CAE Luna Bedienungsanleitung

Your worldwide

training partner

of choice

User Guide

Proprietary Notice

This document, including the information contained herein, is condential and/or proprietary to CAE Inc., and shall not be

reproduced or disclosed in whole or in part, or used for any purpose whatsoever without the prior written authorization of CAE Inc.

Trademark Information

Trademarks and/or registered trademarks of CAE Healthcare Inc. and/or its aliates include but are not limited to: Apollo,

Ares, AresAR, Aria, Athena, BabySIM, BluePhantom, Caesar, CathLabVR, EndoVR, HPS, ICCU, InfantSIM, iStan, Juno, LapVR,

LearningSpace, Lucina, LucinaAR, Luna, Maestro, Medicor, METIman, Müse, NeuroVR, PediaSIM, SimEquip, Simulex, StethoSym,

SymDefib, SymEyes, UniSIM, Vimedix, VimedixAR and Vivo. All other brands and product names are trademarks or registered

trademarks of their respective owners. All logos, tradenames and trademarks referred to and used herein remain the property

of their respective owners and may not be used, changed, copied, altered, or quoted without the written consent of the

Contents

CONTENTS

Cautions and Warnings .............................................................................................. 1

Electrical Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Product Use Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Manikin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Fluids System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Simulator Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Battery Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Battery Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Precautions for Handling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Potential Health Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Safety Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Transport Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

System Requirements ................................................................................................ 7

Software and Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CAEMaestro Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Windows® Operating System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Approved Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Specifications .............................................................................................................. 9

Size and Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Ambient Temperature Range. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Maximum Altitude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Electrotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Meet Luna.................................................................................................................. 11

Simulator Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Equipment Overview................................................................................................ 15

Standard Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Male and Female Genitalia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Live and Advanced Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Canvas Rolling Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Surface Go Tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Contents

CAELuna

Tablet Carrying Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

CAE StethoSym . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

CAE SymDefib . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Optional Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Patient Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Setup Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

Unpacking the Manikin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

Setup Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Step 1: Place Luna in Work Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Step 2: Configure the Wired Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Step 3: Power on the Manikin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

Step 4: Set up the Wireless Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

Step 5: Power on the Instructor Workstation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

Step 6: Launch Maestro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

Step 7: Set up TouchPro Monitor (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

Step 8: Charge the StethoSym . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

Step 9: Prime the Fluid Systems (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Luna Features............................................................................................................ 31

Neonatal Manikin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Physiological and Pharmacological Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Cardiovascular System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Respiratory System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Neurologic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Genitourinary System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Articulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Medication Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Simulated Clinical Experiences. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

System Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Application Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

System Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Using Luna ................................................................................................................. 39

Cardiovascular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

Cardiovascular System Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

Pulses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Peripheral Intravenous (IV) Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Contents

Central Intravenous (IV) Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Arterial Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Intramuscular (IM)/Subcutaneous (SQ) Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Intraosseous (IO) Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Heart Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

Chest Compressions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

Defibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Respiratory System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

Respiratory System Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

Airway Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

Intubation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Laryngospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Bag Valve Mask (BVM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Needle Decompression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52

Chest Tube. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Cyanosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Neurologic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

Neurologic System Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

Eyes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Intracranial Pressure (Fontanel) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Genitourinary System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Changing the Simulator’s Genitalia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Urinary Catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Medication Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Administration via Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Intravenous, Intramuscular/Subcutaneous, and Intraosseous Medication. . . . . . . . . .59

Fluids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Vocal Soundsh. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Using the StethoSym . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Umbilical Cord. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63

Care and Maintenance ............................................................................................. 65

General Simulator Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Contents

CAELuna

Short-Term Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Long-Term Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Breakdown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67

Step 1: Clean the Manikin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67

Step 2: Remove Excess Fluids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67

Step 3: Power off the Instructor Workstation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69

Step 4: Power off the Manikin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

Appendix A -Recommended Clinical Supplies ....................................................... 71

Cautions and Warnings

CAUTIONS AND WARNINGS

It is important to read and understand these cautions and warnings before you use the Product.

Electrical Safety

Important: Do not use the product in any manner other than specified, as safety features designed

for protection may be impaired.

• This product must be connected to an electrical outlet that is properly grounded. Take

precaution to ground or polarize correctly.

• Connect only to a 100-240 VAC 50/60Hz power source.

• Always use the supplied power cords. Do not substitute.

• Always use the supplied power adapter to run the simulator from AC.

• Do not allow excess fluids to flow on or into electronic parts.

• Do not attempt to disassemble the simulator or service any of the electrical components

without receiving instructions from Customer Service.

• Do not operate the manikin in rain. Apply water to the manikin only in accordance with the

supported clinical procedures explained in this guide.

Product Use Warnings

Manikin

• Make sure the manikin is set up on a stable, sturdy work surface that will not collapse and

cause injury to users.

• Operate the manikin in ambient temperatures below 104°F (40°C).

Note: This only applies when using the manikin without the tablet where CAEMaestro

software is installed. For information about temperature ranges for the tablet, see

Ambient Temperature Range in the Specifications section of this User Guide.

• Do not place foreign substances into the airway, with the exception of small amounts of

approved lubricant. Only perform invasive procedures supported by the Product as

described in the applicable sections of the User Guide.

