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Table of Contents

5.5.4

Temperature Sensor Calibration...................................................................................... 78

5.5.5

Calibration Of Proportional Valve ADC............................................................................ 80

5.5.6

Calibration Of Internal Flow Sensor................................................................................. 82

5.5.7

Fixing Of Calibration Characteristic Proportional Valve................................................... 84

5.5.8

Calibration Of External Flow Sensor................................................................................ 86

5.5.9

Test Menu Routines......................................................................................................... 89

5.5.10

Test Characteristics Proportional Valve ....................................................................... 90

5.5.11

Pressure, Oxygen and Temperature-Sensors ............................................................. 91

5.5.12

Keyboard Test .............................................................................................................. 92

5.5.13

Miscellaneous Functions .............................................................................................. 93

5.5.14

Solenoid Valves MV1 - MV4 ........................................................................................ 94

Preventive Maintenance................................................................................... 95

6.1

6 Month Service Interval ......................................................................................................... 95

6.2

12 Month Service Interval ....................................................................................................... 96

6.3

36 Month Service Interval ....................................................................................................... 96

6.4

Cleaning .................................................................................................................................. 97

6.4.1

Cleaning and disinfecting the apparatus ......................................................................... 97

6.4.2

Cleaning and sterilizing the Patient Module .................................................................... 97

6.5

Battery Replacement and Maintenance.................................................................................. 97

6.5.1

Battery replacement......................................................................................................... 97

6.5.2

Battery Maintenance ........................................................................................................ 97

Order information ............................................................................................. 98

Содержание Narkomat +

Страница 1: ...HEYER Narkomat Anesthesia System Service Manual Rev 2 1 0 Software version Service software 1 8 3...

Страница 2: ...2 HEYER MEDICAL AG Carl HEYER Strasse 1 3 56130 Bad Ems Germany Tel 49 2603 791 3 Fax 49 2603 791 209 E mail info HEYERmedical de...

Страница 3: ...21 2 10 1 Connectors on module 1 22 2 11 Ventilator Module 2 AVM 3 1 and AVM 3 2 23 2 11 1 Parts list module 2 24 2 11 2 Connectors on module 2 24 2 11 2 1 Plug connectors on board AVM 3 1 24 2 11 2 2...

Страница 4: ...2 Removing the compressed gas tanks PIN Index 50 3 6 3 Removing the Patient Module 51 3 6 4 Removing the CO2 Absorber Canister 51 3 6 5 Removing the Bellows and Dome System 51 3 6 6 Removing the Airw...

Страница 5: ...ional Valve 90 5 5 11 Pressure Oxygen and Temperature Sensors 91 5 5 12 Keyboard Test 92 5 5 13 Miscellaneous Functions 93 5 5 14 Solenoid Valves MV1 MV4 94 6 Preventive Maintenance 95 6 1 6 Month Ser...

Страница 6: ...of the patient module CMV mode inspiration 32 Fig 11 Survey of the patient module CMV mode expiration 33 Fig 12 Survey of the patient module Manual mode inspiration 34 Fig 13 Survey of the patient mo...

Страница 7: ...ystem HEYER Narkomat at the time of issue HEYER is not obliged to retrofit former models subject to improvements and modifications An exception to be examined will be made when improvements or modific...

Страница 8: ...fication Product HEYER NARKOMAT Manufacturer HEYER Medical AG Carl HEYER Strasse 1 3 56130 Bad Ems Germany Tel 49 2603 791 3 Fax 49 2603 791 209 E mail info HEYERmedical de 1 5 Updating status State o...

Страница 9: ...ith grounding contact WARNING Possible explosion hazard Do not operate near flammable substances WARNING The use of anti static or electrically conductive breathing tubes when utilizing high frequency...

Страница 10: ...described the machine must be examined and possibly repaired by qualified service personnel before being returned to use CAUTION Handle the machine with care to prevent damage or functional faults CA...

Страница 11: ...ater and liquid cleaning agent The unit can be disinfected with a standard surface disinfecting agent Do not use alcohol CAUTION Do not clean the machine while it is on and or plugged in CAUTION Press...

Страница 12: ...General Information 12 THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 13: ...void the formation of water vapor In additional it includes a controlled emergency valve a reservoir in form of a manual respiratory bag and an expiratory flow sensor The patient module is connected t...

