AU2001227865A1 - Ionic enhanced dialysis/diafiltration system - Google Patents
Ionic enhanced dialysis/diafiltration systemInfo
- Publication number
- AU2001227865A1 AU2001227865A1 AU2001227865A AU2786501A AU2001227865A1 AU 2001227865 A1 AU2001227865 A1 AU 2001227865A1 AU 2001227865 A AU2001227865 A AU 2001227865A AU 2786501 A AU2786501 A AU 2786501A AU 2001227865 A1 AU2001227865 A1 AU 2001227865A1
- Authority
- AU
- Australia
- Prior art keywords
- fluid
- filtration
- diafiltration system
- stage
- fluid enters
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 238000011026 diafiltration Methods 0.000 title 1
- 238000000502 dialysis Methods 0.000 title 1
- 238000001914 filtration Methods 0.000 abstract 4
- 239000012530 fluid Substances 0.000 abstract 4
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 abstract 3
- 108090000623 proteins and genes Proteins 0.000 abstract 2
- 102000004169 proteins and genes Human genes 0.000 abstract 2
- 239000003929 acidic solution Substances 0.000 abstract 1
- 238000001631 haemodialysis Methods 0.000 abstract 1
- 230000000322 hemodialysis Effects 0.000 abstract 1
- GPRLSGONYQIRFK-UHFFFAOYSA-N hydron Chemical compound [H+] GPRLSGONYQIRFK-UHFFFAOYSA-N 0.000 abstract 1
- 238000001802 infusion Methods 0.000 abstract 1
- 239000012528 membrane Substances 0.000 abstract 1
- 238000000034 method Methods 0.000 abstract 1
- 239000000126 substance Substances 0.000 abstract 1
- 239000003053 toxin Substances 0.000 abstract 1
- 231100000765 toxin Toxicity 0.000 abstract 1
- 108700012359 toxins Proteins 0.000 abstract 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/3413—Diafiltration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1654—Dialysates therefor
- A61M1/1656—Apparatus for preparing dialysates
- A61M1/1668—Details of containers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1654—Dialysates therefor
- A61M1/1676—Dialysates therefor containing proteins, e.g. albumin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/3413—Diafiltration
- A61M1/3417—Diafiltration using distinct filters for dialysis and ultra-filtration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3424—Substitution fluid path
- A61M1/3431—Substitution fluid path upstream of the filter
- A61M1/3434—Substitution fluid path upstream of the filter with pre-dilution and post-dilution
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3424—Substitution fluid path
- A61M1/3437—Substitution fluid path downstream of the filter, e.g. post-dilution with filtrate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3441—Substitution rate control as a function of the ultrafiltration rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3455—Substitution fluids
- A61M1/3458—Substitution fluids having electrolytes not present in the dialysate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3455—Substitution fluids
- A61M1/3462—Circuits for the preparation thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3455—Substitution fluids
- A61M1/3465—Substitution fluids using dialysate as substitution fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/3472—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration with treatment of the filtrate
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01D—SEPARATION
- B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
- B01D61/24—Dialysis ; Membrane extraction
- B01D61/243—Dialysis
- B01D61/244—Dialysis comprising multiple dialysis steps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1654—Dialysates therefor
- A61M1/1656—Apparatus for preparing dialysates
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01D—SEPARATION
- B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
- B01D61/14—Ultrafiltration; Microfiltration
- B01D61/145—Ultrafiltration
- B01D61/146—Ultrafiltration comprising multiple ultrafiltration steps
