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Mizuho MOT-VS600, Operator'S Manual

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Mizuho MOT-VS600 Operator'S Manual Download Page 36

Power off

Power on

Power lamp(Green·light up)/

Battery lamp(Orange·light up)

Power lamp(Green·go out)/

Battery lamp(Orange·go out)

1. When the power cord is not connected to the

power connector and the power switch on the
base is turned off, press 

 on the control unit.

Power lamp (green) and battery lamp (orange) 
will come on and the power is turned on.

1. When the power switch on the base is turned off,

press 

 on the control unit.

Power lamp (green) and battery lamp (orange)
will go off and then the power is turned off.

 

„

When using battery power

Switch On/Off power

NOTE

- When using the battery

power, the power will go off

automatically if no commands

are given for 15 minutes or

longer.

32

4 

Operation

Summary of Contents for MOT-VS600

Page 1: ...e or injury The operator and the person in charge of the maintenance of this operating table MUST read this Operating Table Operator s Manual carefully and understand the contents before operating inspecting adjusting or servicing the table Keep this Manual where it is readily accessible for reference by those concerned in case of need MES CK18 600 20EN Ver 8 2021 07 05 ...

Page 2: ......

Page 3: ...erating table 34 Brake Release 35 Lateral tilt 36 Trendelenburg 38 Tilt the back plate 40 Change height of the tabletop 41 Slide the tabletop 42 Flexing 44 Change height of the lift up unit 46 MOT VS600DK MOT VS600DHK only 46 Return to level 47 Adjustment of head plate 48 Adjustment of back plate 50 Adjustment of leg plate 53 5 Maintenance and inspection 57 Periodic replacement parts 59 Version in...

Page 4: ......

Page 5: ...1 Introduction 1 Introduction ...

Page 6: ...2 1 Introduction ...

Page 7: ...n which can result in injury to a person and or damage to property if the notice is ignored and the table is handled improperly Description under this heading gives supplementary explanation of the functions of the table The WARNING and CAUTION notices in this Manual relating to the operation inspection adjustment or servicing of the table apply in using the table for surgical procedures The user ...

Page 8: ...4 1 Introduction Accessories Standard compornents and accessories Mattresses for head back seat and leg Main unit Power cord Control unit Operator s manual ...

Page 9: ... LEFT TILT RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN BRAKE UNLOCK LEVEL ON OFF MOT VS600DK KIDNEY DOWN KIDNEY UP REFLEX FLEX ＰＲＥＳＳ ＴＯ ＬＯＣＫ ＢＲＡＫＥＳ SLIDE FOOT SLIDE HEAD for Head Section Type A for Back Section Type A for Seat Section Type A for Seat Section Type B for Back and Seat Section Type A for Double Leg Section Type A ...

Page 10: ...6 1 Introduction ...

Page 11: ...2 Before use 2 Before use ...

Page 12: ...ates If the leg plates come in contact with such devices and excessive force is applied to the leg plates the leg plate inserting shaft may be damaged Fig a when transferring a patient from the bed Fig b when changing a patient s body position CAUTION CAUTION head plate head plate leg plate leg plate power cord Do not place any heavy object on the power cord Do not ride over the power cord with a ...

Page 13: ...precautions and usage may cause the operator or the patient to get burned and or devices to malfunction Before using together with other equipment make sure to check that it is not affected by electromagnetic interference An electromagnetic interference from other medical electrical equipment may cause malfunction Allowable patient body weight Do not apply loads which exceed the allowable patient ...

Page 14: ...lean and lint free cloth within 15 minutes after disinfecting Usable disinfectant solutions which we have already confirmed as compatible 1 Sodium hypochlorite 0 1 halogen containing compound 2 Sodium thiosulfate 3 Chlorhexidine chlorhexidine gluconate 0 5 4 Benzalkonium chloride invert soap 10 5 Povidone iodine 6 Ethanol 80 7 Hydrogen peroxide 8 Saline 0 9 9 Isopropyl alcohol IPA Move and transpo...

Page 15: ...le Before using it make sure to check the contents of the warning label Warning label details and position WARNING CAUTION labels 3 C653624 9 C655739 10 C657333 2 C655752 5 C653614 4 C655732 1 C655740 7 C656740 6 C656310 MOT VS600DK MOT VS600DHK only 8 C655803 2 1 6 7 3 5 4 9 8 10 3 4 ...