Страница 14: ...e Vt and minute volume m vol The respirator responses to pressure limitation through displaying the pmax alarm constantly 2 6 Fresh Gas Decoupling The tidal volume Vt is adjusted independently of the...

Страница 15: ...breaker The switched line supply is connected to the AC IN connector on power supply board AVM 2 1 Another third pole of the main switch is connected via the terminal to the board AVM 2 1 X5 5 6 enabl...

Страница 16: ...lanket int flow sensor ext flow sensor P1 P2 oxygen sensor solenoid valve block proportional valve transformer floppy drive RS 232 interface I C interface PT 100 motor fan flow meter backlight control...

Страница 17: ...e voltage supply of the ventilator modules 1 and 2 the flow meter block illumination the patient circuit heating blanket and the charging discharging control for the battery The power supply board all...

Страница 18: ...TT brown Fuse for Battery X5 2 BATT black Main switch X5 3 Cir break bat black 6 X5 4 Cir break bat black 5 X5 5 Main switch black 4 X5 6 Main switch black 3 Connector connected to Pin def Func Signal...

Страница 19: ...X15 4 Control Sign white Connector connected to Pin def Func Signal Color No X16 Module 2 X16 1 GND blue AVM 3 2 X16 2 31V red Connector connected to Pin def Func Signal Color No X17 solid state relay...

Страница 20: ...board AVM 2 1 Status indicators as red green and yellow LEDs are located on the board to show functions like check or charging of the battery 2 9 4 Status Indicators Of Battery Control LED LED light B...

Страница 21: ...ation with the settings from the control panel All safety functions e g the complete ventilator control are located on ventilator module 2 Module 1 is connected to module 2 by means of an RS 232C inte...

Страница 22: ...een 32 pole communication with touch screen Connector connected to Plug conf Func Signal X8 Module 2 14 pole communication with module 2 Connector connected to Plug conf Func Signal X9 Module 2 28 pol...

Страница 23: ...ter a validation of these signals by P1 AVM3 2 is enabled to operate the different active elements like the solenoid vales and proportional valve P2 P1 P1 P2 1 X3 1 X5 1 X11 X8 1 1 X7 P9 P6 P5 P8 P1 P...

Страница 24: ...1 Connector connected to Pin def Func Signal Color No X7 PT 100 sensor X7 1 temperature dep blue X7 2 resistance red Connector connected to Pin def Func Signal Color No X9 Fan ventilator X9 1 12V red...

Страница 25: ...No X3 proportional X3 1 12V blue PV valve X3 2 n c X3 3 control volt 0 5V gray X3 4 n c X3 5 GND green Connector connected to Pin def Func Signal Color No X11 solenoid X11 1 GND MV4 brown 1 valve X11...

Страница 26: ...P 3 5 6 5 bar O2 p 3 5 6 5 bar P1 P2 Freshgas MV1 MV4 MV2 MV3 6 5 1 2 8 7 4 3 HP pressure regulator Proportional valve LP pressure regulator assembly Solenoid valve bank Flowdivider Flowsensor interna...

Страница 27: ...rtional valve The flow generated by the proportional valve thus becomes independent of pressure variations The setting of the HP pressure reducer 200 kPa 2 bar 29 PSI at the same time determines the m...

Страница 28: ...ule The flow metering module attached to the proportional valve consists of a flow sensor with a measuring range of 0 1 l min and a flow divider The flow divider splits the total flow in a ratio of 79...

Страница 29: ...y valve passive 4 Room air valve emergency air valve 5 Connector of expiratory flow sensor 6 Connectors of power supply heating blanket 7 Bores for guiding pins of connecting block 8 Expiratory valve...

Страница 30: ...locking bolt 2 Exhaust for driving gas 3 Driving gas in and outlet to bellows dome 4 Thread for CO2 absorber canister fixing outlet from patient module to absorber 5 Inlet for re breathing gas from ab...

Страница 31: ...itor 3 Inspiratory bacterial filter 4 Expiratory bacterial filter 5 Airway pressure monitor connection 6 Inspiratory valve passive 7 Expiratory valve passive 8 Spirometry sensor 9 Airway pressure limi...

