Summary of Contents for IVAC P6000

Page 1: ...s IVAC Syringe Pumps Models P7000 P6000 TIVA TCI TIVA Technical Service Manual...

Page 2: ...ing 35 Chapter 5 Circuit Descriptions 39 Chapter 6 Spare Parts Replacement Procedures 43 Appendix A Specifications 72 Appendix B Spare Parts Listing 80 Appendix C Fitting and Replacement Guidelines 87...

Page 3: ...art Up In this chapter Introduction 4 General Precautions 5 Front Panel Controls and Indicators 6 Main Display 7 Loading a Syringe 8 Starting the Pump 9 Basic Features 10 Backoff Feature 11 Fast Start...

Page 4: ...ervicing As part of continuous improvement product enhancements and changes are introduced from time to time Purpose of this Manual This Technical Service Manual describes how to set up test and maint...

Page 5: ...ed or removed Refer all servicing to qualified service personnel M This pump is protected against the effects of high energy radio frequency emissions and is designed to be fail safe if extremely high...

Page 6: ...or faster slower increase or decrease of values shown on main display C BLANK SOFTKEYS Use in conjunction with the prompts shown on the display G PURGE BOLUS Press to purge the extension set during se...

Page 7: ...ion Rate Dose Rate Syringe Type or Drug Name Protocol Volume Infused Infusion Status Current Time Review Option Model TCI TIVA 7 5ml 22 5mg Calculated Concentration Target Concentration Trend Graph Ef...

Page 8: ...to the V slot see Figure 2 Loading a Syringe Ensure that the syringe is advanced until the syringe barrel flange touches the front of the V slot closest to the syringe clamp This is important to preve...

Page 9: ...r switch on side of pump Mark I 3 CLEAR DATA NO retains previous data YES clears previous infusion data 4 Load syringe See instructions in previous section 5 Insert pressure disc into pressure transdu...

Page 10: ...nd Dosing instructions as per relevant DFU SET VTBI Set a specific volume to be infused and set rate at end of VTBI not available on Model TCI TIVA or Model TIVA SET VTBI OVER TIME Specify a VTBI and...

Page 11: ...ture Model P7000 only BACKOFF is a configurable feature enabled disabled via the CONFIGURATION menu access code 251 When enabled BACKOFF is automatically activated every time an occlusion occurs The p...

Page 12: ...Calibration In this chapter Access Codes 13 Entering an Access Code 13 Dedication Options 901 902 14 Configuration Options 251 14 Drug Setup 251 15 General Options 251 17 Calibration Procedures 20 Cl...

Page 13: ...s interface 168 COMMS TEACH MODE Configuration output to another device pump 176 LINEAR DIAGNOSTIC Linear potentiometer test 222 SELF TEST Self test routine begins at display test 223 SELF TEST Self t...

Page 14: ...e 2 Turn the pump OFF and return to service or select the next CONFIGURATION option ENABLE UNITS Configure the dose units permitted for use Model P7000 only To enable units 1 Use M to select MODIFY to...

Page 15: ...es DRUG SETUP option To adjust use these keys DRUG NAME To toggle through characters use single chevrons and To go to first last character use double chevrons and NEXT to go to next drug name letter C...

Page 16: ...gh each DRUG SETUP option see table below to setup or modify the drug name and protocol Press the OK softkey to confirm each option Press the BACK key at any time to go back to the previous option and...

Page 17: ...at an increased rate Enabled Hands Free Bolus function allowed Disabled Hands Free Bolus function not allowed DEFAULT BOLUS Set the default bolus value between 0 1ml and 25ml NURSE CALL Enable disabl...

Page 18: ...ion available via the D button Disabled RATE LOCK option not available QUIET MODE Enable disable Quiet Mode feature keypress tones low priority alarms and power down sequence tones are muted Enabled Q...

Page 19: ...d Event Log shows all patient data NURSE CALL Enable disable the Nurse Call feature hardware feature which allows the pump to communicate with the hospital s nurse call system typically linked to cent...

Page 20: ...Press CAL softkey to store calibration point Notes 1 If CAL is not displayed check for correct positioning of calibration tool If calibration cannot be performed repairs to pump may be necessary 2 Th...

