WO2005013878A2 - Systeme support a matelas d'air, en tant que surface servant de couchette pour patients, en particulier pour tables d'operation - Google Patents
Systeme support a matelas d'air, en tant que surface servant de couchette pour patients, en particulier pour tables d'operation Download PDFInfo
- Publication number
- WO2005013878A2 WO2005013878A2 PCT/EP2004/007624 EP2004007624W WO2005013878A2 WO 2005013878 A2 WO2005013878 A2 WO 2005013878A2 EP 2004007624 W EP2004007624 W EP 2004007624W WO 2005013878 A2 WO2005013878 A2 WO 2005013878A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- film
- support system
- air
- patient
- cushions
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05769—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05784—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with ventilating means, e.g. mattress or cushion with ventilating holes or ventilators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05707—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with integral, body-bearing projections or protuberances
Definitions
- Air-cushioned support system as a patient bed, especially for operating tables
- the invention relates to an air-cushioned support system as a patient bed, in particular for operating tables or sick beds, also in the field of home nursing or elderly care, and is used primarily for the prophylaxis and therapy of pressure ulcers.
- the latter are equipped with pressure control and heating or also with a cooling device and have a structure similar to conventional air mattresses with one or more air chambers.
- the air chambers have a large number of small openings in the manner of a micro-perforation on the top of the lying surface, through which a constant air flow is formed on the surface of the air mattress.
- the air mattress is connected to a compressor via a flexible pipe system.
- a cooling device in the form of a heat exchanger is interposed for cooling the air.
- a heating device can also be interposed.
- the aforementioned airflow mattresses are intended for multiple use and are very costly to manufacture. After use, the mattresses must be cleaned, sterile packed and stored again.
- Criteria for operating table pads are in particular their disinfectability, the guarantee of a constant body temperature of the patient, a usability in high-frequency surgery and an X-ray permeability as well as an almost absolute pressure relief.
- a problem that has hitherto received little attention is the formation of moisture on the top of the surface.
- a relatively large amount of liquid, such as blood or irrigation liquid can get onto the operating table and cause the patient to open on a damp surface. If coagulation devices are necessary, there is therefore a risk of burns to the skin in the area of the attached electrodes.
- the previously known operating table pads do not have an effective drainage system.
- the invention has for its object to provide an air-cushioned support system as a patient bed, especially for operating tables, which largely meets the medical requirements, is simple and inexpensive to manufacture and is suitable for single use.
- the proposed support system consists of at least a first flexible film, with a defined number of fluid-filled static cushions spaced apart from one another, as the base unit.
- the static pillows which are preferably filled with air, can be adapted to the respective requirements.
- the pillows can be arranged in the form of equally spaced rows both in the longitudinal and in the transverse direction. Taking into account the weight distribution, the size of the individual pillows can be designed differently. Smaller cushions can be arranged in the edge zones and larger cushions can be arranged in places which are exposed to a greater load.
- the shape of the individual pillows is such that the patient's body surface only rests in a punctiform manner.
- the pillows pointing upward preferably have the shape of a hemisphere or parabola.
- the static cushions forming an air cushion ensure an even distribution of the contact pressure created by the weight of the patient and a pressure relief, which mean comfortable positioning for the patient.
- the punctiform positioning of the patient improves the blood flow to the tissue and, at least in the case of prolonged storage, makes a decisive contribution to pressure ulcer prevention.
- the flexible film with the pillows pointing upwards with at least one further film, as a so-called final film to span, which forms the actual lying area or usable area.
- This film consists of a hygienically safe and skin-friendly material and is connected on the circumference to the first flexible film, e.g. B. by welding.
- This cavity is used as a functional space for further measures to improve the effectiveness of the support system.
- an extremely large amount of fluid such as blood and irrigation fluid, can accumulate on the operating table and thus on the patient support and affect the positioning of the patient.
- the corresponding openings in the cover foil are at a somewhat lower level so that the existing liquid can run off without any problems.
- flexible hoses with a plurality of openings can be placed in the cavity, which are guided outside the support for the discharge of accumulated liquid and are connected to a collecting line to which a suction device is connected. The liquid can thus be discharged continuously or discontinuously from the collecting space.
- a base made of a liquid-absorbing material is arranged below the first flexible film, the underside of which is equipped or covered with a liquid-repellent coating or film.