Страница 32: ...n 32 2 15 3 1 CMV mode inspiration V gas monitoring P expiratory valve decoupling valve bellows valve when reservoir pressure is 2 mbar MV3 1 MV2 1 MV4 1 MV1 1 V Fig 10 Survey of the patient module CM...

Страница 33: ...on 33 2 15 3 2 CMV mode expiration V gas monitoring expiratory valve decoupling valve bellows valve when reservoir pressure is 2 mbar MV3 0 MV2 0 MV4 0 MV1 0 V P Fig 11 Survey of the patient module CM...

Страница 34: ...3 3 Manual mode inspiration V gas monitoring expiratory valve decoupling valve bellows valve when the set respiratory pressure is attained MV3 0 MV2 0 MV4 0 MV1 0 V P Fig 12 Survey of the patient mod...

Страница 35: ...heory of Operation 35 2 15 3 4 Manual mode expiration V gas monitoring expiratory valve decoupling valve bellows valve MV3 0 MV2 0 MV4 0 MV1 0 Fig 13 Survey of the patient module Manual mode expiratio...

Страница 36: ...ode inspiration gas monitoring expiratory valve decoupling valve bellows valve when reservoir pressure is 2 mbar MV3 0 MV2 0 MV4 0 MV1 0 V P emergency air valve opens at p 3 mbar V Fig 14 Survey of th...

Страница 37: ...ration 37 2 15 3 6 Spontaneous mode expiration gas monitoring expiratory valve decoupling valve bellows valve MV3 0 MV2 0 MV4 0 MV1 0 V P V waste gas Fig 15 Survey of the patient module Spontaneous mo...

Страница 38: ...r retains the carbon dioxide from the re breathing gas The flow orientation is upstream 2 15 4 4 Inspiratory and expiratory valves To ensure the gas flow direction the two one way valves in the inspir...

Страница 39: ...2 Machine OFF or Ventilator in Standby Valve MV 1 MV 2 MV 3 MV 4 Activity OFF OFF OFF OFF Pressure on port 5 No 1 No 6 No no sup of MV2 2 15 2 7 3 Manual Spontaneous Mode INSPIRATION And EXPIRATION Va...

Страница 40: ...no sup of MV2 Phase 2 Pressure increase up to test pressure 40 cmH2O calculation of system compliance Valve MV 1 MV2 MV3 MV4 Activity ON ON ON ON Pressure on port 5 Yes 1 Yes 6 Yes supply of MV2 Phase...

Страница 41: ...tanks always open tank valves slowly watching the cylinder gauge indicate the tank pressure When disconnecting the tanks always close the valves slowly Use the Narkomat flow meters to bleed down the...

Страница 42: ...manual ventilation Take the machine out of use Call Service Exchange either the module 2 the module 1 or the communication cable connecting the two modules Set APL valve to CMV SP position AVM3 2 PPE...

Страница 43: ...orrect function of the circle system Breathing Circuit Disconnect AVM3 1 CMV S CMV PCV The peak pressure PPEAK is lower than 0 5 mbar and lower then the set pressure limit Pmin Create a pressure incre...

Страница 44: ...e minimum and the maximum pressure is smaller than 5 mbar the error message is issued Increase the pressure difference Battery running low Use Manual Ventilation AVM3 1 Battery mode The valid discharg...

Страница 45: ...ance test CO2 Re breathing please check Absorber The inspiratory CO2 value is too high Exchange the soda lime If all else fails call Service Verify the gas module calibration If else fails exchange th...

Страница 46: ...convenient If the pressure sensors measure a difference greater than 3 mbar during the offset comparison even though the system is pressure relieved Take the machine out of use Call Service Recalibrat...

Страница 47: ...ompliance Test Leak Test O2 calibration OK Compliance Test Passed Leak rate 300 ml min Press Enter to continue Test Passed Leak Test Passed Set APL Valve to VENT CMV position OK with a leak of 300ml t...

Страница 48: ...rt Up Compliance Test Leak Test O2 calibration OK O2Sensor calibration successful O2 too high O2 concentration too high Expose Sensor to room air Press Enter to Start O2 Sensor too old O2 Sensor is ou...

Страница 49: ...lenoid Valves faulty Fan faulty and Ambient Air Intake real time curve shows a zero line after booting the message Selected mode is not Standby is shown module 2 does not boot fan does not work F8 F9...