Page 21: ...teps 1 2 below At each step CAL is displayed if value is within tolerance Press CAL softkey to store calibration point Notes 1 If CAL does not appear in the display check for correct positioning of ca...

Page 22: ...00JG00014 Calibration procedure Enter the access code 717 Fit calibration tools and position plunger as shown in Steps 1 3 below zero the gauge dial At each step press CAL softkey when required calibr...

Page 23: ...ock syringe Calibration procedure 1 Enter access code 263 2 Without a pressure disc infusion set fitted press CAL softkey Step 1 3 Load pressure disc infusion set into transducer as shown in Step 2 th...

Page 24: ...00mmHg 2mmHg Step 4 0mmHg Set fitted pressure released Calibration Procedures continued Line Pressure Calibration 263 P7000 only continued Calibration procedure continued 5 Release pressure but do not...

Page 25: ...p Perform each of the four calibration procedures as described in this chapter Reconfigure the pump Set Configuration drugs and protocol it may be possible to use the Teach Learn facility see Chapter...

Page 26: ...Download 29 Teach Learn 29 Linear Speed Test 30 Drive Occlusion Test 30 Line Pressure Test Model P7000 only 31 Potential Equalisation Terminal Resistance Test PE Test 31 Battery Maintenance 31 Linear...

Page 27: ...7 50V S Audible Alarms AUDIO ALARM Check loud alarm sound beeps AUDIO WATCHDOG Check loud alarm sounds continuously AUDIO KEYPAD Check soft alarm sounds continuously Visual Display DISPLAY TEST Check...

Page 28: ...OMMS _ Self test transmit receive link back check DONE SWITCH OFF The final screen displays DONE SWITCH OFF Providing the pump passed all the tests it can be powered OFF and put back into service Note...

Page 29: ...ation settings The following settings are not transferred and must be reset manually CLOCK SET 251 SET LANGUAGE 359 SERVICE DATE 376 DEDICATED MODE 901 902 ENABLE UNITS 251 on P7000 only Once Teach Le...

Page 30: ...5s 3s IVAC 50 100 0 4m 57s 3s Terumo 50 100 0 5m 57s 4s B Braun Omnifix 50 100 0 5m 29s 4s Monoject 50 100 0 4m 55s 3s Nipro 50 100 0 5m 55s 4s Fresenius Injectomat 50 100 0 5m 49s 4s Braun Perfusor 5...

Page 31: ...PE terminal on the pole clamp of the pump and the other to the pump leadscrew Check that the settled value of resistance is less than 20 M 2 Move the lead from the leadscrew and repeat the check with...

Page 32: ...1 lines Unmarked and that no sharp increases or decreases in deviation occur Troubleshooting Note that sharp jolts or incorrect linear calibration may affect the result If test fails Perform the Linea...

Page 33: ...ng always switch OFF and disconnect from the AC power supply Never allow fluid to enter the casing and avoid excess fluid build up on the pump Do not use aggressive cleaning agents as these may damage...

Page 34: ...000 Near End of Syringe Syringe Empty KVO Ensure pump works on battery and AC mains Verification Tests CH3 Linear speed test Pump set to 100 ml h syringe type BD Plastipak 50 for a distance of 15 mm 4...

Page 35: ...Chapter 4 Troubleshooting In this chapter Introduction 36 Error Codes 36 General Fault Diagnosis 38...

Page 36: ...ycle of soft power off Fault in the soft power on off circuitry ER9 MOTOR Motor direction Check motor wires are connected correctly Check RL1 and TR3 on Control PCB and replace as necessary Replace mo...

Page 37: ...flow fault Replace Control PCB See also ER5 RAM ER33 SOFTWARE Software fault ER34 SOFTWARE Software fault divide by zero fault ER35 SOFTWARE Software fault invalid instruction ER36 SOFTWARE Software...

Page 38: ...ery power No AC mains power Delivery rates out of tolerance Continuous alarm at power up Incorrect display contrast backlight Keypad buttons stuck Drive declutch alarm Cannot confirm syringe General F...

Page 39: ...Chapter 5 Circuit Descriptions In this chapter Functional Module Block Diagram 40 Module Overview Functional Description 41...

Page 40: ...Real time Clock Main Processor Backup Battery PL11 PL5 Syringe Sizing Potentiometer PL1 Motor Drive Pressure Transducer P7000 only PL3 PL4 Serial Comms Display PCB and Backlight Display PL9 Battery PL...

