CN101843930A - Household automated peritoneal dialysis device - Google Patents
Household automated peritoneal dialysis device Download PDFInfo
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- CN101843930A CN101843930A CN 201010211495 CN201010211495A CN101843930A CN 101843930 A CN101843930 A CN 101843930A CN 201010211495 CN201010211495 CN 201010211495 CN 201010211495 A CN201010211495 A CN 201010211495A CN 101843930 A CN101843930 A CN 101843930A
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Abstract
The invention relates to a medical facility, in particular to a household automated peritoneal dialysis device. In the raw water treatment device of the facility, the water inlet of a multilayer filtration device is directly connected with a water source, the water outlet of a reverse osmosis device is connected with a peritoneal dialysis fluid mixer; the main body of a peritoneal dialysis fluid preparing device is a sealed metal box body, the metal box body is provided with interfaces which are connected with a plunger pump, a penetrant container, a peritoneal dialysis agent container, the peritoneal dialysis fluid mixer, an ultrafiltration device, a waste liquid container and an abdominal catheter through plunger valves; and the signal input interface of the ARM single chip microcomputer of a peritoneal dialysis automatic control system is connected with a treatment procedure module, a reparative treatment procedure module and a safety monitoring module respectively, and the signal output interface is connected with a power driver which is driven according to the commands of the ARM single chip microcomputer to control the plunger pump, the plunger valves, an electric heater, a solenoid valve and a sound and light alarm device. The invention integrates raw water treatment, peritoneal fluid preparation and automated dialysis so as to reduce medical cost and ensure safety and is suitable to be used in the basic units.
Description
Technical field
The present invention relates to armarium, particularly a kind of household automated peritoneal dialysis device.
Background technology
At present, peritoneal dialysis is the common method of uremia's replacement therapy.Comprise: (1) CAPD-continuous ambulatory peritoneal dialysis, it is a kind of method that can dialyse voluntarily without the equipment patient.Adopt this method will one section Dialysis tubing forever be placed on intraperitoneal by minor operation in advance, an end opening is on stomach wall.During dialysis, a soft packaging bag that 2 liters of dialysis solution are housed is suspended on health (flat crouching) 1 meter, top, dialysis solution injects the abdominal cavity by gravity through the Dialysis tubing interface, keeps after 4-6 hour, and Intraabdominal liquid drains external.Repeat every day early, in, afternoon, evening respectively carry out once.Saturating pipe of abdomen that present abdominal cavity is built-in and peritoneal dialysis liquid, pipeline are import or joint product, and every bag of peritoneal dialysis liquid price is 40 yuan, and every day, expense was 4～5 bags.This CAPD is the saturating method of main abdomen that China carries out at present.(2) APD-automatization peritoneal dialysis.This technology utilizes peritoneal dialysis machine to carry out the peritoneal dialysis liquid exchange at night, and effect is satisfactory substantially, does not influence the normal day's activities of patient, can make most of patient return society.In western countries, automatization's peritoneal dialysis has become fastest-rising peritoneal dialysis mode, and its usage ratio American-European countries is 20～30%, and the whole world is 15%; It is 33% that the U.S. uses the annual rate of growth of automatization's peritoneal dialysis mode.China APD treatment still is at the initial stage, and only indivedual saturating centers of abdomen have 1～3 import automated peritoneal dialysis machine.Surplus the full-automatic peritoneal dialysis treatment equipment (APD) of buying an import needs ten ten thousand yuan, add packed peritoneal dialysis liquid and pipe fitting, it is quite expensive to purchase valency, the easy CAPD therapy of the employing mostly native land in.
Summary of the invention
The present invention is intended to solve existing automatization peritoneal dialysis device and involves great expense, be not suitable for the problem of present China's national situation, and provide a kind of former water treatment, peritoneal dialysis solution preparation and the automatic control of peritoneal dialysis three parts are combined together, can reduce medical expense significantly, guarantee safety, and the household automated peritoneal dialysis device of suitable basic unit use.