Страница 50: ...r 0 3 8 PSI 16 Hand tools calibration tool flat screw driver socket and Allen wrench set Metric standard 17 800 6009 Pressure regulator for verification gas cylinder 18 800 6004 Verification gas 50 O2...

Страница 51: ...the spent soda lime disappears again after some time if it has not been used If used again the color discoloration returns Dry soda lime becomes malsorbant 3 6 5 Removing the Bellows and Dome System 1...

Страница 52: ...ir valve can be carefully removed from the valve body after removing the coupling ring and the valve cover Assemble in reverse order 4 The O rings of the valve bodies have only to be exchanged if the...

Страница 53: ...cuit as a module 5 Reinstall in the reverse order 3 6 13 Removing Module1 Circuit Board Set 1 Remove the display cover and open module 1 housing by unscrewing the screws on the top 2 Remove the cables...

Страница 54: ...ic drawer and pull it out 4 Disconnect each gas hose and electric cable running through each section 5 Remove the drawer exposing the internal regulators and proportional valve Replace the targeted co...

Страница 55: ...procedures should only be preformed by qualified personnel who follow proper servicing techniques Warnings are given in appropriate location WARNING Possible fire hazard Fuses i e additional sockets m...

Страница 56: ...t the Service Manual and Operation Manual are present 2 Ensure there is no external damage to machine and accessories by visual inspection 3 Ensure all accessories are complete and functional by visua...

Страница 57: ...Maintenance and Calibration 57 1 2 3 4 5 6 7 8 9 exp port insp port reservoir bag port 40 turned drawn valve inlet Fig 16 Patient module front view...

Страница 58: ...l 323 0095 2 Emergency air valve cpl 323 0098 3 Inspiratory valve cpl 323 0096 4 Expiratory valve cpl 323 0097 5 Heat blanket cpl 323 0314 6 Flow sensor cpl 323 0220 7 Ventilation Bellow 323 0158 8 Ab...

Страница 59: ...he expiratory valve 610 3156 is intact replace if necessary 9 Ensure the APL valve 323 0310 is intact replace if necessary 10 Ensure the Room air valve 323 0099 is intact replace if necessary 11 Ensur...

Страница 60: ...k valves prevent gas from escaping through the open supply outlets d Verify there is no external damage to the gas connecting coupling 17 Verify O2 N2O and AIR supply check valves a Remove the tanks a...

Страница 61: ...y remove the panel Warning AC voltage is present 2 Adjust P1 on the power supply board for 5 2 VDC Use the ground pin located to the right as meter ground 3 Adjust P2 on the power supply board for 12...

Страница 62: ...here the reservoir bag normally is connected d Turn off the fresh gas flow e Set the APL valve to max fully closed f Select START to start the test The test pressurizes the system the pneumatic system...

Страница 63: ...lve settings Deviations from pressure indication and setting must not exceed 20 of the set value or 10 Pa x 100 10 mbar 10 cmH2O whichever is greater 4 3 4 2 Alarm Tests 1 Turn on the Narkomat and ens...

Страница 64: ...will be available regardless of the position of the AIR N2O switch position Air flow can be increased by rotating the Air flow spindle g If necessary adjust the time and loudness level of the O2 defi...

Страница 65: ...ety inspection Test of electric safety according to IEC 601 1 Test the protective conductor resistance For the measurement use a test set according to IEC 601 1 The maximum protective conductor resist...

Страница 66: ...Service Software Turn off the main switch The INSP PAUSE and EXP PAUSE control panel keys must be pressed while turning on the main switch the keys have to keep pressed 3 seconds longer than the LED s...

Страница 67: ...Maintenance and Calibration 67 5 1 Identity Check Fig 2 Identity Check Enter a valid key code to execute the service software Leave this window with Enter...

Страница 68: ...Maintenance and Calibration 68 5 2 Main Menu Fig 3 Main Menu Choose the next application by operating one of the buttons...

Страница 69: ...moving the display pointer to the corresponding button change the value by turning the encoder knob to the right or to the left Press the encoder knob to leave the display button When clock is set sa...

Страница 70: ...Maintenance and Calibration 70 5 4 Choose Service Fig 5 Choose Service Press the Start button at the main menu to open the calibration routines window...