- the liquid-absorbing base can either be designed as a separate unit and placed under the support or else connected to the lower flexible film as a unit. In both cases there are additional holes in the lower flexible film, which are arranged congruently to the holes made in the end film. Since in this case the entry of liquid into the intermediate space is to be prevented, the edge portions of the openings delimiting the openings of two congruent holes are connected to one another in a liquid-tight manner either directly or via interposed spacer rings. As a result, the support system has a large number of vertical channels through which the liquid can run off and is absorbed by the absorbent pad.
- the underlay can be equipped with a material known as a super absorber, which consists of is known in the field of hygiene, and is also biodegradable.
- the cavity of the support system can then be used for further measures such.
- a temperature control can be used, the following options are provided.
- a large number of air-permeable pores are introduced into the closing film.
- Warm air which is formed in a separate unit, is continuously fed into the cavity of the support system via a side connection welded on at a defined pressure.
- the warm air emerging from the pores reaches the patient's body evenly from below.
- the point-like support of the patient on the pillow has an advantageous effect, since sufficient warm air also reaches the body outside the support points. This favors an almost dry positioning of the patient. Possible body wetness, for example due to perspiration, is thus eliminated immediately.
- a closed heating system can alternatively be used.
- the end foil is designed to be airtight or watertight and the intermediate space is connected to a corresponding warm air or hot water circuit station via flexible lines.
- the corresponding units including the necessary control and regulating units for generating hot air or hot water, are known per se and can be used without problems for the intended temperature control of the cavity.
- cooling devices can also be used, in particular during neurosurgical interventions that require a lowering of the patient's body temperature. Another important measure in the context of pressure ulcer prophylaxis during surgery is good blood circulation to the skin.
- the proposed invention also enables an additional massage of the patient's body surface lying on the support system.
- the cover film In order to form the intermediate space of the support system as an additional massage zone, it is provided to manufacture the cover film from a thin-walled, stretchable, elastic film which expands under the influence of a pulsating air flow and returns to its starting position relatively quickly.
- a non-stretchable, relatively stable film or intermediate layer is attached to the first flexible film, which is distributed over the surface and is provided with circular openings. It is also possible to dispense with the arrangement of an intermediate layer and to firmly connect the stretchable end foil to the static pillows at the points of contact.
- the cavity is supplied with a pulsating air flow.
- the stretchable closing film in the area of the circular openings of the intermediate layer or in the area between the individual cushions is stretched upward in a roughly hemispherical manner and impulsively resumes its starting position due to its resilience. The one taking place
- the proposed support system can, due to the cavity formed, be adapted to the respective requirements, be equipped with different functional units either individually or in combination.
- the support system can be manufactured in various variants at extremely low cost and contributes to a significant reduction in health care costs.
- the base system as a base model can even be manufactured as a ready-made endless web.
- the support system is suitable for single use due to the low material and manufacturing costs. This results in considerable cost savings in hospital operations, since there is no need for time-consuming cleaning work, disinfection and sterile repackaging, as well as intermediate storage, as is required with the expensive mattresses used to date.
- the film used to manufacture the support system should be transparent to X-rays and, if necessary, also suitable for use in high-frequency surgery.
- the pad system can also be used in intensive care units and in the area of home nursing and elderly care, in particular for prophylaxis against decubitation in bedridden patients, as well as in emergency medicine.
- the support system especially for the latter area of application, can also be equipped with an insulating film, preferably made of aluminum, arranged underneath the flexible film.
- An aluminum pad still has the advantage, especially for young children and
- Another advantage of the proposed support system is that it has a good insulating effect due to the fluid-filled static cushions.
- the body heat of the patient lying on the surface heats up the fluid medium in the static pillows and is stored in them and released again when necessary.
- This heat exchange becomes an independent one Body temperature regulation achieved over a longer period of time, which helps to prevent hypothermia in the patient during surgery.
- the term support system in the sense of the present invention is also understood to mean supports of smaller dimensions, which are only intended for certain body areas, such as the head or extremities.