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Vascular Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Anesthesiology (AREA)
- Veterinary Medicine (AREA)
- Urology & Nephrology (AREA)
- Emergency Medicine (AREA)
- Water Supply & Treatment (AREA)
- Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- External Artificial Organs (AREA)
- Separation Using Semi-Permeable Membranes (AREA)
Abstract
A dual-stage filtration system and methods for using the same include first and second filtration cartridges particularly suited for hemodiafiltration and/or hemodialysis. As fluid enters the first filtration cartridge, the hydrogen ion concentration (pH) is reduced by exposing it to an acidic solution such as citric acid across a filter membrane. This stage allows for improved removal of certain toxins in the fluid, such as protein-bound substances that disassociate more readily from proteins at a lower pH. As the filtered fluid enters the second filtration cartridge, the pH of the fluid is restored to normal levels prior to infusion to a patient.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US17557800P | 2000-01-11 | 2000-01-11 | |
| US60175578 | 2000-01-11 | ||
| PCT/US2001/001023 WO2001051184A1 (en) | 2000-01-11 | 2001-01-11 | Ionic enhanced dialysis/diafiltration system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| AU2001227865A1 true AU2001227865A1 (en) | 2001-07-24 |
Family
ID=22640783
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2001227865A Abandoned AU2001227865A1 (en) | 2000-01-11 | 2001-01-11 | Ionic enhanced dialysis/diafiltration system |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US6821431B2 (en) |
| EP (2) | EP1690590B1 (en) |
| JP (1) | JP4729224B2 (en) |
| AT (2) | ATE358527T1 (en) |
| AU (1) | AU2001227865A1 (en) |
| CA (1) | CA2396851C (en) |
| DE (2) | DE60133148T2 (en) |
| WO (1) | WO2001051184A1 (en) |
Families Citing this family (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7067060B2 (en) * | 2000-01-11 | 2006-06-27 | Nephros, Inc. | Ionic enhanced dialysis/diafiltration system |
| US7455771B2 (en) * | 2002-05-14 | 2008-11-25 | Hepa Wash Gmbh | Means for removing protein-bound substances |
| AU2003237403A1 (en) * | 2002-06-06 | 2003-12-22 | Nxstage Medical, Inc. | Last-chance quality check and/or air/pyrogen filter for infusion systems |
| US20080210606A1 (en) | 2004-01-07 | 2008-09-04 | Jeffrey Burbank | Filtration System Preparation of Fluids for Medical Applications |
| ATE434454T1 (en) | 2003-01-07 | 2009-07-15 | Nxstage Medical Inc | BATCH FILTRATION SYSTEM FOR PRODUCING A STERILE REPLACEMENT LIQUID FOR KIDNEY TREATMENTS |
| US9700663B2 (en) | 2005-01-07 | 2017-07-11 | Nxstage Medical, Inc. | Filtration system for preparation of fluids for medical applications |
| US8029454B2 (en) | 2003-11-05 | 2011-10-04 | Baxter International Inc. | High convection home hemodialysis/hemofiltration and sorbent system |
| EP1838356B1 (en) | 2005-01-07 | 2010-10-20 | NxStage Medical, Inc. | Filtration system for preparation of fluids for medical applications |
| US20070295651A1 (en) * | 2006-06-26 | 2007-12-27 | Martinez F Jesus | Dialysis bag system |
| CA2667471C (en) * | 2006-10-30 | 2012-01-03 | Gambro Lundia Ab | An extracorporeal blood chamber |
| ES2466040T3 (en) * | 2006-10-30 | 2014-06-09 | Gambro Lundia Ab | Heme apparatus (day) filtration |
| EP2407191B1 (en) * | 2006-10-30 | 2012-12-12 | Gambro Lundia AB | Air separator extracorporeal fluid treatment sets |
| CN102068743B (en) * | 2011-01-28 | 2013-05-08 | 重庆医科大学附属第一医院 | Hydrogen therapeutic apparatus |
| US20130146541A1 (en) | 2011-12-13 | 2013-06-13 | Nxstage Medical, Inc. | Fluid purification methods, devices, and systems |
| EP2653178A1 (en) * | 2012-04-16 | 2013-10-23 | Zentrum für biomedizinische Technologie der Donau- Universität Krems | Safety device for extracorporeal blood treatment |