Page 16: ...26 14 C655722 15 C655721 21 C642002 17 C655717 19 C653515 18 C600020 20 C653516 22 C653513 23 C653612 16 22 15 13 12 14 19 20 21 22 11 11 17 18 16 11 C655758 C655762 C655760 C655764 C655768 C655766 C655759 C655763 C655761 C655765 C655769 C655767 YYYY MM DD Made in ...

Page 17: ...53620 26 C655737 25 C655736 27 C655755 28 C655734 31 PIN 573A6M1 32 PIN 50005M2 29 PIN 571B8M4 30 PIN 571B8M3 6 2 5 2 8 2 7 2 24 24 24 24 24 29 32 31 30 or C655751 or C655750 or C655756 or C655748 or C655747 or C655746 or C655757 or C655744 ...

Page 18: ...ion sign 7 General mandatory action sign 7 Emergency stop 5 Refer to the operators manual 5 9 Indicates AC power supply 21 Enclosure Class Splash proof 21 Serial number 21 Catalogue Number 21 Indicates waste disposal information 21 European authorized representative 21 Medical Device 21 Manufacturer 21 29 30 31 32 Equalization terminal 22 Type B 24 Defibrillation proof Type B applied part 29 30 31...

Page 19: ...3 Component identification 3 Component identification ...

Page 20: ...lamp Foot switch connector 1 1 The cordless control unit and the foot switch are optional 2 The head plate back plate and the leg plate are detachable 3 Only the MOT VS600DK and MOT VS600DHK Light receiving section of the cordless control unit 1 Control unit connector Brake Auxiliary switch Caster Slide cylinder Battery indicator Equipotential terminal Power connector Lift up unit 3 Control unit P...

Page 21: ... Down Table up Lock operating table Table down Slide foot Slide head Lift up unit Up MOT VS600DK MOT VS600DHK only Lift up unit Down MOT VS600DK MOT VS600DHK only Brake unlock Return to level E switch Power lamp Power ON OFF switch Control unit NOTE About 7 minutes of halting will be need when operating the table continuously for about 3 minutes If the motor gets overheated you will not be able to...

Page 22: ... unit Down MOT VS600DK MOT VS600DHK only Brake unlock Return to level E switch Set switch Power ON OFF switch NOTE About 7 minutes of halting will be need when operating the table continuously for about 3 minutes If the motor gets overheated you will not be able to operate the table When overheat occurs about 60 minutes of rest will be need to operate the table as usual If is pressed the pilot lam...

Page 23: ...19 3 Component identification Foot switch optional Common to MOT VS600 Elevation Up Elevation Down Trendelenburg Head down Reverse Trendelenburg Head up Lateral tilt Left Lateral tilt Right ...

Page 24: ...20 3 Component identification ...

Page 25: ...35 P42 P44 P41 P48 Adjustment of head plate Adjustment of back plate Installation and battery charging P33 In the case of emergency P34 Lock and unlock the operating table LOCK Return to level Flexing Slide the tabletop Change height of the tabletop P46 Change height of the lift up unit Lateral tilt P36 P31 ON Switch On Off power ...

Page 26: ...ery indicator shows empty red battery charging is required CAUTION Equipotential grounding Ground the equipotential terminal and a medical grounding terminals by means of an equipotential wire Prepare the equipotential wire yourself When moving this product carry it out with two or more persons BATTERY INDICATOR E F Red light up Equipotential terminal Equipotential wire not included Installation a...

Page 27: ...ation Installation space This product requires the installation space shown as below Installation and battery charging 2 5 m 98 43 in or more 2 5 m 98 43 in or more 2 5 m 98 43 in or more 2 5 m 98 43 in or more ...

Page 28: ...power connector and into a medical grade wall outlet medical grade wall outlet power cord connector of the power source 3 When the battery indicator sequentially flashes orange and green charging is completed NOTE When you first purchase the product or have not used it for a long time make sure to charge the battery before use Battery will get discharged naturally even when the table is not used I...