- FIG. 1 shows a first embodiment variant of the support system, in a simplified perspective view, FIG. 2 shows a section along the line A-A in FIG. 1,
- FIG. 3 shows a second embodiment variant of the support system with a liquid suction, in a simplified perspective view
- FIG. 4 shows a section along the line A-A in FIG. 3
- FIG. 5 shows a third embodiment variant of the support system with a warm air zone and a liquid-absorbing support, in a simplified perspective view
- FIG. 6 shows a section along the line AA in FIG. 5
- FIG. 7 shows the detail “X” in FIG. 5 as a top view , in an enlarged view and
- FIG. 8 shows a fourth embodiment variant of the support system with a massage zone, as a simplified sectional illustration
- the support system shown in FIG. 1 consists of a first flexible film 1, known as a base film, with air-filled static cushions 2 arranged on one side, which have the shape of a parabola.
- the static air cushions 2 are arranged as parallel rows 3 and are each at a distance of approximately 0.5 cm.
- the individual air cushions 2 have a maximum diameter of approximately 3 cm and a height of approximately 1.5 cm.
- the film 1 with the air cushions 2 is produced from two or three-layer films, for example by coextrusion. By adjusting the welding electrodes and regulating the air supply, foils with pillows of different sizes of up to several cm can be produced at the desired intervals.
- the flexible film 1 can therefore also be a multi-layer film.
- a closing film 4 is loosely stretched over the cushions 2 of the film 1 and is equipped on the upper side with a skin-friendly and body-friendly lamination.
- Such films are known from the field of medical technology.
- the top of this film 4 forms the lying surface for the patient.
- the edge portions 4a of the end foil 4 are all-round with the foil 1 Welding connected.
- the weld seams are labeled 4b.
- a cavity 5 is formed by the available spaces between the cushions 2 and the covering film 4 spanning them, which is intended, according to the embodiment shown in FIGS. 1 and 2, as a collecting space for fluids, such as blood, rinsing fluid, etc., that arise due to operation.
- FIGS. 3 and 4 The embodiment shown in FIGS. 3 and 4 is intended for those applications in which large amounts of liquid are generated during the operation, which make a separate liquid suction necessary.
- the basic structure of the support system shown in these figures is analogous to that in FIGS. 1 and 2.
- small openings are provided on a transverse or longitudinal side of the support system in the area between the rows 3, through which flexible hoses 7 into the space between the rows of cushions 3 are inserted. After the tubes 7 have been inserted, the openings are closed again in a liquid-tight manner.
- the flexible hoses 7 are equipped with suction openings 7a and are connected outside the support system to a collecting line 8, which is connected to a suction device (not shown in more detail). If necessary, liquid is sucked out of the collecting space 5 via an automatic control. Due to the suction effect generated, the edges of the cover film surrounding the holes 6 are additionally pulled down slightly, thereby promoting the outflow of the liquid into the collecting space 5.
- this support system has different pillows 2a and 2b in size.
- the larger pillows 2b are located in the middle area of the support system, that is, where the greatest stress is expected from the patient.
- FIGS. 5 to 7 A further embodiment variant is shown in FIGS. 5 to 7.
- the cavity 5 serves as a warm air zone.
- a connection piece 9 is welded, via which warm air, which is generated in an external device, is blown into the cavity 5 forming the warm air zone.
- the closing foil 4 is provided with a large number of small pores 10, through which the warm air blown into the cavity 5 can escape and which forms a warm air cushion directly below the patient's body surface.
- this variant which is used for long-lasting operations, can also be combined with drainage.
- holes or openings 11 are also arranged in the closing film 4, which are each located in the areas between the individual cushions 2. Holes or openings 12, which are congruent with the openings 11 in the end film 4, are likewise arranged in the first flexible film between the cushions 2.
- the edges of two congruent holes 11, 12 are connected to one another in a liquid-tight manner via a flexible intermediate ring 13, for example by welding.
- the support system has a plurality of vertical channels 14 through which the liquid can run downward, it being ensured that no liquid gets into the cavity 5.
- a base 15 which holds the liquid is attached to the underside of the flexible film 1.
- the pad 15 consists of a layer 15a of absorbent material and a liquid-tight cover 15b.
- the absorbent material can be used as the absorbent material. So-called superabsorbents made from biodegradable substances are particularly suitable.
- the base 15 can also be designed as a separate unit which is placed under the support system.
- the aforementioned version can also be equipped with a closed heat cycle system. In this case, the closing film 4 is airtight or liquid-tight, and therefore has no pores for air to escape. Then there is an outlet connection on the opposite side of the connection connection 9.
