The
skin
of
water
techniques
with
excessive
for
the
read,
evaluate
refer
when
to
sanitation
color,
skin
CLINICAL
as a protective
is
also
important
excretion,
infants.
nursing
to
the
with
especially
has
been
The
immaturity
instrumentation
care
of
and
implement
following
utilizing
rashes,
warm
and
skin
water
this
excoriation
INFORMATION
BEFORE
barrier
integrity.
against
in
the
regulation
in
premature
associated
and
these
infants’.
the
standard device
with
USING
chemical,
with
of
the skin
handling,
following
of
skin
care
all
infants.
THIS
mechanical,
of
body
temperature
infants.
the
recommendations
The
introduction
increased
of
the
very
low
poses
previously
recommendations
Special
attention
DEVICE
and
biological
and
survival
weight
of
infants,
unrecognized
as
appropriate:
as
should
serves
of
new
very
given
be
in
ο
as
the
*
Clean
perineal
e
Change
This
device
this
device
recommended.
studies
prophylactic
NAACOG(1992),
ibid
have
area
infant's
position
is
intended
for
prophylactic
These
produced
phototherapy
OGN
Nursing
after
stooling
every 2 hours
only
for
treatment,
infants
inconsistent
treatment
Practice
Resource,
the
treatment
have
extremely conclusions
45.
Neonatal
of
existing
particularly
of
fragile
concerning
Skin
Care,
NAACOG.
hyperbilirubinemia.
premature
skin?
infants,
and various
the
effectiveness
Use
is
not
clinical
of
©
of
Rutter,
N.,
The
immature
Curtis-Cohen,
of
Pediatrics,
Brown,
February , 1988
6600
0228
A.,
000
et
M.,
July,
al,
04/22/96
et
al,
Randomized
1985
Efficacy
skin,
British
of
Phototherapy
Medical
trial
of
in
Bulletin,
Vol.
prophylactic
Prevention
and
44,
No.
4,
phototherapy
Management
1988
in
the
infant
of
Neonatal
with
very
low
birth
Hyberbilirubinemia,
weight,
Pediatrics,
TheJoumal
Table
of
Contents
©
1/General
2/Operation
3/Maintenance..............
Information
Description Light Accessories
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source
controls,
and
.........................
Checkout
UsingtheBiliBlanketPiusPhototherapySystem......................................................
Using
procedure
Checkout
the
procedure
transilluminator
ee
Maintenance
Operator
Service Cleaning Bulb
replacement Cleaning Attaching
schedule
Maintenance
maintenance
and
disinfecting
the fan
the
dovetail
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non
coran
indicators
replacement
and
parts
connectors
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before
Operation
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4/Service
.ee
Repair
Troubleshooting
Functional
Repair
Electrical
Light
ee
PA
policy
and
procedure
description
DrocedureS
Replacing a fuSe
Replacing
ReplacingthePCboard...........................................
Replacingthecoolingfan...........................................
Replacing
Replacing Replacingthethermalcutout
Replacing Replacing
Replacing Replacing a bezel/hour Replacing a front
Ground
Leakagecurrent..........................................
Output
the
the
the
the
the
the
зау
ргоседигез
continuity
Measurement
light
brightness
power
optical
bulb
power
pe
.es
source
SUpply
filter
holder
inlet
bezel
...........
rie
cover...
sise
CONtrol..............
iii
switch...
assembly...
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module Meter label
..................
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ини
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ини
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нелли
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3
4
5
6 6
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gene
7
7 8
8
9
9 10 10
11
11
11 11
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Appendix
lllustrated
Schematics
.es
Specifications
6600 0228
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service
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...............