| US10322221B2 (en) | 2013-01-18 | 2019-06-18 | University of Pittsburgh—of the Commonwealth System of Higher Education | Removal of carbon dioxide via dialysis |
| US9731059B2 (en) * | 2013-07-02 | 2017-08-15 | Fresenius Medical Care Holdings, Inc. | Sensor and method of sensing for dialysis machine |
| US9814819B2 (en) * | 2015-06-15 | 2017-11-14 | Fresenius Medical Care Holdings, Inc. | Dialysis machines with integral salt solution chambers and related methods |
| WO2017084683A1 (en) | 2015-11-20 | 2017-05-26 | Hepa Wash Gmbh | Method for extracorporeal lung support |
| WO2017084682A1 (en) | 2015-11-20 | 2017-05-26 | Hepa Wash Gmbh | Method for extracorporeal carbon dioxide removal |
| US11351291B2 (en) | 2016-03-14 | 2022-06-07 | Advitos Gmbh | Systems or apparatuses and methods for performing dialysis |
| US11344656B2 (en) | 2017-05-22 | 2022-05-31 | Advitos Gmbh | Methods and systems for removing carbon dioxide |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH01249062A (en) * | 1988-03-29 | 1989-10-04 | Sekisui Chem Co Ltd | Outside body circulation circuit |
| US5194157A (en) * | 1990-03-09 | 1993-03-16 | Sorin Biomedica Emodialisi Srl | Blood purifying equipment particularly for the treatment of patients suffering from renal insufficiency, and a method of producing a reinfusion liquid for haemodiafiltration (HDF) |
| DE4309410A1 (en) * | 1993-03-19 | 1995-02-16 | Stange Jan | Material, process and equipment for the selective separation of freely dissolved and substance-bound substances from liquid substance mixtures as well as process for the production of the material |
| DE19523505A1 (en) * | 1994-07-13 | 1996-01-18 | Fresenius Ag | Haemodiafiltration appliance with blood filter divided by membrane into two chambers |
| JP3608745B2 (en) * | 1994-08-11 | 2005-01-12 | 旭化成メディカル株式会社 | Body fluid treatment device |
| JP2000070362A (en) * | 1998-09-01 | 2000-03-07 | Kuraray Co Ltd | Blood processing equipment |
| EP1137482B2 (en) * | 1998-10-30 | 2009-09-02 | Nephros, Inc. | Non-isosmotic diafiltration system |
| US6406631B1 (en) * | 1999-07-30 | 2002-06-18 | Nephros, Inc. | Two stage diafiltration method and apparatus |
| US6526357B1 (en) * | 1999-08-09 | 2003-02-25 | Gambro, Inc. | Associated parameter measuring and/or monitoring such as in the evaluation of pressure differences |
-
2001
- 2001-01-11 EP EP06009839A patent/EP1690590B1/en not_active Expired - Lifetime
- 2001-01-11 JP JP2001551598A patent/JP4729224B2/en not_active Expired - Fee Related
- 2001-01-11 AT AT01902017T patent/ATE358527T1/en not_active IP Right Cessation
- 2001-01-11 AT AT06009839T patent/ATE387949T1/en not_active IP Right Cessation
- 2001-01-11 DE DE60133148T patent/DE60133148T2/en not_active Expired - Lifetime
- 2001-01-11 EP EP01902017A patent/EP1268042B1/en not_active Expired - Lifetime
- 2001-01-11 DE DE60127657T patent/DE60127657T8/en active Active
- 2001-01-11 WO PCT/US2001/001023 patent/WO2001051184A1/en not_active Ceased
- 2001-01-11 AU AU2001227865A patent/AU2001227865A1/en not_active Abandoned
- 2001-01-11 CA CA002396851A patent/CA2396851C/en not_active Expired - Fee Related
- 2001-01-11 US US10/181,138 patent/US6821431B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| US20030010701A1 (en) | 2003-01-16 |
| DE60133148T2 (en) | 2009-09-10 |
| EP1268042A4 (en) | 2005-09-07 |
| CA2396851A1 (en) | 2001-07-19 |
| WO2001051184A1 (en) | 2001-07-19 |
| JP4729224B2 (en) | 2011-07-20 |
| JP2003519551A (en) | 2003-06-24 |
| CA2396851C (en) | 2009-05-12 |
| ATE358527T1 (en) | 2007-04-15 |
| DE60127657T8 (en) | 2008-04-17 |
| DE60127657D1 (en) | 2007-05-16 |
| EP1268042A1 (en) | 2003-01-02 |
| US6821431B2 (en) | 2004-11-23 |
| DE60133148D1 (en) | 2008-04-17 |
| ATE387949T1 (en) | 2008-03-15 |
| EP1268042B1 (en) | 2007-04-04 |
| EP1690590B1 (en) | 2008-03-05 |
| DE60127657T2 (en) | 2007-12-13 |
| EP1690590A1 (en) | 2006-08-16 |
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