- the nozzles are connected to a suitable device for generating hot air or hot water, so that either hot air or hot water can be passed through the closed cavity 5. In this case, a uniform and constant heating of the support system is achieved without air being whirled up.
- Another embodiment variant with a massage zone is shown in FIG.
- the closing film 4 is airtight and consists of a stretchable, elastic material with sufficient resilience to return to the initial state relatively quickly after partial stretching.
- a thin-walled special film is preferably used for this.
- a non-stretchable, relatively stable intermediate layer 16 with circular openings 16a is arranged below this film 4.
- the openings 16a are located above the free space, in each case between individual cushions 2, and have a diameter of approximately 1 cm.
- At least the end film 4 is in an analogous manner as in the embodiment according to Fig. 1 connected to the flexible film 1 all around.
- the intermediate layer 16 can additionally be connected to the film 1 or the end film 4 or to the top of the pillows 2 to fix the position.
- the cavity 5 is connected on one side to a connecting piece 17 which is connected to a unit for generating a pulsating air flow stands.
- the air can also be heated, so that hypothermia of the patient can be avoided.
- the locations of the closing film 4, which are located directly above the circular openings 16a of the intermediate layer are expanded approximately in the form of a semicircular ball 18, which returns to its initial state after the air flow has been relieved of pressure.
- a skin massage of the patient's body surface lying on the support system is achieved by the partial, impulsive movements of the end foil 4.
- This variant of the support system can, if necessary, also be equipped with drainage / drainage in accordance with the embodiment shown in FIG. 3.
- the individual static cushions 2, 2a, 2b can also be filled with a suitable gas or a liquid.
- a suitable gas or a liquid When using the proposed support systems in emergency medicine, it can be useful to equip the flexible film from below with an aluminum film, which provides additional insulation and protection against hypothermia.
- An aluminum foil also opens up the possibility of individually adapting the support system to the body shape, since the aluminum foil maintains its predetermined position without external influences.
- the support system intended for single use can be inexpensively manufactured in different sizes, depending on the patient's body weight.
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- Health & Medical Sciences (AREA)
- Nursing (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Invalid Beds And Related Equipment (AREA)
Abstract
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10333742.3 | 2003-07-23 | ||
DE10333742A DE10333742A1 (de) | 2003-07-23 | 2003-07-23 | Luftgepolstertes Auflagesystem als Patientenliegefläche, insbesondere für Operationstische |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2005013878A2 true WO2005013878A2 (fr) | 2005-02-17 |
WO2005013878A3 WO2005013878A3 (fr) | 2005-06-23 |
Family
ID=34042064
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2004/007624 WO2005013878A2 (fr) | 2003-07-23 | 2004-07-10 | Systeme support a matelas d'air, en tant que surface servant de couchette pour patients, en particulier pour tables d'operation |
Country Status (2)
Country | Link |
---|---|
DE (1) | DE10333742A1 (fr) |
WO (1) | WO2005013878A2 (fr) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7469432B2 (en) | 2004-04-30 | 2008-12-30 | Hill-Rom Services, Inc. | Method and apparatus for improving air flow under a patient |
US7883478B2 (en) | 2004-04-30 | 2011-02-08 | Hill-Rom Services, Inc. | Patient support having real time pressure control |
US8132011B2 (en) | 2003-05-09 | 2012-03-06 | Emc Corporation | System and method for authenticating at least a portion of an e-mail message |
US9707141B2 (en) | 2005-07-08 | 2017-07-18 | Hill-Rom Services, Inc. | Patient support |