04/22/96
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13
17
1
1
i
General
Definitions
Next
What symbo!
the
attention
means
to accompanying of
these
When
the
it
means
each
warning
documents”
important
A
attention
that
the
or
caution,
symbol
statements.
symbol
text
appears
is
elaborated
we
to
This
upon
have
alert
is
the
in
front
placed
you
to
attention
of
text that
in
the
operation
an
“attention,
the
presence
symbol:
is
printed
manual.
read
on
the
system
itself,
WARNINGS
WARNING: A Warning
the
operator
CAUTION: A Caution ment
exists.
Indicates
Indicates
This
letter
Important:
sis.
Note: A Note
The
following
certain
exists.
alternating
IEC
Type B equipment.
appearing
An
Important
provided
are
general
procedures
current.
before a fuselink
are
A
statement
statement
statement
additional
Warnings
found
in
is
used
when
is
used
when
value
is
similar
information
and
Cautions.
the
text
of
the
possibility
the
possibility
indicates a time
to a note
to
clarify a point
the
but
Precautions
manual.
of
delay
is
used
of
injury
damage
fuselink.
for
in
the
text.
specific
to
the
to
the
greater
to
patient
or
equip-
empha-
CAUTIONS
Do
not
use
the
BiliBlanket
anesthetics; a possible
Service individual
extensive personnel
representatives.
described
as
described
repairs
having
in
this
are
included
proper
A
Servicing undertaken
service
6600 0228
of
without
manual
000
04/22/96
this
product
the
which
Plus
explosion
manual
in
this
knowledge,
in
accordance
proper
is
clearly
Phototherapy
hazard
must
manual.
in
this
tools,
and
exists
be
Detailed
manual
tools
with
test
equipment
thoroughly
System
under
performed
drawings
solely
and
test
equipment,
this
service
understood.
in
the
presence
these
conditions.
by a technically
and
procedures
for
the
convenience
or for
and
manual
the
most
should
recent
of
flammable
competent
for
more
of
qualified
Ohmeda
never
service
be
revision
of
this
1/General
In
this
Section
Information
WARNING
Description Light
source Light
Light
Accessoriesandreplacementparts...............................................
ZX
Do the exists
General
This
manual
Plus
Phototherapy
to
service
Before
*
Read
*
Pay
+
Read scribes
+
Read
defect.
controls,
source
source
not
turn
presence
under
Information
describes
the
BiliBlanket
using
the
through
special
the
User
what
the
Warranty;
attention
is
indicatorsandconnectors
and pad
back
on
of a flammable
these
System.
BiliBlanket
sections
Responsibility
expected
eserinin
panel
or
operate
conditions.
how
Plus.
one
to
the
it
describes
..................
to
checkout,
It
also
Plus through Warnings
of
the
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...................................
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the
BiliBlanket
anesthetics; a possible
operate
describes
Phototherapy
three
and
statement
user
Ohmeda's
located
to
maintain a safe
Plus
and
for
the
technically
System
of
this
manual.
Cautions
on
responsibility
Phototherapy
maintain
which
the
the
competent
appear
inside
and
accurate
in
case
eee
System
explosion
Ohmeda
in
the
front
cover;
product.
of a
functional
in
hazard
BiliBlanket
person
manual.
it
how
de-
1-1 1-4
1-4
1-5 1-5
Keep
The
light
disposable
ideal
On through a flexible
from
pneumothoraces.
The with a four a tion
The The
transmitted.
Although
mately
this
Ohmeda
from a high
400
units
with
the
cable
BiliBlanket
variable
near
light reflector
the
manual
BiliBlanket
cover
to
550
the
is
Plus
foot
long
power
the
lamp.
source
is
coated
This
there
will
same
available
intensity
that
nanometer
transilluminator
light
used
fiber
supply
lamp
bulb
be a slight
light
for
answering
Plus
Phototherapy
lamp
to a woven
is in
contact
range
pipe
to
appear
to
facilitate
Phototherapy
optic
cable.
for
the
light
is a high
with a dichroic
is
intensity
intensity,
specifically
degradation
throughout
option,
guestions
System
fiber
optic
with
the
patient.
for
phototherapy
unfiltered
at
the
tip
of
vascular
system
source, a cooling
manufactured
sticks
consists
The
light
tungsten
surface
over
its
source
which
time,
life.
which
may
uses a fiber
pad.
