All Instruments for Endonasal Skull Base Surgery
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1 NEURO /2017-E All Instruments for Endonasal Skull Base Surgery Endoscopy and Microscopy
2 Endonasal Instruments Over the years, the development of the endonasal corridor to the pituitary gland and to the skull base fueled the design of an entirely new line of instruments dedicated to these surgical techniques. In four decades, we went from the pioneers tools made in the local workshop to the industrial quality available around the world nowadays. With many changes! The first generations of instruments were designed to be used with the microscope. The bayonet shape handles and the speculum were the key features. Then the introduction of the endoscope, first as an adjunct to the microscope, then increasingly as the sole visualization technology, has slowly modified the specifications of most instruments. Today KARL STORZ can offer a full range of instruments for all these techniques with a focus on the endoscopic trays. As surgical techniques continue to evolve, the need for new solutions remains as important as ever before. Trends keep the endonasal field continuously evolving. New instruments are regularly introduced, and trays updated. We recently extended our product range with the new 3D endoscopes TIPCAM 1 S in 0 and 30. À-la-Carte Set Configurations When building or updating an endonasal tray, users are faced with an overwhelming number of options to choose from. Standard sets, designed with the most experienced surgical teams allow surgeons interested in such techniques to benefit from the experience of others. However, to allow each user to customize their trays, we have gathered here the different options available for each category of instruments. Users can build their personal trays à-la-carte, following the menu shown here. 2
3 Compiling an Instrument Set for Endonasal Pituitary and Skull Base Surgery To compile an instrument set for endonasal surgery, the user can follow the steps below and choose from various instrument categories or sub-sets. Telescopes Lens Irrigation Systems Suction Tubes Coagulation KERRISON Bone Punches Curettes, Dissectors, Hooks and Knives Scissors Forceps Specula and Armrests Motor System 3
4 3D Telescopes TIPCAM 1 S 3D NEURO 3D telescope with 4 mm sheath diameter With TIPCAM 1 S 3D, KARL STORZ sets new standards in 3D endoscopy with its brilliant, three-dimensional display. As part of the modular IMAGE1 S camera platform, the existing system can be easily upgraded to 3D AA 3D* TIPCAM 1 S 3D NEURO, direction of view 0, diameter 4 mm, length 18 cm, two FULL HD image sensors, autoclavable, S-Technologies available, freely programmable camera head buttons, including video connecting cable, for use with IMAGE1 S BA 3D* TIPCAM 1 S 3D NEURO, direction of view 30, diameter 4 mm, length 18 cm, two FULL HD image sensors, autoclavable, S-Technologies available, freely programmable camera head buttons, including video connecting cable, for use with IMAGE1 S TIPCAM 1 S 3D ORL Endonasal approaches to the skull base outside the central nervous system are also suitable for TIPCAM 1 S 3D ORL AA 3D TIPCAM 1 S 3D, direction of view 0, diameter 4 mm, length 18 cm, two FULL HD image sensors, autoclavable, S-Technologies available, freely programmable camera head buttons, including video connecting cable, for use with IMAGE1 S 7240 BA 3D TIPCAM 1 S 3D, direction of view 30, diameter 4 mm, length 18 cm, two FULL HD image sensors, autoclavable, S-Technologies available, freely programmable camera head buttons, including video connecting cable, for use with IMAGE1 S * currently only FDA-approved 4