US10391009B2 (en) | 2011-12-08 | 2019-08-27 | Hill-Rom Services, Inc. | Optimization of the operation of a patient-support apparatus based on patient response |
US11357683B2 (en) | 2005-07-08 | 2022-06-14 | Hill-Rom Services, Inc. | Foot zone of a mattress |
Families Citing this family (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2250987A3 (fr) | 2004-04-30 | 2011-11-30 | Hill-Rom Services, Inc. | Support de patient |
US7469436B2 (en) | 2004-04-30 | 2008-12-30 | Hill-Rom Services, Inc. | Pressure relief surface |
US7557718B2 (en) | 2004-04-30 | 2009-07-07 | Hill-Rom Services, Inc. | Lack of patient movement monitor and method |
EP1906793B1 (fr) | 2005-07-08 | 2016-10-26 | Hill-Rom Services, Inc. | Commande de pression pour lit d'hopital |
WO2007016054A2 (fr) | 2005-07-26 | 2007-02-08 | Hill-Rom Services, Inc. | Systeme et procede permettant de commander un matelas pneumatique |
CN108283548A (zh) * | 2018-01-05 | 2018-07-17 | 刘丽 | 一种多功能医用护理辅助装置 |
EP3530251A3 (fr) | 2018-02-27 | 2019-10-30 | Hill-Rom Services, Inc. | Support de patient |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4698864A (en) * | 1985-11-25 | 1987-10-13 | Graebe Robert H | Cellular cushion |
EP0547496A1 (fr) * | 1991-12-16 | 1993-06-23 | Kimberly-Clark Corporation | Système d'évacuation de liquide, en particulier pour applications chirurgicales |
US5588167A (en) * | 1991-11-13 | 1996-12-31 | Ssi Medical Services, Inc. | Apparatus and method for managing waste from patient care maintenance and treatment |
WO2000003625A2 (fr) * | 1998-07-14 | 2000-01-27 | Maricevic Zdravko | Matelas universel permettant de s'asseoir, de s'allonger, de prevenir une escarre de decubitus et de la traiter |
US20020129449A1 (en) * | 2000-06-01 | 2002-09-19 | Crown Therapeutic, Inc. | Moisture drying mattress with separate zone controls |
US6511501B1 (en) * | 1998-07-21 | 2003-01-28 | Augustine Medical, Inc. | Inflatable thermal pad with drainage |
-
2003
- 2003-07-23 DE DE10333742A patent/DE10333742A1/de not_active Withdrawn
-
2004
- 2004-07-10 WO PCT/EP2004/007624 patent/WO2005013878A2/fr active Application Filing
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4698864A (en) * | 1985-11-25 | 1987-10-13 | Graebe Robert H | Cellular cushion |
US5588167A (en) * | 1991-11-13 | 1996-12-31 | Ssi Medical Services, Inc. | Apparatus and method for managing waste from patient care maintenance and treatment |
EP0547496A1 (fr) * | 1991-12-16 | 1993-06-23 | Kimberly-Clark Corporation | Système d'évacuation de liquide, en particulier pour applications chirurgicales |
WO2000003625A2 (fr) * | 1998-07-14 | 2000-01-27 | Maricevic Zdravko | Matelas universel permettant de s'asseoir, de s'allonger, de prevenir une escarre de decubitus et de la traiter |
US6511501B1 (en) * | 1998-07-21 | 2003-01-28 | Augustine Medical, Inc. | Inflatable thermal pad with drainage |
US20020129449A1 (en) * | 2000-06-01 | 2002-09-19 | Crown Therapeutic, Inc. | Moisture drying mattress with separate zone controls |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8132011B2 (en) | 2003-05-09 | 2012-03-06 | Emc Corporation | System and method for authenticating at least a portion of an e-mail message |
US7469432B2 (en) | 2004-04-30 | 2008-12-30 | Hill-Rom Services, Inc. | Method and apparatus for improving air flow under a patient |
US7883478B2 (en) | 2004-04-30 | 2011-02-08 | Hill-Rom Services, Inc. | Patient support having real time pressure control |
US7712164B2 (en) | 2004-10-06 | 2010-05-11 | Hill-Rom Services, Inc. | Method and apparatus for improving air flow under a patient |
US9707141B2 (en) | 2005-07-08 | 2017-07-18 | Hill-Rom Services, Inc. | Patient support |
US10507147B2 (en) | 2005-07-08 | 2019-12-17 | Hill-Rom Services, Inc. | Patient support |
US11357683B2 (en) | 2005-07-08 | 2022-06-14 | Hill-Rom Services, Inc. | Foot zone of a mattress |
US10391009B2 (en) | 2011-12-08 | 2019-08-27 | Hill-Rom Services, Inc. | Optimization of the operation of a patient-support apparatus based on patient response |
Also Published As
Publication number | Publication date |
---|---|
DE10333742A1 (de) | 2005-02-10 |
WO2005013878A3 (fr) | 2005-06-23 |
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