The
pad
The
patient
treatment.
light
in
the
visible
the
transilluminator
or
injections.
of a
light
unit
system
halogen
reduces
for
use
the
It
source
contains a lamp,
and
bulb
the
with
the
bulb
will
arise.
optic
cable
to
is
placed
is
exposed
is
also
overheating
with a built-in
infrared
BiliBlanket
maintain
to
spectrum
cable.
The
used
unit
and a light
light
energy
approxi-
deliver
in
a
light
in
the
travels
light
to
find
pad
filters,
protec-
reflector.
Plus.
6600
0228
000
04/22/96
1-1
1/General
A
eter
allowed
Any 1-1
Information
light
filter,
range.
to
light
shows
Low
Medium
.
High
*
For
Meter
positioned
This
filter
pass.
intensity
the
light
more
precise
and
follow
blocks
This
filtered
may
be
output
Brightness
Rotary
EN
©
se
control
Light
in
front
selected values
Control
== | Clockwise
of
light
Output
of
the
nearly
all
light
is
focused
by
at
the
Full
Counter
Clockwise
Center
Detent
Full
output,
use
Measurement
lamp,
rejects
ultra-violet
on
the
the
front
panel
low,
center
(pW/cm?/nm)
the
Ohmeda
Procedures
BiliBlanket®
in
light
outside
and
infrared
inlet
of
brightness
and
high
Output
15+3.75
2046.25
*
*
*
35 + 8.75"
Section
4.
the
light;
the
fiber
rotary
positions.
400
only
optic
control.
to
550
the
cable.
nanom-
blue
Table
light
is
Table
1-1
BiliBlanket
Mode
Selects transilluminator transilluminator.
Supply
Power
source
Power
Cooling
A
fan
protects
Fiber
The
the
light
into a mat.
These to
bulb uniform, reduce
select
the
power
for
at
enters
cools
the
optic
fiber
optic
source
fibers
hot
continuous
the
Plus
phototherapy
operating
light
the
light
either
50
the
the
light
light
source
cable
cable
to
This
patented
are
randomized
spots,
risk
of
light
dust
cross-contamination
light
output
mode ; phototherapy
pipe,
the
BiliBlanket
source
or
the
unit
60
Hz
source
source
contains
blanket
unit. A thermal
unit
light
pad.
process
on
the
can
be
that
have
through a receptacle
and
fiber
2400
The
produces a pad
in
the
filter,
dust
of
light. A disposable
values
or
transillumination.
Plus
supplied
voltages
cutout
optic
cable
individual
light
cable
pad
to
on the
and
plastic is
eliminate
make
System
by
in
cable
can
any
standard
the
range:
that
has
switch
or
transilluminator
fibers
constructed
with
light
any
end,
protective
the
patient
Using
be
used
AC
90 - 132
an
integral
located
which
by
weaving
over
local
intensity
etc.
This
pad
more
the
Ohmeda
as
a
mains
power
or
180 - 264.
power
next
to
the
from
overheating.
transmit
the
cover
comfortable.
these
entire
gradients
allows
is
the
the
provided
switch.
light-filter
light
from
fibers
surface.
due
nearly
to
Disposable
The
disposable infant between
6600
0228
lies
directly
the
000
cover
pad
04/22/96
cover
on
and
is
designed
the
disposable-covered
the
infant.
for
use
with
pad
both
without
premature
any
and
full-term
method
infants.
of
attachment
The
1/General
Information
Disposable
A
disposable
disposable phototherapy
and
full-term
Transilluminator
The
transilluminator
source
to
the
vest
vest
vest,
treatment.
infants
tip.
is
designed
it
is
possible
who
light
The
disposable
can’t
pipe
to
secure
to
hold
and
tolerate
contains
the
fiber
nurse
cover
having
plastic
optic
the
infant
should
the
vest
fibers
pad
be
used
secured
which
to
the
while
continuing
for
around
transmit
infant.