5 Straight Telescopes HOPKINS Telescopes, autoclavable, with connection for fiber optic light cable on upper side, fiber optic light transmission incorporated, color-coded according to direction of view Direction of View Order No. Outer Diameter AA BA BVA FA 18 cm FVA 4 mm CA CVA BWA AA 30 cm BA AA 2.7 mm 18 cm For other telescopes, please refer to the KARL STORZ product catalog. 5
6 Angled Telescopes HOPKINS Telescopes, autoclavable, angled eyepiece, fiber optic light transmission incorporated, color-coded according to direction of view Direction of view Order No. Outer Diameter AVA BVA 4 mm FVA AKA 20 cm BKA 2.7 mm FKA CKA 6
7 NEURO HOPKINS Telescope The ENDOCAMELEON is the latest addition to the HOPKINS product family of rod lens telescopes and by far the most versatile. With a simple turn of the control dial, the ENDOCAMELEON enables the user to easily select the direction of view between 15 and 90. Consequently, the surgeon can quickly and easily select the direction of view that provides optimal orientation and control in any situation. The ENDOCAMELEON from KARL STORZ takes the endoscopic OR to a new quality level as it noticeably improves orientation during an intervention without the time-consuming changeover between several telescopes and thus enables safe and smooth surgery. The ENDOCAMELEON combines the user comfort of the proven HOPKINS endoscopes with unprecedented versatility offering the high quality associated with KARL STORZ telescopes. Special Features: Variable direction of view (15 to 90 ) Easy-to-use control dial for selecting the direction of view Lightweight and modern design HOPKINS telescope with unique rod lens system Diameter 4 mm, length 18 cm Standard eyepiece fits any camera head The familiar ergonomics and handling of conventional telescopes are now complemented by the convenience of a variable direction of view The direction of view is changed using the control dial at the proximal end of the ENDOCAMELEON Telescope AE ENDOCAMELEON NEURO HOPKINS Telescope, diameter 4 mm, length 18 cm, autoclavable, variable direction of view from 15 90, adjustment knob for selecting the desired direction of view, fiber optic light transmission incorporated, color code: gold 7230 AES Irrigation and Suction Sheath, outer diameter 4.8 x 6 mm, working length 14 cm, for use with ENDOCAMELEON HOPKINS Telescope and KARL STORZ lens irrigation system CLEARVISION II 7
8 Lens Irrigation Systems CLEARVISION for Intraoperative Cleaning of the Front Lens Irrigation Sheath, proximally reinforced, for use with Clamping Jaw UK Compatible HOPKINS Telescopes Order No. Outer Diameter Compatible Telescope Direction of View Outer Diameter CAA AA CAB 3.8 mm 15 cm 7229 BA mm 18 cm CAF 7229 FA ASA AA 0 24 cm BSA BA CBA AA 0 5 mm CBB BA cm CBF FA CBC CA 70 4 mm 30 cm 18 cm AVS AVA BVS 5 mm 18 cm BVA 30 4 mm FVS FVA CAK AKA 0 20 cm CBK BKA mm 15 cm CFK FKA mm CCK CKA 70 CLEARVISION II Suction and Irrigation Sheath, for simultaneous intraoperative irrigation and suction of the telescope Order No AS Outer Diameter Compatible Telescope AA AA 3D Direction of View 4.8 mm BA 7230 BS 30 x 14 cm BA 3D 6 mm 7230 FS FA CS CA 70 CLEARVISION II Sheaths for use with CLEARVISION II Set Compatible HOPKINS Telescopes 0 Outer Diameter 4 mm 18 cm 8