The present invention solves its technical problem, and the technical scheme of employing is:
A kind of household automated peritoneal dialysis device, comprise former water treatment facilities, peritoneal dialysis solution device for formulating and peritoneal dialysis automatic control system, described former water treatment facilities has at least: a multiple filtration device, an electric deionizer and a reverse osmosis unit; This its water inlet of multiple filtration device directly is connected with the water source, its outlet is connected with this electric deionizer water inlet, this electric deionizer outlet is connected with this reverse osmosis unit water inlet, this reverse osmosis unit outlet is connected with peritoneal dialysis liquid blender in the peritoneal dialysis solution device for formulating by connecting line, and water pump, conductivity meter, light scopometer are housed on this connecting line; Described peritoneal dialysis solution device for formulating has at least: a peritoneal dialysis liquid blender, a super rate device, the metal case of a sealing, this metal case is provided with seven interfaces, each interface all is equipped with a plunger valve, one of them interface is equipped with plunger displacement pump, remaining six interfaces respectively with osmotic agent reservoir, the saturating agent container of abdomen, the peritoneal dialysis liquid blender, super rate device, waste fluid container is connected with the abdominal cavity catheter interface, the liquid outlet that is somebody's turn to do super rate device is connected with this peritoneal dialysis liquid blender by connecting line, on this connecting line conductivity meter is housed, this waste fluid container places on the weighing meter, connect on the pipeline of this waste fluid container the light scopometer is housed, connect on the pipeline of abdominal cavity catheter interface temperature sensor and pressure transducer are housed; Described peritoneal dialysis automatic control system comprises an ARM single-chip microcomputer that the signal of collecting is put in order and programmed, the signal input interface of this ARM single-chip microcomputer is connected to the treatment procedure module respectively, revise treatment procedure module and safety monitoring module, its signal output interface is connected to analog line driver, this analog line driver drives the plunger displacement pump that is subjected to ARM single-chip microcomputer instruction control, plunger valve, electric heater, electromagnetic valve, audible-visual annunciator, finish former water treatment, peritoneal dialysis solution preparation and peritoneal dialysis treatment overall process, described ARM single-chip microcomputer are connected with liquid crystal touch screen and the record important information that is used to show and revise treatment procedure, and it is printable, the IC-card recording equipment of drawing a diagram.
Compared with prior art, advantage of the present invention and beneficial effect are:
1. the present invention collects former water treatment, peritoneal fluid is prepared and three process procedures of automated dialysis are one, being opened to the overall process that the saturating waste liquid of abdomen excretes from faucet carries out in the pipeline of a sealing all the time, eliminated possibility of infection to greatest extent, removed various intermediate link from, reduced consumptive material, treatment cost is declined to a great extent, alleviated patient's financial burden.The saturating therapy system of abdomen of the present invention, original equipment cost are below 20,000 yuan, and dialysis treatment takes every year and is no more than 1.5 ten thousand yuan, and general patient all can bear.
2. the present invention repeats sterilization and multiple safety monitoring means because of using in the basic unit family oriented, having designed, and has safe, aseptic, dependable performance, is convenient to the characteristics safeguarding, be convenient to operate.
3. application of the present invention and popularization, can make the patient who can not get dialysis treatment because of economic problems and primary care condition restriction regain the therapy apparatus meeting, allow those person between twenty and fifty that due to illness lose job opportunity resume work and school work, return society again with the teenager that interrupts school work; The expenditure of country's payment for medical care can be 10,000,000,000 levels and descend.
Accompanying drawing and explanation
Fig. 1 is a structural representation of the present invention.
Fig. 2 is a peritoneal dialysis automatic control system sketch map of the present invention.
Among the figure: water source 1, multiple filtration device 2, electric deionizer 3, reverse osmosis unit 4, water pump 5, conductivity meter 6,10, light scopometer 7,18, peritoneal dialysis liquid blender 8, electric heater 9, super rate device 11, metal case 12, interface 13, plunger valve 14,10% Glucose Liquid containers 15, the saturating concentrate container 16 of abdomen, plunger displacement pump 17, waste fluid container 19, weighing meter 20, temperature sensor 21, pressure transducer 22, abdominal cavity catheter interface 23, abdominal cavity conduit 24, abdominal cavity 25.
The specific embodiment
Below in conjunction with drawings and Examples in detail the present invention is described in detail.