Page 41: ...operation if the watchdog fails power is prevented from reaching the motor The motor speed control algorithm uses three feedback signals from optical switches The optical encoder signals are all fed...

Page 42: ...on the rear output shaft of the motor Declutch Microswitch A microswitch SW1 is mounted on the transmission carriage to detect when the transmission drive has been disengaged Plunger Detect Optical Sw...

Page 43: ...TCI Diprifusor PCB PE Stud Connector 51 Pole Clamp Assembly 52 Upper Case Assembly 53 Control PCB Display PCB 54 Control PCB Display PCB continued 55 Transmission Assembly Removal 56 Transmission Ass...

Page 44: ...rews on the base Batteries should be disposed of as outlined by the local country regulations do not send back to the manufacturer For fastener torque settings refer to Appendix C Fitting Replacement...

Page 45: ...that you are fully conversant with all the procedures in this chapter before undertaking this replacement 2 To strip down each lower case subassembly follow the instructions in the relevant section o...

Page 46: ...order Spare Parts Item Description Part Number A BATTERY 6V SLA RECHARGE 0000EL00004 B FOAM PAD BATTERY 1000ME01064 C PLATE BATTERY RESTRAINT PUNCHED 1000ME01123 D SCREW M3X6 PAN HD POSI ZP P 0000ME00...

Page 47: ...Description Part Number A P7 FAMILY POOR SOUNDER MODE KIT 1000SP00235 B SPARE PSU MKII FUNCTIONAL EARTH 6000SP00026 B PSU UPGRADE MKII FUNCTIONAL EARTH 6000SP00021 LINK FUSE 2A PICOFUSE 0000EL00284 CO...

Page 48: ...n reverse order Mains On Off Switch Mark I Spare Parts Item Description Part Number A ASSEMBLY ON OFF SWITCH 1000SP00007 B ON OFF SPLASH COVER A4 1000ME01103 B SPARE FLUID SEALING UPGRADE KIT 1000SP01...

Page 49: ...ase and slide out the connector assembly and gasket 4 Reassemble in reverse order Refitting notes 1 Apply loctite 243 to the threads of the RS232 screws D before assembly Spare Parts Item Description...

Page 50: ...rough the slot in case wall 4 Remove the two nuts which secure the RS232 connector Slide out the connector assembly and gasket 5 Remove the three screws and washers which secure the RS232 Nursecall PC...

Page 51: ...nnect the earth cable from the PE stud connector as shown in Figure 2 below 5 Remove the PE stud washers plates and spacer slide out connector assembly 6 Reassemble in reverse order Spare Parts Item D...

Page 52: ...eassemble in reverse order Spare Parts Item Description Part Number A PLATE BLANKING POLE CLAMP 1000ME00211 B ASSY POLE CLAMP ADJUSTABLE 7000SP00016 C SPARE POLE CLAMP 40MM 1000SP01015 ASSY ADJUSTABLE...

Page 53: ...ll the procedures in this chapter before undertaking this replacement 2 To strip down each upper case subassembly follow the instructions in the relevant section of this chapter These sections are l A...

Page 54: ...ontrol PCB and the Display PCB Mandatory when serviced Inspect and fit display spacers on pumps manufactured prior to July 1999 if the serial number is within the ranges 6001 00001 to 6001 13816 6002...

Page 55: ...socket are fully inserted Control PCB Display PCB continued Spare Parts Item Description Part Number A P6000 V3R2 S W UPGRADE KIT 1000SP00529 A P7000 V3R2 S W UPGRADE KIT 1000SP00530 A P6000 TIVA V3R2...

Page 56: ...I 2 ZP P 0000ME00225 Procedure 1 Remove the four chassis screws and washers and two beam screws which secure the transmission assembly 2 Disconnect cables and remove the transmission assembly from the...

Page 57: ...HEX NUT M3 STAINLESS STEEL A4 0000ME00292 C SEAL RING LEADSCREW 1000ME01048 D ASSY LEADSCREW SEAL 1000SP01063 E SCREW M2 5X6 CSK HEAD SKT A4 ST ST 0000ME00288 F CLIP EARTH LEADSCREW TCI 6000ME00018 G...