Страница 71: ...ibration step by step in order of the menu To exit the service software operate the Quit button of this window Two acoustic signals are indicating the correct end of the service software and a new boo...

Страница 72: ...ibration Fig 7 O2 Sensor ADC Calibration 1 Place oxygen sensor into the test adapter in ambient air Turn offset potentiometer screw O2 OFFS P5 AVM3 2 until the pointer at the screen shows 20 1 Operate...

Страница 73: ...e minutes Turn gain potentiometer screw O2 GAIN P6 AVM3 2 until the pointer at the screen shows 80 1 Operate the MAX button Check both of the values alternately for correctness and readjust if necessa...

Страница 74: ...alibration Fig 9 Pressure Sensor 1 ADC Calibration 1 Connect a pressure gauge and a pressure applicator to the pressure gauging line Apply ambient pressure Turn offset potentiometer screw P1 OFFS P11...

Страница 75: ...he gauging tube Turn gain potentiometer screw P1 GAIN P10 AVM3 2 until screen pointer shows 80 and operate MAX button Check both of the values alternately for correctness and readjust if necessary Whe...

Страница 76: ...Calibration Fig 11 Pressure Sensor 2 ADC Calibration 1 Perform the same calibration procedure like in case of pressure sensor P1 Apply ambient pressure Turn offset potentiometer screw P2 OFFS P8 AVM3...

Страница 77: ...GAIN P7 AVM3 2 for gain calibration until screen pointer shows 80 and operate MAX button Check both of the values alternately for correctness and readjust if necessary When both of the calibration po...

Страница 78: ...ensor Calibration 1 Connect a Pt 100 simulator to the connector of the docking station or directly to the board AVM3 1 of ventilation module 2 X7 Apply a simulated temperature of 0 C Turn the offset p...

Страница 79: ...C Turn the gain offset potentiometer screw P2 AVM3 1 until the screen pointer show 80 and operate the MAX button Check both of the values alternately for correctness and readjust if necessary When bo...

Страница 80: ...nd Characteristic of The Proportional Valve must always be performed together in the order as in the manual never individually Fig 15 Calibration Of Proportional Valve ADC 1 Operate the MIN button to...

Страница 81: ...5 L min If necessary check the adjustment of the pressure regulator of the proportional valve The supply pressure of the proportional valve should not exceed 2 1 bar Check the signal of the internal...

Страница 82: ...be performed together in the order as in the manual never individually Fig 17 Calibration Of Internal Flow Sensor 1 Operate the OFFSET button to apply a zero flow Change the offset value by rotary mou...

Страница 83: ...about 108 for the gain setting Operate the OFFSET button to close the valve and check the offset value If necessary correct the offset adjustment Operate the OFFSET button again to store the adjustmen...

Страница 84: ...until a flow of 1 l min is applied and operate the rotary mouse again to store the value To change the moving range of the DAC setting values use the MENU and GRAPHICS keys The OPTION key reduces the...

Страница 85: ...2 l min 0 0 1 4 l min 0 0 1 6 l min 0 0 1 8 l min 0 0 1 10 l min 0 0 2 12 l min 0 0 2 15 l min 0 0 2 20 l min 0 0 4 25 l min 0 0 4 30 l min 0 0 4 35 l min 0 0 4 40 l min 0 0 4 45 l min 0 1 50 l min 0...

Страница 86: ...til the pointer shows 90 Connect the plug of ext flow sensor to connector EF on AVM 3 2 and press the MIN button Press Save button Leave this window with Quit Start the unit in CMV Adult mode with def...

Страница 87: ...nge the DAC value setting after this Measure the voltages U1 and U2 see page 2 for measurement points of this voltage and make a note of the values U1 Pin 8 of V13 to GND PIN U2 GND PIN to between R35...

Страница 88: ...Maintenance and Calibration 88 Calibration Of External Flow Sensor cont Fig 22 How to measure the voltages U1 and U2...

Страница 89: ...aintenance and Calibration 89 5 5 9 Test Menu Routines For testing the sensor calibrations or check different functional tests open test menu and choose the wanted application Fig 23 Test Menu Routine...

Страница 90: ...Proportional Valve By operating a flow button the chosen flow is set by the proportional valve The measured flow values of proportional valve at the internal flow sensor are shown and can be checked w...