Page 29: ...nd discharge of the battery are repeated frequently after using the operating table for a short time It is recommended that you charge the battery once a week on weekends since it takes 10 hours for the battery to be fully charged Even after the battery is charged in case that all the battery indicators do not come on or the battery gets discharged soon the battery may be deteriorated Ask your dis...

Page 30: ...or into the receptacle by aligning it properly with the guide 2 Once it stops pull out the connector 1 Turn the ring of the connector in the direction of the arrow until it stops Detach the control unit Insert 1 Turn 2 Pull out Installation and battery charging ...

Page 31: ...and control unit work properly 1 Connect the power cord 2 Press on the control unit 3 Press and one of the function switches on the control unit at the same time If two green battery indicators are lit the control unit works properly BATTERY INDICATOR E F Green light up Control unit works properly Installation and battery charging ...

Page 32: ...h the average battery life is one year may be different depending on the usage status replace the batteries if operation through the cordless control unit becomes unstable After having unplugged the power cord for six or more days the power switch of the cordless control unit will not function in order to save batteries To restart the table after it has not been turned on for six or more days use ...

Page 33: ... pressing the set switch press the two switches A B or C refer to the chart below simultaneously which you would like to operate by remote control You can set up up to three settings A B and C operated by remote control When the setting is done the pilot lamp will go off Setting up When using the cordless control unit set up the cordless control unit and the rotary switch on the operating table If...

Page 34: ...ing section of the cordless control unit NOTE The default setting of the rotary switch is set to 0 A Objects such as linen or devices between the cordless control unit and the light receiving section will block the transmission from the cordless control unit If operation of the cordless control unit causes other electric devices to start or the operating table is started by another remote control ...

Page 35: ...r lamp green on the control unit will come on and the power will be turned on 2 Turn off the power switch on the base The power switch green and battery indicator go out and then the power is turned off 1 Turn on the power switch on the base The power switch green and the battery indicator will be lighted on 1 When the power is turned on press on the control unit The power lamp green goes out and ...

Page 36: ...on the control unit Power lamp green and battery lamp orange will come on and the power is turned on 1 When the power switch on the base is turned off press on the control unit Power lamp green and battery lamp orange will go off and then the power is turned off When using battery power Switch On Off power NOTE When using the battery power the power will go off automatically if no commands are giv...

Page 37: ...nal position in an emergency where for example an operator s hand is caught in a gap of the operating table press the switch on the control unit to move the table toward the reverse direction In an emergency you can stop operating table from moving by pressing the emergency stop switch 1 After the operating table stops turn the emergency stop switch in the direction of the arrow or pull it forward...

Page 38: ...FOOT KIDNEY DOWN KIDNEY UP REV TREND TREND TILT LEFT TILT RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN SLIDE HEAD BRAKE UNLOCK LEVEL ENERGIZE ON OFF ＰＲＥＳＳ ＴＯ ＬＯＣＫ ＢＲＡＫＥＳ MOT VS600DK REFLEX FLEX SLIDE FOOT KIDNEY DOWN KIDNEY UP WARNING Make sure the table is locked after the brake is applied Do not unlock the brake with the patient on the table Otherwise the patient may tumble off the table NOTE The...

Page 39: ...ncy brake release handle Follow the procedure below to release the brake Brake Release RELEASE UNLOCK LOCK UNLOCK CLOCKWISE LOCK COUNTER CLOCKWISE EMERGENCY BRAKE RELEASE UNLOCK LOCK UNLOCK LOCK Turn emergency brake release handle UNLOCK LOCK UNLOCK CLOCKWISE LOCK COUNTER CLOCKWISE EMERGENCY BRAKE RELEASE UNLOCK LOCK UNLOCK LOCK Turn emergency brake release handle CAUTION After turning the emergen...

Page 40: ...ND TILT LEFT TILT RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN SLIDE HEAD BRAKE UNLOCK LEVEL ENERGIZE ON OFF ＰＲＥＳＳ ＴＯ ＬＯＣＫ ＢＲＡＫＥＳ MOT VS600DK REFLEX FLEX SLIDE FOOT KIDNEY DOWN KIDNEY UP NOTE The maximum angle achieved in the left down and right down position is 35 from the level position When lateral tilt is operated in the opposite direction from the current lateral tilt position it will stop in ...