Page 58: ...5 D LEADSCREW V4 1000ME01011 E PIN TENSION DIA 2 0X10mm 0000ME00016 F SCREW M4X8 PAN HD POSI 0000ME00246 G WASHER M4 WAVEY SST 0000ME00045 H ROD TORSION P7000 7000ME00015 I CIRCLIP E TYPE SHAFT DIA 4...

Page 59: ...der Spare Parts Item Description Part Number A ASSY PLATE MOTOR MOUNTING P7000 7000ME00062 A ASSY MOTOR MOUNTING TCI 6000ME00025 B BUSH MOTOR BEARING MOULDED 1000ME01113 C MOTOR ASSEMBLY P7000 7000ME0...

Page 60: ...0ME01066 B CABLE CLIP ADHESIVE 0000EL00095 C SCREW M3X6 PAN HD POSI ZP P 0000ME00221 D WASHER M3 WAVEY SST 0000ME00015 E ASSY FLEXI CIRCUIT MOTOR 7000SP00002 CONNECTOR PLUG 14 WAY 0000EL00106 F ASSY C...

Page 61: ...rts Item Description Part Number A SCREW No4x1 2 PAN HD 0000ME00032 B WASHER M3 PLAIN Z C 0000ME00048 C ASSY MICROSWITCH V4 1000SP01022 D SPACER DUAL TRANSMISSION 1000ME00177 E SCREW No3x3 8 PAN HD 00...

Page 62: ...Part Number A O RING NITRILE 11 5X1 5 0000ME00277 B LEVER TUBE DECLUTCH 1000SP01084 C SCREW M3X8 TORX T6 SET PART DOG 1000ME01134 D PIN TENSION DIA 2 0X20mm 0000ME00018 E HALF NUT V4 1000ME00097 F CAR...

Page 63: ...NGER HOLDER MOULDED 1000ME01114 D HOLDER PLUNGER V4 1000ME01059 E PIN PLUNGER PLATE 1000ME01027 F PLATE PLUNGER RESTRAINT 1000ME01305 G SPRING MUSIC WIRE 0000ME00386 H WASHER M3 PLAIN Z C 0000ME00048...

Page 64: ...EAL OUTER TUBE RECESSED 1000ME01121 B SEAL RING OUTER TUBE 1000ME01047 C PLATE OUTER TUBE SEAL V4 1000ME01022 D NITRILE ORING 14 1 X 1 6 0000ME00448 E TUBE OUTER O RING GROOVE 1000ME01122 Carriage Out...

Page 65: ...ST 0000ME00015 J SHAFT SYRINGE CLAMP 100ML SYRINGE SIZING 7000ME00060 K CLAMP SYRINGE MACH V4 1000ME01006 L PIN TENSION 3 0x10 0 0000ME00257 K Syringe clamp A Spring B Potentiometer plate C Screw D Pi...

Page 66: ...ssembly out through the bush in the upper case The potentiometer assembly and actuator can be left in place 2 Carefully knock out the syringe shaft spirol pin clean out the syringe shaft hole and appl...

Page 67: ...pare Parts Item Description Part Number A SPARE AERIAL TIVA TCI 6000SP00015 B SCREW No2 X 1 4 CSK POZD S T B TYPE 0000ME00312 Procedure 1 Remove screw which secures aerial assembly 2 Remove aerial lif...

Page 68: ...x8 CSK HS POSI Z BLACK 0000ME00230 F CIRCLIP E TYPE SHAFT DIA 4 8 0000ME00002 G FLAG PRESSURE DISC MOULDED 7000ME00035 H SPRING TORSION P7000 0000ME00364 I SPRING COMPRESSION P7000 0000ME00243 A Gaske...

Page 69: ...ve the pressure tranducer and cable connector 3 Reassemble in reverse order Pressure Transducer Model P7000 Spare Parts Item Description Part Number A ASSY CONN PRESSURE SENSOR P7000 7000EL00014 B SCR...

Page 70: ...BEL FRONT PANEL TIVA MKII 6000LB00009 A LABEL FRONT PANEL TCI TIVA 6000LB00017 B WINDOW DISPLAY P7000 MKII 7000ME00058 Procedure 1 Remove keypad and discard Keypads cannot be reused 2 Clean surface wh...