The described household automated peritoneal dialysis device of present embodiment is made up of former water treatment facilities, peritoneal dialysis solution device for formulating and peritoneal dialysis automatic control system three parts.
Referring to Fig. 1, multiple filtration device 2, electric deionizer 3, reverse osmosis unit 4 and connecting line constitute former water treatment facilities.These multiple filtration device 2 its water inlets directly are connected with water source 1, its outlet is connected with these electric deionizer 3 water inlets, these electric deionizer 3 outlets are connected with these reverse osmosis unit 4 water inlets, these reverse osmosis unit 4 outlets are connected with peritoneal dialysis liquid blender 8 in the peritoneal dialysis solution device for formulating by connecting line, and water pump 5, conductivity meter 6, light scopometer 7 are housed on this connecting line.Water source 1 can be a tap water, also can be well water, spring water, distilled water, the mineral water of the supply of preferred city.
In the present embodiment, described multiple filtration device 2 its filter element bottoms are the high technology ceramics filter element, have the micropore of 0.3～0.7 μ m; Layer second from the bottom is active carbon and high density adhesive-bonded fabric filter screen; Layer third from the bottom is a resinbed; The superiors are the secondary filter layer.Described bottom filter element can be removed float and part antibacterials such as asbestos fibre, rust; Metafiltration core second from the bottom can remove dechlorination, chemical substance and heavy metal etc. and remove color, deodorization; Metafiltration core third from the bottom can be removed calcium, magnesium plasma, makes water softening; The superiors' filter element can prevent＞microgranule of 5 μ m stops up the reverse osmosis membrane in the reverse osmosis unit 4.
In the present embodiment, described electric deionizer is the EDI electric deionizing device, and it is made of dc source, water pump, tank and yin, yang ion exchange membrane and exchanger resin, and ion moves under the driving of electric field, moisture is become dense water and fresh water, and the deionization ability is 99%.
In the present embodiment, described reverse osmosis unit is the twin-stage reverse osmosis unit, every grade of reverse osmosis unit comprises a pressure pump and a counter-osmosis device at least, pressure vessel for reverse osmosis and core members reverse osmosis membrane that this counter-osmosis device is made by rustless steel or glass-reinforced plastic material constitute, this reverse osmosis membrane adopts acetate fiber or polyamide material, reverse osmosis membrane aperture≤10 * 10
-10M.This twin-stage reverse osmosis unit reaches 100% to the antibacterial in the water, virus, pyrogen and Organic substance clearance rate, and salt rejection rate is 95～97%.
Still referring to Fig. 1, the core component of peritoneal dialysis solution device for formulating is the metal case 12 of a sealing, and this box body is provided with seven interfaces 13, and each interface 13 is provided with a plunger valve 14.Metal case 12 is for being generally aluminum, and the softish high molecular polymer thin film of built-in one deck can enclosed box body, and places the front end of plunger valve 14.Seven interfaces, 13 one of them individual plunger displacement pump 17 that are equipped with on the box body, remaining six interfaces 13 respectively with 10% Glucose Liquid container 15, the saturating concentrate container 16 of abdomen, peritoneal dialysis liquid blender 8, super rate device 11, waste fluid container 19 is connected with abdominal cavity catheter interface 23, the liquid outlet that is somebody's turn to do super rate device 11 is connected with this peritoneal dialysis liquid blender 8 by connecting line, conductivity meter 10 is housed on this connecting line, this waste fluid container 19 places on the weighing meter 20, connect on the pipeline of this waste fluid container 19 light scopometer 18 is housed, connect on the pipeline of abdominal cavity catheter interface 23 temperature sensor 21 and pressure transducer 22 are housed.
The main weight of measuring effluent discharges of weighing meter 20, it is a ultrafiltration volume with the difference of filled liquid measure (being determined by the metered shot pump).
The peritoneal dialysis liquid temperature that temperature sensor 21 monitorings fill surpasses this scope and sends warning 37 ℃ ± 1 ℃ scope.