Page 41: ... is 15 and that of the right down position is 30 When the height from the floor to the table top is 620 mm 24 41 in or less the maximum angle of the left down position is 10 and that of the right down position is 15 MOT VS600D MOT VS600DH only 15 30 15 30 620mm 24 41 in to 720mm 28 35 in 30 30 620mm 24 41 in to 720mm 28 35 in 10 10 620mm 24 41 in or less 15 10 15 10 620mm 24 41 in or less ...

Page 42: ... RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN SLIDE HEAD BRAKE UNLOCK LEVEL ENERGIZE ON OFF ＰＲＥＳＳ ＴＯ ＬＯＣＫ ＢＲＡＫＥＳ MOT VS600DK REFLEX FLEX SLIDE FOOT KIDNEY DOWN KIDNEY UP CAUTION When performing the head down operation be careful that the head plate tip does not contact the floor It may get damaged When performing the head down operation be careful that the head plate fixing handle does not contact ...

Page 43: ... the tabletop will be tilted to the maximum angle RESTRICTION When the height is in the range of 720mm 28 35 in to 620mm 24 41 in the maximum angle of Trendelenburg head down tilt and Reverse Trendelenburg head up tilt is to 20 When the height from the floor to the table top is 620mm 24 41 in or less the maximum angles of the head up position and head down position are both 5 MOT VS600D MOT VS600D...

Page 44: ...nd If the tabletop center point is slid in the head direction beyond the standard center position the back plate will move down MOT VS600DK MOT VS600DHK only If the lift up unit is being moved up then the back plate s rising maximum angle will be 45 REV TREND TREND TILT LEFT TILT RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN SLIDE HEAD BRAKE UNLOCK LEVEL ENERGIZE ON OFF ＰＲＥＳＳ ＴＯ ＬＯＣＫ ＢＲＡＫＥＳ MOT VS60...

Page 45: ...rom the floor MOT VS600DK MOT VS600DHK If the Trendelenburg Head up or down angle is 20 or more or if the Left down angle is 15 or more or the Right down angle is 30 or more then the tabletop cannot move down below a height of 720 mm 28 35 in from the floor If the Trendelenburg Head up or down angle is 5 or more or if the Left down angle is 10 or more or the Right down angle is 15 or more then the...

Page 46: ... maximum range MOT VS600DK MOT VS600DHK only When the head up or head down angle of table top is 20 or more the table top cannot be slid and the buzzer will sound When the left up or right up angle of table top is 15 or more the table top cannot be slid and the buzzer will sound REV TREND TREND TILT LEFT TILT RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN SLIDE HEAD BRAKE UNLOCK LEVEL ENERGIZE ON OFF...

Page 47: ...on and the buzzer will sound When moving up the back plate higher than the level position the tabletop can be slid to the foot direction The tabletop center position is the position where the side frame line and slide cylinder line are all aligned Tabletop center point Foot direction Level position side frame line slide cylinder Slide the tabletop ...

Page 48: ...FT TILT RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN SLIDE HEAD BRAKE UNLOCK LEVEL ENERGIZE ON OFF ＰＲＥＳＳ ＴＯ ＬＯＣＫ ＢＲＡＫＥＳ MOT VS600DK REFLEX FLEX SLIDE FOOT KIDNEY DOWN KIDNEY UP Center down WARNING Keep your hands away from the gaps during the operation of the table Otherwise you may get injured Back plate Seat plate Back plate gear Rack Gap between the back plate and seat plate Gap between the back...

Page 49: ...etop in the center up or down position is moved into the opposite direction it will stop in the level position Once the tabletop stops release the switch and press it once again the tabletop moves into the center up or down position MOT VS600DK MOT VS600DHK only When the lift up unit is up the reflexing position will stop at the position the back plate is flexed at 45 When making the lift up unit ...

Page 50: ...oving up position is 150mm 5 91in from the surface of the tabletop The lowest moving down position is the same level of the surface of the tabletop RESTRICTION When the back plate is flexed up to 45 or more above the level the lift up unit will not move up and the buzzer will sound If the back plate is flexed down to 45 or less the level the lift up unit will move up When the back plate is flexed ...