Page 71: ...B Braun Omnifix JMS Nipro Fresenius Injectomat Once Terumo B Braun Perfusor BD Perfusion BD Precise IVAC Astra Zeneca BD Plastipak Monoject B Braun Omnifix JMS Nipro Fresenius Injectomat Once Terumo B...

Page 72: ...Appendix A Specifications In this appendix Infusion 73 Electrical 75 Physical 75 Environmental 75 Recycling 75 Electromagnetic Compatibility Model P7000 76...

Page 73: ...0 P7000 only Stop KVO 1 0ml h or set rate if lower than KVO Volume To Be Infused VTBI rate P6000 P7000 only 0 1ml 100ml 1 min 24 hours VTBI complete KVO rate P6000 P7000 only Stop KVO 1 0ml h 2 0ml h...

Page 74: ...460 100 100 0 9 6 1 0 1 30 560 100 100 1 7 1 0 1 45 650 100 100 1 3 0 5 0 0 01 0 50 50 0 1 1 5 0 0 02 90 50 90 0 2 2 5 0 0 06 190 50 150 0 4 3 5 0 0 08 280 100 100 0 6 4 5 0 0 12 370 100 100 0 8 5 5...

Page 75: ...p Protection against electrical shock hazards TCI TIVA P6000 P7000 TIVA Class I Type CF Class II Type CF Weight 3 5kg excluding pole clamp and power cable Case material Noryl with fire retardant to UL...

Page 76: ...equipment which radiates high energy radio frequencies electro surgical or cauterizing equipment portable radios cellular telephones etc may cause false alarm conditions If this happens reposition the...

Page 77: ...te 2 Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment EN 61000 4 11 Voltage Dips Short Interruptions and Voltage...

Page 78: ...ent marked with the following symbol Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by...

Page 79: ...ut power not listed above the recommended separation distance d in meters m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rati...

Page 80: ...dix B Spare Parts Listing In this appendix Electrical Components 81 Upper Case Components 82 Lower Case Components 83 Keypad and Labels 84 Transmission Assembly Components 84 Software 86 Test Equipmen...

Page 81: ...SWITCH V4 1000SP01169 ASSY ALARM TUBE WITH RESISTOR 6000EL00004 ASSEMBLY PCB TIVA TCI 6000SP00005 EARTH CABLE PE TO BATTERY PLATE 6000SP00006 EARTH CABLE PE TO BEAM 6000SP00007 ASSY CABLE TCI 6000SP00...

Page 82: ...ION 3 0x10 0 0000ME00266 SPRING 7 8 OD 44 LONG 0000ME00268 SCREW M3X8 CSK HD POSI SS 0000ME00364 SPRING TORSION P7000 0000ME00387 SPACER 4 8MM DOUBLE SELF 0000ME00312 SCREW No2 X 1 4 CSK POZD S T B TY...

Page 83: ...E01064 FOAM PAD BATTERY 1000ME01074 GASKET MAINS INLET V4 1000ME01087 CORD SEALING SILICONE ID 0 95 1000ME01103 ON OFF SPLASH COVER A4 1000ME01106 GASKET RS232 MOULDED CAP A4 1000ME01123 PLATE BATTERY...

Page 84: ...ME00255 SCREW M4x20 CSK HD POSI SS 0000ME00257 PIN TENSION 3 0x10 0 0000ME00268 SCREW M3X8 CSK HD POSI SS 0000ME00277 O RING NITRILE 11 5X1 5 0000ME00284 SCREW M3X16 CSK HD POSI STAINLESS STEEL 0000ME...

Page 85: ...LDED 1000ME01121 SEAL OUTER TUBE RECESSED 1000ME01122 TUBE OUTER O RING GROOVE 1000ME01133 SCREW M3X8 TORX T6 SET FULL DOG 1000ME01134 SCREW M3X8 TORX T6 SET PART DOG 1000ME01305 PLATE PLUNGER RESTRAI...

Page 86: ...SP01008 ASSY CABLE RS232 V4 PCAM 1000TG00010 TEST GEAR SYRINGE SIZING 50ml SPACER 1000TG00011 SYRINGE SIZING 100ml SPACER CALIBRATED 1000TG00059 LINEAR SIZING SPACER BOM 1000TG00080 LINEAR SPEED TEST...