With
premature
the
light
from
the
infants
midsection.
the
light
6600 0228
000
04/22/96
1-3
1/General
Information
Light
source
controls,
indicators
and
connectors
Nontransilluminator
Phototherapy
4.
Wernlag:
Connect
Pad
intense
Light
Prior
to
to
Unit
Syste:
Operation
C1.17.019,020,016
1-4
Figure Light
source,
6600
0228
1-1
000
pad
and
04/22/96
transilluminator
cable
1/General
Refer
to
Figure
1-1.
Power
1.
Air
2.
Timer
3.
Brightness
4.
indicator
The
green
flow
failure
The
red
light-emitting
Nonresettable
selector
The
rotary
intensity
Mode
select
5.
The
mode
Light
source
6.
The
light
transilluminator.
Pad
assembly
7.
The
pad
fiber
cable
light-emitting
indicator
diode
timer
runs
control
position.
select
port
source
assembly
to
port
the
selects
(see
slide
is
attaches
optical
diode
(LED)
whenever
the
Table
selects
for
attaching
to
fiber
(LED)
lights
light
intensity,
1-1
for
the
operating
the
light
woven
tights
when
the
bulb
light
the
fiber
source
pad.
when
the
there
is
turned
and
has a center
intensity
values).
mode:
optic
port.
light
source
is
an
air
flow
on.
detent
phototherapy
cable
connector
Light
is
fed
unit
power
failure.
at
the
medium
or
transilluminator.
or
through
the
optical
is
on.
Transilluminator
8.
The
cable
attaches
Figure
Light
Refer
Power
1.
1-2
source
to
Figure
cord
The
power
back
receptacle
cable
1-2.
cord
to
AED
BiliBlanket Phototherapy
plugs
the
into
light
Plus
System
the
source
power
port.
cord
receptacle.
Light
appears
at
the
tip.
C1.17.010
Power
2.
6600
The
0228
switch
power
000
04/22/96
switch
switches
the
light
source
unit
on.
1-5
1/General
Information
Table
Stock
6600-0213-800 6600-0270-200
6600-0461-200
6700-0025-800 6700-0014-800 6600-1974-100
6600-0521-800 6600-0730-224 6600-0730-207
6050-0002-259 6030-0000-006 6600-0522-800
6600-0031-900
and
1-2
number
Item
Carrying Disposable Disposable
Mobile Mobile User
New Phototherapy Power
Power Power
Transilluminator
Dovetail
case
stand, stand
card
pad
assembly
Cord, North
Cord, Cord,
rail
parts
covers vest
(50)
(50)
less
accessories
slide
bracket
cable
repair
America
United Continental
mount
slide
assembly,
tape
Kingdom
Europe
bracket
(120V)
kit,
female
female
(See
A,
Figure
1-3)
6600-0198-800
6600-0680-200
6600-0531
*
Allows
the
left
the
side
-800
BiliBlanket
of
the
Dovetail
Replacement
Transilluminator
Plus
to
source
be
unit.
light
rail
mount
slide
bracket
lamps
attached
to
the
or
accessories
dovetail
(6)
rail
mount
C1.01.032,033
accessory,
pouch
slide
bracket
B
6600-0198-800
A 6600-0031-900
male*
by
using
two
(See
of
the
B,
Figure
mounting
1-3)
screws
9
on
1-6
Figure Slide
mounting
Dovetail
and
Infant
6600 0228
000
1-3
rail
bracket
systems
Warmer
04/22/96
accessory
are
used
Systems.
to
mount
slides
into a dovetail
accessories
on
mount
Ohio“
slide
Care
bracket
Plus®
incubators
0
In
this
section
WARNING
Checkout
Using Using
A
procedure
the
BiliBlanket
the
Transilluminator
Do
not
use
flammable
conditions.