The peritoneal dialysis liquid process for preparation is as follows:
The safety monitoring of peritoneal dialysis liquid process for preparation is finished by temperature sensor 21, light scopometer 18 and conductivity meter 10.The set point of temperature scope of peritoneal dialysis liquid is 37 ℃ ± 1, and conductivity is at 13.8～14.1 μ s/cm, can not cause because of the light wave scattering to absorb Red blood corpuscle pathogenic microorganism particle.
The process that circulation of peritoneal dialysis treatment is finished:
(1) fills the phase: alternately open the plunger valve 13 that connects super rate device 11, the plunger valve 13 and the plunger valve 13 that is connected abdominal cavity catheter interface 23 that connects waste fluid container 19, plunger displacement pump 17 is done suction and is injected action, and peritoneal dialysis liquid enters abdominal cavity 25 from peritoneal dialysis liquid blender 8 through super rate device 11.This process is subjected to conductivity meter 10, temperature sensor 21 and pressure transducer 22 monitorings.Fill about 10 minutes of time phase, flow velocity 200ml/ branch, amount of liquid 2000ml.
(2) retention period: all pathway closures.It is the key function of this process that pressure transducer 22 monitoring pressures change.Be generally night retention period 2.5～3 hours, can keep daytime 10 hours.
(3) ejection time: connect plunger displacement pump 17 plunger valve 13, connect waste fluid container 19 plunger valve 13 be connected abdominal cavity catheter interface 23 alternation switches.Plunger displacement pump 17 is done suction and is injected action, extracts dialysis liquid later from patient abdominal cavity 25, and enters waste fluid container 19.About 20 minutes of efflux time.The waste liquid amount that weighing meter 20 records are discharged, the difference of this amount and charging amount is a ultrafiltration volume.The increase and decrease of ultrafiltration volume is finished by the concentration of adjusting penetrating agent in the peritoneal dialysis liquid.
Referring to Fig. 2, its core component of peritoneal dialysis automatic control system is the ARM single-chip microcomputer, the signal input interface of this ARM single-chip microcomputer is connected to the treatment procedure module respectively, revises treatment procedure module and safety monitoring module, its signal output interface is connected to analog line driver, and this analog line driver is electrically connected with peripheral units such as plunger displacement pump, plunger valve, electric heater, electromagnetic valve, audible-visual annunciators.Peripheral unit is accepted the instruction of ARM single-chip microcomputer, finishes whole therapeutic processes by the driving of this analog line driver.The ARM single-chip microcomputer is connected with liquid crystal touch screen and the record important information that is used to show and revise treatment procedure, and IC-card recording equipment printable, that draw a diagram.
Analog line driver is accepted the instruction of Programmable Logic Controller ARM single-chip microcomputer; The collection of ARM single-chip microcomputer is treated control module, is programmed after revising the information of treatment control module and safety monitoring module from doctor's advice.
Stimulus part comprises among Fig. 2:
(1) treatment control module: be the definite treatment procedure of doctor's advice, as fill, keep, discharge the time of each phase, the capacity of liquid, the dosage form of the saturating agent of abdomen, the concentration of penetrating agent, parameters such as the capacity of ultrafiltrate all can show on liquid crystal touch screen.
(2) revise the treatment procedure module: 1. revise penetrating agent concentration, adjust ultrafiltration volume.The effluent discharge total amount that weighing measures deducts total charging amount and equals ultrafiltration volume.When the actual measurement ultrafiltration volume is starkly lower than the doctor's advice setting value, should increase penetrating agent concentration.2. it is low and the time short to utilize the abdominal pressure curve to judge that peritoneal membrane function fills phase pressure curve rising wave amplitude, and peritoneal membrane function is high Rotation type; Too high and the overlong time of pressure curve rising wave amplitude is low Rotation type.Both therapeutic effect are poor.High average Rotation type falls between, and therapeutic effect is good.3. adjust retention period and ejection time time with the abdominal pressure curve, the abdominal pressure curve reaches the peak and on behalf of blood plasma and peritoneal dialysis liquid osmotic pressure, the turning point that begins to descend promptly reach balance time, also be the time of actual termination of retention period, can revise time retention period that former doctor's advice is set in view of the above.Adjust the ejection time of doctor's advice regulation according to the intersection point time of occurrence of quick phase of ejection time and lag phase.Above-mentioned two kinds of adjustment modes can improve therapeutic effect.Revise the treatment procedure module and revise therapeutic scheme with interactive mode, embody intelligent dialysis treatment by liquid crystal display screen.