Страница 91: ...ig 25 Pressure Oxygen and Temperature Sensors Measured values of the oxygen sensor are shown in O2 Pressure sensor values of the transducers P1 and P2 are shown in mbar The measured temperature sensor...

Страница 92: ...intenance and Calibration 92 5 5 12 Keyboard Test Fig 26 Keyboard Test Control panel keys and the rotary mouse may be tested To close the application operate the confirm function of encoder rotary mou...

Страница 93: ...ating is switched on and off when operating button again Operating the 1 SEC and 2 SEC Off buttons cause a test of the shut down signals of P1 and P2 The Motor and Power windows show the status of the...

Страница 94: ...bration 94 5 5 14 Solenoid Valves MV1 MV4 Fig 28 Solenoid Valves MV1 MV4 This application enables the test of the solenoid valves Result of this test are the messages ON OFF or Faulty for each of the...

Страница 95: ...n of the flow meters knobs Check the function and correct flow of the O2 flush Check that all flow meters work throughout their range Check the function of the Hypoxic Guard Check the function of the...

Страница 96: ...56 Replace the O rings of the in and expiratory valve seat 2 x 610 3157 Replace the diaphragm valves 3 x 323 0100 Replace the diaphragm valve O rings 3x 323 0292 Replace the flat rings at the bellows...

Страница 97: ...autoclaved It does not come in contact with patient gas If soiled they can be cleaned with water and liquid cleaning agent Do NOT use alcohol The silicon bellows and the CO2 absorber canister can als...

Страница 98: ...cludes bacteria filter and finger tip 016 2410 Finger tip 022 3645 Plastic adapter angled for secretion collecting jar 034 2950 Silicone tube 6 x 2 for suction 556 2955 Bacteria filter for suction set...

Страница 99: ...00 4854 Y piece right angled 323 0092 323 0091 323 0084 Respiratory tube silicone 1 5m Respiratory tube silicone 1 2 m Respiratory tube silicone 1 1 m 323 0093 323 0089 Respiratory tube silicone 0 9 m...

Страница 100: ...0095 Ventilation pressure valve APL valve cpl 323 0310 Ventilation pressure valve membrane 323 0099 Emergency air valve membrane 323 0313 Sealing set valve body cpl 323 0159 Coupling ring valve body...

Страница 101: ...323 0101 Sealing set diaphragm valve cpl 323 0168 Membrane for expiration diaphragm valve 323 0110 Coupling nut for diaphragm valve 323 0220 Flow sensor external cpl 800 5091 O2 fuel cell CR 1 incl di...

Страница 102: ...n 323 0158 Bellows silicone 323 0045 Patient dome 323 0147 O ring for patient dome 323 0046 Absorber canister 323 0337 Threaded insert of absorber holding device 323 0104 Sealing set absorber cpl 323...

Страница 103: ...Heating blanket cpl 323 0142 Suction glass 94 323 0143 Cover for suction glass 94 323 0144 Gasket for suction glass 94 323 0166 O ring 82 22 x 2 62 suction glass 94 323 0309 Tube connector straight 0...

Страница 104: ...tic gas exhaust plug 45 HEYER 022 2970 Anesthetic gas exhaust plug 45 Dr ger 531 2990 Tube autoclavable 1m 605 2900 Hose connector diam 22 mm diam 22 mm 602 2510 Adapter 30 mm with bypass 031 3610 Pre...

Страница 105: ...ption 046 4146 Tube clamp 980 1161 DGAI screwing O2 980 1164 DGAI screwing N2O 980 1167 DGAI screwing AIR 980 1162 Tube connector N2O 980 1162 Tube connector O2 980 1168 Tube connector AIR 980 1174 Fl...

Страница 106: ...cont Rod No Description 323 0362 Tube cable holder for holding device 800 5484 Restrictor valve AIR cpl 800 5480 Restrictor valve O2 cpl 026 1900 Fixing screw M8 x 16 535 1900 Catheter cup without pic...

Страница 107: ...Preventive Maintenance 107...

Страница 108: ...tenance 108 In case of queries or faults please contact our customer service department HEYER MEDICAL AG Carl HEYER Strasse 1 3 56130 Bad Ems Germany Tel 49 2603 791 3 Fax 49 2603 791 209 E mail info...

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