Page 51: ...n a position of Trendelenburg lateral tilt back plate flexing or lift up will return to the level position MOT VS600DK MOT VS600DHK only REV TREND TREND TILT LEFT TILT RIGHT BACK UP BACK DOWN TABLE UP TABLE DOWN SLIDE HEAD BRAKE UNLOCK LEVEL ENERGIZE ON OFF ＰＲＥＳＳ ＴＯ ＬＯＣＫ ＢＲＡＫＥＳ MOT VS600DK REFLEX FLEX SLIDE FOOT KIDNEY DOWN KIDNEY UP Return to level ...

Page 52: ... the lower side of the back plate 2 Hold both sides of the head plate and pull it straight handle head plate back plate WARNING Be sure to tighten the head If the head plate moves the patient may get injured The head plate weighs 7kg 15 4lbs Pay special attention when handling it It may drop and cause damage or injury NOTE raising up the head plate without having to pull the head Adjustment of hea...

Page 53: ...ign the inserting shaft of the head plate with the receiving hole in the back plate or the leg plates and insert 2 After checking that the head plate is completely inserted tighten the right and left head plate fixing handles WARNING Be sure to tighten the head plate fixing handles securely If the head plate moves the patient may get injured The head plate weighs 7 kg 15 4lbs Pay special attention...

Page 54: ...ate tight and pull it straight out The back plate is detachable WARNING The back plate weighs 10kg 22lbs Pay special attention when handling it It may drop and cause damage or injury Do not detach the back plate while the head plate is inserted into it If the back plate with the head plate inserted is detached the head plate may drop and cause damage or injury Back plate attaching removing levers ...

Page 55: ...fastening the belt to secure the patient make sure to avoid the back plate attaching removing levers If the belt is fastened over the levers they may be pressed and the back plate may become detached Back plate installation pins NOTE You can install the optional dedicated accessories to the back plate installation pins For details refer to the instruction manual of the accessories If the back plat...

Page 56: ...ted securely WARNING Make sure that the back plate is inserted completely If it is used without it being completely inserted then that may cause the back plate to move and the patient may get injured The back plate weighs 10kg 22lbs Pay special attention when handling it It may drop and cause damage or injury NOTE You can install the optional dedicated accessories to the back plate installation pi...

Page 57: ...TE Depending on the sliding position the leg plates may come in contact with the slide cylinder while the leg plates are being flexed downwards If a yellow mark can be seen on the lock of the leg plate flexing lever it has not been locked properly Push the leg plate flexing lever until the yellow mark cannot be seen to completely lock a b c a b c Press the lever Lower the lock Pull the lever slowl...

Page 58: ...te swinging handle is tightened If it is loose the leg plates will move and the patient may get injured 50 50 50 40 50 40 Leg plate swinging handle FREE LOCK First joint Center of the first joint Center of the second joint second joint NOTE If the leg plate swinging handle is rotated while it is being pulled down then the grip can be changed to be directed in a desired position Adjustment of leg p...

Page 59: ...tion when handling it It may drop and cause damage or injury Attach and remove it horizontally It may drop and cause damage or injury After attaching the leg plates swing them back and forward to check if they are inserted completely If they are used without them being completely inserted then the leg plates will move and the patient may get injured Leg plate fixing lever Installation pin of the l...

Page 60: ...56 4 Operation ...

Page 61: ...5 Maintenance and inspection 5 Maintenance and inspection ...

Page 62: ...lates for any backlash when jiggling both sides of the back plate Backlash of the tabletop Press the switch of the control unit to see if all functions work properly Control unit Check the power cord for any exposed wire and the plug for any damage Power cord and plug Check the floor or the base surface for any hydraulic oil Check the floor or the base surface for any hydraulic oil Oil leakage Bef...

Page 63: ...ster 5 to 7 Brake pad 3 to 5 Power cord 5 to 7 NOTE These are estimated times The replacement time may depend on usage condition and or usage frequencies Battery Control unit Caster Brake pad Power cord Version information of the software The version information for the control software which is installed in the operating table can be verified via the label that is directly applied on the on board...

Page 64: ...60 5 Maintenance and inspection ...