(3) safety detection module: by the quality and the temperature of temperature sensor 21, pressure transducer 22, conductivity meter 6 and 10, light scopometer 7 and 18 monitoring waters for injection and peritoneal dialysis solution, whether the pipeline of dialysis solution operation is unobstructed, and whether therapeutic process exists infection.This part is provided with the sound and light alarm scope, can trigger acoustic-optic alarm.
Claims (4)
1. a household automated peritoneal dialysis device comprises former water treatment facilities, peritoneal dialysis solution device for formulating and peritoneal dialysis automatic control system, it is characterized in that:
A. described former water treatment facilities has at least: a multiple filtration device, an electric deionizer and a reverse osmosis unit; This its water inlet of multiple filtration device directly is connected with the water source, its outlet is connected with this electric deionizer water inlet, this electric deionizer outlet is connected with this reverse osmosis unit water inlet, this reverse osmosis unit outlet is connected with peritoneal dialysis liquid blender in the peritoneal dialysis solution device for formulating by connecting line, and water pump, conductivity meter, light scopometer are housed on this connecting line;
B. described peritoneal dialysis solution device for formulating has at least: a peritoneal dialysis liquid blender, a super rate device, the metal case of a sealing, this metal case is provided with seven interfaces, each interface all is equipped with a plunger valve, one of them interface is equipped with plunger displacement pump, remaining six interfaces respectively with 10% Glucose Liquid container, the saturating concentrate container of abdomen, the peritoneal dialysis liquid blender, super rate device, waste fluid container is connected with the abdominal cavity catheter interface, the liquid outlet that is somebody's turn to do super rate device is connected with this peritoneal dialysis liquid blender by connecting line, on this connecting line conductivity meter is housed, this waste fluid container places on the weighing meter, connect on the pipeline of this waste fluid container the light scopometer is housed, connect on the pipeline of abdominal cavity catheter interface temperature sensor and pressure transducer are housed;
C. described peritoneal dialysis automatic control system comprises an ARM single-chip microcomputer that the signal of collecting is put in order and programmed, the signal input interface of this ARM single-chip microcomputer is connected to the treatment procedure module respectively, revise treatment procedure module and safety monitoring module, its signal output interface is connected to analog line driver, this analog line driver drives the plunger displacement pump that is subjected to ARM single-chip microcomputer instruction control, plunger valve, electric heater, electromagnetic valve, audible-visual annunciator, finish former water treatment, peritoneal dialysis solution preparation and peritoneal dialysis treatment overall process, described ARM single-chip microcomputer are connected with liquid crystal touch screen and the record important information that is used to show and revise treatment procedure, and it is printable, the IC-card recording equipment of drawing a diagram.
2. household automated peritoneal dialysis device according to claim 1 is characterized in that, its filter element bottom of described multiple filtration device is the high technology ceramics filter element, has the micropore of 0.3～0.7 μ m; Layer second from the bottom is active carbon and high density adhesive-bonded fabric filter screen; Layer third from the bottom is a resinbed; The superiors are the secondary filter layer.
3. household automated peritoneal dialysis device according to claim 1, it is characterized in that, described electric deionizer is the EDI electric deionizing device, it is made of dc source, water pump, tank and yin, yang ion exchange membrane and exchanger resin, ion moves under the driving of electric field, moisture is become dense water and fresh water, and the deionization ability is 99%.
4. household automated peritoneal dialysis device according to claim 1, it is characterized in that, described reverse osmosis unit is the twin-stage reverse osmosis unit, every grade of reverse osmosis unit comprises a pressure pump and a counter-osmosis device at least, pressure vessel for reverse osmosis and core members reverse osmosis membrane that this counter-osmosis device is made by rustless steel or glass-reinforced plastic material constitute, this reverse osmosis membrane adopts acetate fiber or polyamide material, reverse osmosis membrane aperture≤10 * 10
-10M.