Factors
Lamp
*
e
e
*
Bulb
The
which
light
output
Lamp
variations
Brightness
Vibration
and
Non-recommended
variations
light
output
before
operation
Plus
Phototherapy
eee
the
BiliBlanket
anesthetics; a possible
affect
light
and
life
are
selector
setting
mechanical
output
affected
shock
Plus
and
lamp
from
bulb
to
bulb
may
i
System
Phototherapy
explosion
life
by
various
vary
by
as
ss.
factors
much
System
hazard
among
as
10%.
in
the
exists
which
presence
under
are:
σος
these
2-2
2-3
2-6
of
Intensity setting
The
bulb
life
will
vary
Table
2-1
provides
Brightness
Table
2-1
Brightness
Vibration
Vibration
taken be
mounted
when
knob
and
mechanical
and
mechanical
moving
or
placed
greatly
an
example.
knob
Low
Medium
High
setting
effect
the
light
on a surface
with
setting
on
shock
shock
source.
the
intensity
bulb
life
will
significantly
To
maximize
which
is
at
which
the
light
Nominal
source
bulb
10,000
life
hours:
is
operated.
1,500
the
life,
exposed
800
bulb
the
life.
Care
light
to
should
source
vibration.
should
be
reduce
the
bulb
stable
and
not
6600 0228
000
04/22/96
2-1
2/Operation
CAUTIONS
Checkout
À
Allow
the
light
light
source
ZX
To
ensure
the
proper
performance
System.
À
Use
only
Ohmeda transilluminators damage
Non-recommended
Using any
BiliBlanket
light
source
the
lamp
Plus
or
the
procedure
Before
steps
phototherapy procedure
operating
should
assumes
be
treatment
source
or
changing
the
proper
lamp
as
of
and
from
unit.
lamps
other
than
system
fiber
before
the
Ohmeda
taken
to
that
to
operation
listed
may
light
other
that
will
affect
optic
ensure
or
the
you
cool
for a minimum
the
bulb.
and
light
in
the
Appendix.
result
in
damage
pad
assemblies
manufacturers
recommended
the
performance
pad
or
transilluminator.
operation
BiliBlanket
that
transilluminator
are
familiar
Plus
the
BiliBlanket
with
of
ten
minutes
intensity,
Use to
or
transilluminator
can
and
Phototherapy
delivers
the
unit’s
replace
of
other
the
BiliBlanket
affect
performance
distributed
of
and
may
Plus
will
the
proper
controls.
before
-
the
lamps
Plus
cables.
by
Ohmeda
result
System,
provide
light.
moving
lamp
only
will
affect
Phototherapy
Light
and
for
the
in
damage
the
following
effective
This
checkout
the
with
the
pads
may
to
or
the
CAUTIONS
A\
Lamp or
bumping,
for
at
A
Do
not
abrasive
ZA
Observe guidelines:
e
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you
rary
when to
use
+
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+
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decrease
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life
is
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or
least
ten
allow
the
surfaces.
the
following
hang
storage
removing
it.
not
lay
the
not
place
the
the
light
procedure
reduced
if
the
minutes
fiber
The
the
fiber
on
an
it
for
fiber
anything
the
guidelines
cable’s
cable’s
intensity
unit
is
moved
before
optic
cable,
protective
fiber
optic
optic
cable
IV
pole,
use.
Carefully
optic
cable
on the
may
outer
protective
optical
at
the
if
the
lamp
moving
pad
coverings
cable
and
door,
wall
or
fiber
cause
fibers,
light
or
the
light
source
while
the
bulb
is
the
unit.
or
transilluminator
may
be
and
pad
assembly
pad
or
transilluminator
hook
or
similar
lift
the
cable
free
transilluminator
optic
cable
excessive
conduit,
pad
or
transilluminator.
where
or
transilluminator.
stress
is
hot.