Page 87: ...Appendix C Fitting and Replacement Guidelines...

Page 88: ...p control the applied torque otherwise be aware that excess force may cause the component to fail If torque level is not stated then fixing should be hand tight Transmission Assembly Stage Description...

Page 89: ...pper Case Screw M4x50 Pan Posi 4 Hand tight Pole Clamp Fitting Setting Adjustable Clamp Stage Description Component Description Qty Established Process Torque Fully loosen locknut with clamp secured t...

Page 90: ...ecord Sheet IVAC P6000 Syringe Pump 92 Configured Options Record Sheet IVAC TIVA Syringe Pump 93 Configured Options Record Sheet IVAC TCI TIVA Syringe Pump 94 IVAC P7000 Syringe Pump Drug Protocol Set...

Page 91: ...Disabled Enabled Enabled RATE TITRATION Disabled Enabled Disabled NEOI WARNING 1 15 minutes 5 minutes EOI POINT 0 5 5 0 1 KVO AT EOI Disabled Enabled Enabled BEAM Occlusion L0 L7 L3 PATIENT WEIGHT 0 1...

Page 92: ...led NEOI WARNING 1 15 minutes 5 minutes EOI POINT 0 5 5 0 1 KVO AT EOI Disabled Enabled Enabled BEAM Occlusion L0 L7 L3 PURGE RATE 100 500ml h 500ml h BOLUS Disabled Enabled Enabled DEFAULT BOLUS 10 1...

Page 93: ...5 5 0 1 BEAM Occlusion L0 L7 L5 WEIGHT 0 1 150kg 70kg PURGE RATE 100 500ml h 500ml h HANDS FREE BOLUS Disabled Enabled Enabled DEFAULT BOLUS 0 1 25ml 1ml NURSE CALL Disabled Enabled Disabled NURSE CAL...

Page 94: ...150kg 70kg PURGE RATE 100 500ml h 500ml h HANDS FREE BOLUS Disabled Enabled Enabled DEFAULT BOLUS 0 1 25ml 1ml NURSE CALL Disabled Enabled Disabled NURSE CALL INVERTED Disabled Enabled Disabled COMMS...

Page 95: ...0012 Issue 8 IVAC P7000 Syringe Pump Drug Protocol Setup Pressure Alarm Bolus Rate ml hr Max ml Concentration Max Default Min Units Dose Rate Min Default Max Dose Units Drug Name 27 Chars max No 1 50...

Page 96: ...6 1000SM00012 Issue 8 IVAC TIVA Syringe Pump Drug Protocol Setup Hospital Ward Unit Serial Number Software Version Date Date Configured by Approved by No 1 50 Drug Name 27 chars max Concentration Dose...

Page 97: ...pital Ward Unit IVAC TCI TIVA Syringe Pump Drug Protocol Setup Serial Number Software Version Date Date Configured by Approved by No 1 50 Drug Name 27 chars max Concentration Dose Units Induction Time...

Page 98: ...Appendix E Disposal...

Page 99: ...the Lithium battery from the control board and dispose of as outlined by the local country regulations All other components can be safely disposed of as per local regulations Disposal Removal Procedu...

Page 100: ...from the Control PCB 4 Remove the five PCB fixing screws and washers and withdraw the Control PCB and Display PCB together 5 Pull out the four standoffs pins to separate the Control PCB and the Displa...

Page 101: ...Appendix E Service Contacts...

Page 102: ...25 B 2800 Lyngby Danmark CareFusion Via Ticino 4 50019 Sesto Fiorentino Firenze Italia CareFusion Hammarbacken 4B 191 46 Sollentuna Sverige Tel 32 2 267 38 99 Tlf 45 70 20 30 74 T l 39 055 30 33 93 0...

Page 103: ...Appendix F Document History...

Page 104: ...ed Appendix A Specifications Updated Chapter 4 Troubleshooting Moved document history and service contacts to an appendix Rebranded from ALARIS Medical System to Cardinal Health 3 November 2006 7238 I...

Page 105: ...Page Intentionally Left Blank...

Page 106: ...cation Alaris and IVAC are registered trademarks of CareFusion Corporation or one of its subsidiaries All rights reserved All other trademarks are property of their respec tive owners 1998 2012 CareFu...

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