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| CN2010102114954A CN101843930B (en) | 2010-06-25 | 2010-06-25 | Household automated peritoneal dialysis device |
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| CN2010102114954A CN101843930B (en) | 2010-06-25 | 2010-06-25 | Household automated peritoneal dialysis device |
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Cited By (13)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102198296A (en) * | 2011-05-13 | 2011-09-28 | 李健生 | Infusion device of peritoneal dialysis machine |
| CN103830789A (en) * | 2012-11-27 | 2014-06-04 | 深圳先进技术研究院 | Hemodialysis system |
| CN104027856A (en) * | 2014-06-23 | 2014-09-10 | 王泽义 | Peritoneal dialysis control system |
| CN104815386A (en) * | 2015-04-23 | 2015-08-05 | 广州新诚生物科技有限公司 | Negative pressure drainage system capable of monitoring pressure of wound surface in real time |
| CN104815358A (en) * | 2015-04-23 | 2015-08-05 | 广州新诚生物科技有限公司 | Negative pressure drainage system capable of achieving self-circulation |
| CN106255518A (en) * | 2014-05-15 | 2016-12-21 | 尼普洛株式会社 | Apparatus for purifying blood |
| CN109432523A (en) * | 2018-11-13 | 2019-03-08 | 重庆本善医疗设备有限公司 | The device and method for generating peritoneal dialysis liquid is diluted with concentrate on-line continuous |
| CN110507422A (en) * | 2019-09-10 | 2019-11-29 | 苏州爱力想电子科技有限公司 | The pallet of peritoneal dialysis electronic scale |
| CN110841125A (en) * | 2019-11-05 | 2020-02-28 | 武汉市中医医院 | Peritoneal dialysis solution supply system |
| CN112826999A (en) * | 2021-03-05 | 2021-05-25 | 上海市浦东新区人民医院 | A peritoneal dialysis monitoring system |
| CN113748199A (en) * | 2019-03-26 | 2021-12-03 | 株式会社美加细胞 | Cell suspension processing device |
| CN115784533A (en) * | 2017-05-05 | 2023-03-14 | 巴克斯特国际公司 | Water purification apparatus |
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| CN102198296A (en) * | 2011-05-13 | 2011-09-28 | 李健生 | Infusion device of peritoneal dialysis machine |
| CN103830789A (en) * | 2012-11-27 | 2014-06-04 | 深圳先进技术研究院 | Hemodialysis system |
| CN106255518B (en) * | 2014-05-15 | 2021-08-24 | 尼普洛株式会社 | Blood purification device |
| CN106255518A (en) * | 2014-05-15 | 2016-12-21 | 尼普洛株式会社 | Apparatus for purifying blood |
| CN104027856A (en) * | 2014-06-23 | 2014-09-10 | 王泽义 | Peritoneal dialysis control system |
| CN104815386A (en) * | 2015-04-23 | 2015-08-05 | 广州新诚生物科技有限公司 | Negative pressure drainage system capable of monitoring pressure of wound surface in real time |
| CN104815358A (en) * | 2015-04-23 | 2015-08-05 | 广州新诚生物科技有限公司 | Negative pressure drainage system capable of achieving self-circulation |
| CN115784533A (en) * | 2017-05-05 | 2023-03-14 | 巴克斯特国际公司 | Water purification apparatus |
| CN115959740A (en) * | 2017-06-15 | 2023-04-14 | 巴克斯特国际公司 | Water purification apparatus and method for controlling properties of at least one fluid in a water purification apparatus |
| CN109432523A (en) * | 2018-11-13 | 2019-03-08 | 重庆本善医疗设备有限公司 | The device and method for generating peritoneal dialysis liquid is diluted with concentrate on-line continuous |
| CN113748199A (en) * | 2019-03-26 | 2021-12-03 | 株式会社美加细胞 | Cell suspension processing device |
| CN110507422A (en) * | 2019-09-10 | 2019-11-29 | 苏州爱力想电子科技有限公司 | The pallet of peritoneal dialysis electronic scale |
| CN110841125A (en) * | 2019-11-05 | 2020-02-28 | 武汉市中医医院 | Peritoneal dialysis solution supply system |
| CN112826999A (en) * | 2021-03-05 | 2021-05-25 | 上海市浦东新区人民医院 | A peritoneal dialysis monitoring system |
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