Allow
to
damaged.
and
item,
do
of
obstructions
it
could
and
subjected
the
rub
on
transilluminator
assembly
not
be
to
bulb
sharp
for
pull
the
when
crushed.
may:
shock
to
cool
or
tempo-
cable
ready
2-2
1.
Place
locate
2.
Verify The
6600 0228
the
the
that
air
000
light
light
the
filter
should
04/22/96
source
source
air
on
within a few
circulation
be
free
a flat,
level
vents
from
surface
feet
of
the
on
the
sides
excessive
(or
use
treatment
of
the
amounts
the
mounting
location.
light
of
lint.
source
slide
bracket)
are
unobstructed.
to
2/Operation
CAUTION
CAUTION
WARNING
ZX
Do
not
3.
Examine
signs
of
4.
Connect
5.
Fully
engage
port.
A
Do
not
sharp
6.
Select
will
light.
7.
Using
the
ensure
8.
Select
A A hot
the
light
light
block
the
damage.
the
power
scratch
or
heavy
“|”
on
the
brightness
that
light
“O”
on
surface
source
source
the
power
the
fiber
or
power
is
the
is
port
air
intake
cord,
Replace
cord
to
optic
soil
the
objects
switch
selector
being
power
switch
exposed port.
whether
or
outlet.
fiber
optic
them
the
light
cable
light-input
on
the
to
switch
emitted
to
when
Do
not
the
cable and
if
they
are
source
connector
end
fiber
optic
turn
the
on
from
the
turn
the
the
insert
lamp
transilluminator
damaged.
first
and
or
transilluminator
of
the
pad,
power
on.
the
front
pad.
power
fiber
optic
fingers
is
on
or
then
connector
vest
or
The
panel,
off.
cable
or
foreign
off.
cable
to
the
line
into
cable.
connecting
green
select
any
is
disconnected
objects
power the
power
light
for
obvious
supply.
light
Do
not put
cable.
indicator
intensity
into
source
light
and
from
the
Using
WARNING
the
The
disposable
infant
lies
pad and
А
If
there cover System
with
Plus
1.
When
2.
When
3.
When
or
The
disposable
term
infants
disposable
The
infant,
will
continue
covered,
cover
directly
the
on
infant.
is a concern
the
patient’s
to
shield
conventional
may
not
using the
pad
the
patient
abdomen.
vest
who
cannot
cover
should
along
with
to
receive
light-emitting
Plus
is
designed
the
covered
eyes
them
phototherapy
be
necessary
the
vest.
is
kept
is
secures
tolerate
be
the
light
effective
section
Phototherapy
for
use
with
both
pad
about
when
or
when
against
clothed
the
having
used.
pad,
phototherapy
of
without
exposure
using
under
the
after
fiber-optic
may
the
pad
any
to
the
the
BiliBlanket
lights.
these
patient’s
applying
pad
the
vest
be
covered
treatment
remains
System
premature
method
direct
BiliBlanket
Eye
conditions:
to
the
secured
in
of
light
Plus
patch
back.
the
pad
infant.
around
or
wrapped
as
contact
and
full-term
attachment
from
the
Plus
is
used
use
with
to
the
patient’s
For
premature
the
in a blanket.
long
as the
with
the
infants.
between
light
pad,
Phototherapy
in
conjunction
the
BiliBlanket
chest
and
full-
midsection,
The
disposable-
skin.
The
the
the
infant
The
disposable
pad and with a new
6600 0228
the
000
cover
infant's
cover.
04/22/96
should
skin.
The
disposable
If
the
be
the
only
disposable
cover
material
cover
should
also
between
becomes
be
the
light-emitting
soiled,
replaced
it
should
between
side
of
be
replaced
patients.
the
2-3
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