9 THUMFART Irrigation and Suction Endoscope With ergonomic ring handle, with press or push button valve for switching irrigation on and off, for use with HOPKINS telescopes diameter 2.7 and 4 mm as well as Irrigation and Suction Sheaths A-F and TA-TBL TA-TBL AA/BA/CA/FA AA/BA TD/TT Order No. Outer Diameter Compatible Telescope Direction of View Outer Diameter Cleaning Accessories TA AA TL, TK TB BA cm TF TC 4.8 mm x 6 mm FA CA mm 18 cm TL, TK TL, TK TL, TK TAL AA 0 24 cm TBL BA cm TLL, TK TLL, TK For use with Suction Irrigation Handle TD/TT/JD/JT,
10 Suction Tubes Suction Tubes, with grip plate Order No. Description Diameter XG 9 Charr XM Suction Tube, with grip plate, elongated cut-off hole, distal holes, LUER 7 Charr XK 5 Charr. 15 cm Suction Tubes, malleable Order No. Description Diameter A 12 cm B 4 Charr. 15 cm C 18 cm A 12 cm B 6 Charr. 15 cm C Suction Tube, malleable, with elongated 18 cm A cut-off hole and stylet, LUER 12 cm B 8 Charr. 15 cm C 18 cm A 12 cm B 10 Charr. 15 cm C 18 cm Suction Tubes, conical distal end with markings Order No. Description Diameter XB Suction Tube, with cut-off hole, dropshaped, 6 Charr. with distance markings, LUER, XA conical distal end 8 Charr. 15 cm 10
11 Suction Tubes, short curve, with olive Order No. Description Diameter XC Suction Tube, with cut-off hole, drop-shaped, with distance markings, LUER, conical distal end, tip curved upwards, ball end 8 Charr. 15 cm Suction Tubes, angular, with markings Order No. Description Diameter XE Suction Tube, with cut-off hole, drop-shaped, 6 Charr. with distance markings, LUER, conical distal XD end, malleable 8 Charr. 15 cm Insulated Suction/Coagulation Cannulas Order No. Description Diameter MXA 2.5 mm MXB Insulated Cannula for Suction and Coagulation, curved 90 3 mm MXC 3,6 mm 16 cm 11
12 Coagulation TAKE-APART Bipolar Forceps Order No. Description Width of Jaws BDB TAKE-APART Bipolar Forceps, short, rounded tip, outer diameter 3.4 mm 2 mm 14 cm BDC TAKE-APART Bipolar Coagulation Forceps, short, outer diameter 3.4 mm BDN TAKE-APART Bipolar Forceps, rounded tip, outer diameter 3.4 mm 2 mm BDM TAKE-APART Bipolar Forceps, with fine jaws, distally angled 45, horizontal closing, outer diameter 3.4 mm 1 mm BDD BDK TAKE-APART Bipolar Forceps, distally angled 45, horizontal closing, outer diameter 3.4 mm TAKE-APART Bipolar Forceps, distally angled 45, horizontal closing, size 3.4 mm 2 mm 4 mm 20 cm BDL TAKE-APART Bipolar Forceps, with fine jaws, distally angled 45, vertical closing, outer diameter 3.4 mm 1 mm BDG TAN TAKE-APART Bipolar Coagulation Forceps, size 3.4 mm 3 mm BGS LV LW TAKE-APART Bipolar Forceps, with fine jaws, size 3 mm, distally angled 45 Bipolar High Frequency Cord, for KARL STORZ AUTOCON II 400 SCB system (112, 114, 116, 122, 125), AUTOCON II 200, AUTOCON II 80 and Valleylab coagulator Bipolar High Frequency Cord, pin distance on unit side 22 mm, for use with high frequency surgical units with bipolar sockets with 22 mm pin distance 2 mm 10 cm cm cm 12
13 Bipolar Forceps Order No. Description Width of Jaws BGK Bipolar Forceps, jaws curved upwards 45, for bipolar coagulation in skull base and pituitary surgery - 18 cm V Bipolar High Frequency Cord, for AUTOCON II 400 SCB system (112, 114, 116), Valleylab coagulator, with two 2 mm cable sockets for bipolar suction forceps, mm pin distance cm Unipolar Coagulation Ball Electrodes* Order No. Description Diameter ED Coagulation Ball Electrode, laterally curved 2 mm EF Coagulation Ball Electrode, laterally curved 4 mm * Available Unipolar High Frequency Cords (26002 M, M, M, M) are selected in accordance with the generator used. Please refer to the KARL STORZ product catalog for more detailed information. 13 cm 13