• Do not insert any materials into the manikin except the equipment or probes supplied.

• Do not lift the manikin by its limbs. Support the head and lift it from the torso. If necessary,

have another person help you lift and move the manikin using a patient transfer device

such as a patient transfer board, when available.

• Keep the manikin plugged in between training sessions due to a slow drain of the battery

that occurs.

Cautions and Warnings

CAELuna

• Under normal circumstances, unplugging the external DC power used for powering and

charging the manikin is not necessary because the charging stops when the battery is full.

A topping charge is only applied when the battery voltage drops to a certain level.

• Do not spill fluids over the manikin’s chest, abdomen, or inside the manikin’s torso. This

could damage the system and may also present a possible hazard for the operator.

Special attention should be taken while using the the various fluid features.

• Do not use the manikin or equipment in locations where children are likely to be present.

Fluids System

For manikins such as Luna that are equipped with fluid systems:

• Do not modify the reservoirs or any assembly component.

• Always protect your eyes, skin, and clothing against accidental exposure.

Battery

Manikins and tablets use lithium batteries that all have special handling requirements to avoid

hazardous situations.

For more information about battery specifications, see the Specifications section. For more

information about battery safety, see the Battery Safety Information section.

Simulator Batteries

• Always store the polymer lithium-ion battery pack indoors.

• Always keep the battery away from objects or materials with static electric charges.

• Batteries can be charged while the manikin is between 32°F (0°C) and 113°F (45°C).

• Do not store, use or charge the battery inside of an automobile as

temperatures can exceed 176°F (80°C).

Manufacturer RRC power solutions GmbH

Technologiepark 1, D-66424 Homburg-Saar, Germany

Mail: [email protected]

Emergency phone

number

+49 6841 9809-0 (8.00 – 16.00, MEZ), or contact your national poison

information center.

Cautions and Warnings

Battery Replacement

• If the simulator battery power diminishes significantly, contact Customer Service to

replace the battery. For safety, only replace the battery with an approved make and

model.

• Before disposing of a simulator battery, apply vinyl tape to its positive (+) and negative (-)

terminals to avoid short circuits.

• If a simulator battery needs to be replaced, immediately remove the old battery from the

equipment to ensure no damage occurs.

• Do not dispose of the simulator battery into a fire. Dispose of or recycle

batteries responsibly.

Battery Safety Information

For information about battery specifications, see the Specifications section of this user guide.

Important: Refer to the battery manufacturer’s Safety Data Sheet (SDS) for complete safety

instructions and handling information.

Precautions for Handling

Hazards are associated with the contents of the cell or battery. Under recommended use conditions,

the electrode materials and liquid electrolyte are non-reactive, as long as the cell or battery integrity

remains, and the seals remain intact.

Potential exposure should not exist unless the cell or battery:

• leaks,

• is exposed to high temperatures,

• is mechanically, electrically or physically abused/damaged.

If the cell or battery is compromised and starts to leak, based upon the battery ingredients, the

contents are classified as hazardous. In general, if liquid leaks from the battery or foul odor is

detected, DO NOT use the battery and keep it away from heat or flame.

• Avoid short circuiting the battery. Do not store with coins, screws or other similar objects.

• Do not immerse in water.

• Do not disassemble or deform the battery.

• Do not expose to, or dispose of the battery in fire.

• Avoid excessive physical shock or vibration.

• Keep out of the reach of children.

Cautions and Warnings

CAELuna

• For rechargeable batteries, the battery must be charged in an approved charger.

• Never use a modified or damaged charger.

• Store in a cool, dry, and well-ventilated area.

• Never use a battery that has been damaged or deformed.

• Do not short-circuit the positive (+) and negative (-) terminals.

• Do not place the battery in a device with the positive (+) and negative (-) terminals in the

wrong positions.

• Do not solder a battery directly.

Potential Health Effects

• Acute (short term): In the event that the cell or pack ruptures, the electrolyte solution

contained within the cell will corrode and can cause burns to skin and eyes.

• Inhalation: Inhaling materials from a sealed cell is not an expected route of exposure.

Vapors or mists from a ruptured cell can cause respiratory irritation.

• Ingestion: Swallowing materials from a sealed cell is not an expected route of exposure.

Swallowing the contents of an open cell can cause serious chemical burns to mouth,

esophagus, and gastrointestinal tract.

• Skin: Contact between the cell and skin will not cause any harm. Skin contact with the

contents of an open cell can cause severe irritation or burns to the skin.

• Eye: Contact between the cell and the eye will not cause any harm. Eye contact with the

contents of an open cell can cause severe irritation or burns to the eye.

• Interactions with other chemicals: Immersion in high conductivity liquids

can corrode or breach the cell or battery enclosure. The electrolyte

solution inside of the cells can react with alkaline (basic) materials and

present a flammability hazard.

Safety Measures

Review the precautions for handling before replacing a battery utilizing guidance from CAE.

Should exposure to hazardous battery components occur, or in the event of a fire, follow all local first

aid measures and safety protocols.

Transport Information

CAE complies with the most current International Air Transport Association (IATA) Dangerous Goods

Regulations when transporting and shipping Li-ion batteries. The following terms are defined as

follows:

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