Page 65: ...6 Specifications 6 Specifications ...

Page 66: ...liary switch Elevation Trendelenburg Lateral tilt Back plate angle Sliding Flexing Returning to level Brake E switch Power On Off Lift up Note 9 Manual functions Head plate bending angle Up 60 Down 90 Leg plate bending angle Down 90 Leg plate outstretching angle Each for left and right 50 Center of the first joint 40 Center of the second joint Detachment Head plate Back plate Leg plate left right ...

Page 67: ...and proper storage 10 years Note 8 Note 1 from the center position where the side frame and the sliding cylinder s line are aligned Note 2 Optional Note 3 When the battery power is used Note 4 Tables continuously operating possible time and halting time Note 5 Excluding the side rail Note 6 Rough dimension Note 7 Company standard in case that appropriate maintenance and inspection is done Note 8 B...

Page 68: ...rawing 240mm 9 49in 464mm 18 27in 634mm 24 96in 500mm 19 69in 2124mm 83 62in 1133mm 44 61in 483mm 19 02in 698mm 27 48in 240mm 9 49in 464mm 18 27in 634mm 24 96in 698mm 27 48in MOT VS600D MOT VS600DH MOT VS600DK MOT VS600DHK ...

Page 69: ...7 Troubleshooting 7 Troubleshooting ...

Page 70: ...plate bending Up Back plate bending Down Table up Lock operating table Brake unlock Table down Reflex Center down Flex Center up E switch Return to level Power ON OFF switch Battery lamp Power lamp Pilot lamp Lateral tilt Left down Lateral tilt Right down Slide head Lift up unit Down MOT VS600DK MOT VS600DHK only Slide foot Lift up unit Up MOT VS600DK MOT VS600DHK only 66 7 Troubleshooting Functio...

Page 71: ...8 Before contacting for repairs 8 Before contacting for repairs ...

Page 72: ...ing Switch on via the control unit P31 3 Replace the batteries P28 The brake button on the control unit does not function 1 The emergency brake release handle is in a release UNLOCK position 1 Turn the emergency brake release handle toward LOCK P35 The power lamp on the column is lit red 1 The emergency brake release handle is in a release UNLOCK position 1 Turn the emergency brake release handle ...

Page 73: ...le In case of malfunction Please contact your local distributor or the manufacturer for maintenance or repair The operating table should only be serviced or maintained by authorized personnel Do not disassemble the table Unauthorized disassembling may cause a fire electric shock or malfunction In order to prevent infection be sure to clean and disinfectant the operating table WARNING Control unit ...

Page 74: ...hat supplies buildings used for domestic purposes Voltage fluctuations flicker emissions IEC 61000 3 3 Complies RF emissions CISPR 11 Class A RF emissions CISPR 11 Group 1 The MOT VS600 uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment Do not use any accessories other than those specifie...

Page 75: ...ial or hospital environment Surge IEC 61000 4 5 0 5 1 kV differential mode voltage 0 5 1 2 kV common mode voltage 0 5 1 kV differential mode voltage 0 5 1 2 kV common mode voltage Power supply voltage quality should be that of a typical commercial or hospital environment Voltage drops short interruptions and fluctuations in power supply voltage IEC 61000 4 11 0 UT for 0 5 cycles 0 UT for 1 cycles ...

Page 76: ... 28 1845 28 1970 28 2450 9 5240 9 5500 9 5785 80 MHz to 2 7 GHz 3 V m Wireless communication frequency band V m MHz 27 385 28 450 9 710 9 745 9 780 28 810 28 870 28 930 28 1720 28 1845 28 1970 28 2450 9 5240 9 5500 9 5785 Info 1 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from bildings objects and people The field strengths ...

Page 77: ...delenburg Tabletop of the operating table moves to the head up or the head down position Tabletop The gray portion of the figure below Flex The back plate is angled upward or downward the seat plate moves to the head up or the head down position and the entire tabletop moves to the Center up or Center down Base The gray portion of the figure below ...

Page 78: ...Sales Agent 3 30 13 Hongo Bunkyo ku Tokyo 113 0033 Japan Emergo Europe B V Prinsessegracht 20 2514 AP The Hague The Netherlands https www mizuho co jp ...

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