14 Bipolar Coagulation Forceps Order No. Description Tip BPA Bipolar Coagulation Forceps, insulated, bayonet-shaped, blunt, total length 23 cm 12 cm 0.7 mm BPB Bipolar Coagulation Forceps, insulated, bayonet-shaped, blunt, total length 25 cm 14 cm BPC Bipolar Coagulation Forceps, insulated, bayonet-shaped, blunt, total length 23 cm 0.3 mm 12 cm V Bipolar High Frequency Cord, for KARL STORZ AUTOCON II 400 SCB systems (112, 114, 116, 122, 125), Valleylab coagulator and KARL STORZ bipolar coagulation forceps, mm pin distance cm W Bipolar High Frequency Cord, pin distance on the unit side 22 mm, for use with HF units with bipolar sockets with 22 mm pin distance and KARL STORZ bipolar coagulation forceps cm 14
15 KERRISON Bone Punches detachable KERRISON Bone Punches Order No. Description Size MKA 1 mm MKB 2 mm Bone Punch, detachable, rigid, MKC 3 mm upbiting 60 forward MKK 4 mm MKL 5 mm 17 cm MKD 1 mm MKE 2 mm Bone Punch, detachable, rigid, downbiting 60 forward MKF 3 mm MKO 4 mm 15
16 Curettes, Dissectors, Hooks and Knives Curettes Order No. Description Size KA 1 mm KB 2 mm Curette, round spoon, with round KC 3 mm handle 15 cm 25 cm KF 2 mm KG 3 mm KLA Spoon Curette, straight KLB Spoon Curette, angled 45 1 mm KLC Spoon Curette, angled KLD Spoon Curette, straight, round handle KLE Spoon Curette, angled 45, round handle 0.8 mm 13 cm 23 cm KLF Spoon Curette, angled 90, round handle KLG Spoon Curette, straight KLH Spoon Curette, angled 45 2 mm KLI Spoon Curette, angled 90 Ring Curettes Order No RN Description Inner Diameter 3 mm RO Ring Curette, with round wire, tip angled 45, with round handle 5 mm RP 7 mm RE Ring Curette, with round wire, 3 mm RJ malleable, tip angled 45, 5 mm with round handle RK 7 mm 15 cm 25 cm 16
17 Order No. Description Inner Diameter RI 3 mm RG Ring Curette, with round wire, tip angled 90, with round handle 5 mm RH 7 mm RB 3 mm RA Ring Curette, with round wire, laterally curved sheath end, with round handle 5 mm RC 7 mm RV 3 mm RD Ring Curette, with round wire, laterally curved sheath end 90, 5 mm with round handle RW 7 mm 15 cm 25 cm RR Curette, blunt, stirrup-shaped, with round handle - CAPPABIANCA-de DIVITIIS Ring Curettes Order No. Description Outer Diameter RF Ring Curette, with round wire, vertical, with round handle 5 mm 15 cm 25 cm RM Ring Curette, with round wire, horizontal, with round handle 5 mm FRANK-PASQUINI Ring Curettes Order No FRA Description Outer Diameter 2.6 mm Ring Curette, distal end curved, FRC 5 mm vertical FRE 7 mm FRB 2.6 mm Ring Curette, distal end curved, FRD 5 mm horizontal FRF 7 mm 15 cm 25 cm 17
18 Ring Curettes, bayonet-shaped Order No. Description Outer Diameter GGO Ring Curette, bayonet-shaped, round wire, tip angled upwards 90, with round handle 5 mm GGU Ring Curette, bayonet-shaped, round wire, tip angled downwards 90, with round handle GKO Ring Curette, bayonet-shaped, blunt, tip angled upwards 45, with round handle 4 mm 17 cm 25 cm GKU Ring Curette, bayonet-shaped, blunt, tip angled downwards 45, with round handle GLL Ring Curette, bayonet-shaped, blunt, tip angled to left 90, with round handle 3.3 mm GLR Ring Curette, bayonet-shaped, blunt, tip angled to right 90, with round handle CAPPABIANCA-de DIVITIIS Suction Curettes Order No. Description Size RT Suction Curette, with basket, 5 mm with round wire, rotatable tube, RU LUER 6.5 mm RSB 5 mm Suction Curette, blunt, tip angled 45, LUER RSC 7 mm 15 cm 25 cm 18
19 GAAB Angled Curettes Handle Order no. for the complete instrument KS KSS KST CLICKLINE Curette, bendable up to 90, round spoon, size 3.5 mm RS RSS RST CLICKLINE Ring Curette, round, bendable up to 90, size 4.8 mm 20 cm KL KLS KLT CLICKLINE Curette, bendable up to 90, round spoon, size 4.5 mm RL RLS RLT CLICKLINE Ring Curette, round, bendable up to 90, size 3.8 mm 19
20 Dissectors Order No. Description Width DA 2 mm Dissector, sharp, tip angled 45, round spatula, with round handle DB 3 mm DF Dissector, sharp, tip angled 15, flat long spatula, with round handle 1.5 mm 15 cm 25 cm DT Dissector, semi sharp, slightly curved spatula, tip angled 15, with round handle 1 mm DM Dissector, sharp, slightly curved spatula, straight, with round handle 3 mm DS Dissector, sharp, tip angled 15, with round handle 2 mm DLA Dissector, tip angled DLB Dissector, tip angled 45 1 mm 13 cm 23 cm DLC Dissector, tip angled DLD Dissector, tip angled DLE Dissector, tip angled mm DLF Dissector, tip angled 90 20
21 Double Elevators Order No. Description Width EA CASTELNUOVO Double Elevator, semisharp and blunt 2.2 mm / 3.0 mm EB CASTELNUOVO Double Elevator, angled end shovel-shaped, semisharp, blunt end slightly curved 2.2 mm / 3.0 mm 26 cm EC CASTELNUOVO Double Elevator, blunt end angled, semisharp end slightly curved, graduated 2.2 mm / 3.3 mm EP FRANK-PASQUINI Double Elevator, blunt, curved to right and left 2.2 mm Round Knives Order No. Description Width TLA Round Knive TLB Round Knive 45 1 mm TLC Round Knive TLD Round Knive TLE Round Knive TLF Round Knive 90 2 mm 15 cm 25 cm 21
22 Micro Raspatories Order No. Description Width ELS Micro Raspatory, 15 cm 25 cm EL single curved to left 17 cm 27 cm 2 mm ERS Micro Raspatory, 15 cm 25 cm ER single curved to right 17 cm 27 cm Dissectors, bayonet-shaped, sharp Order No. Description Width GBO Dissector, bayonet-shaped, sharp, round spatula, tip angled upwards 45, with round handle 2 mm GBU Dissector, bayonet-shaped, sharp, round spatula, tip angled downwards 45, with round handle 15 cm 25 cm GFO Dissector, bayonet-shaped, sharp, flat long spatula, tip angled upwards 15, with round handle 1.5 mm GFU Dissector, bayonet-shaped, sharp, flat long spatula, tip angled downwards 15, with round handle DL DR Dissector, bayonet-shaped, sharp, curved to left Dissector, bayonet-shaped, sharp, curved to right 2 mm 13.5 cm 24 cm 22
23 CASTELNUOVO Hooks Order No. Description Width H Hook, 90, blunt, with round handle 0.6 mm HA Seeker, angled 45 1 mm 15 cm 25 cm HB Seeker, angled mm HC Seeker, angled 90 1 mm de DIVITIIS-CAPPABIANCA Scalpels Order No. Description M de DIVITIIS-CAPPABIANCA Scalpel, with retractable blade 13 cm 23 cm KK de DIVITIIS-CAPPABIANCA Scalpel, with retractable blade 23
24 Scissors Scissors Order No. Description MZB Scissors, straight, with small handle, with cleaning connector MZC Scissors, curved to right, with small handle, with cleaning connector MZD Scissors, curved to left, with small handle, with cleaning connector 18 cm MZE Scissors, angled upwards, with small handle, with cleaning connector SAD Scissors, upturned 45, delicate, sheath 360 rotatable, with cleaning connector SEPEHRNIA Micro Scissors Order No. Description SBA Micro Scissors, bayonet-shaped, sharp/sharp, straight SBB SBC SBD SBE Micro Scissors, bayonet-shaped, sharp/sharp, curved to left Micro Scissors, bayonet-shaped, blunt/blunt, jaw straight Micro Scissors, bayonet-shaped, sharp/sharp, jaw curved to right Micro Scissors, bayonet-shaped, sharp/sharp, jaw horizonta 10 cm 24
25 Forceps Double Spoon Miniature Forceps Order No. Description Spoon Diameter TD Forceps, round cupped jaws, extra delicate, straight 0.6 mm T TA Forceps, oval cupped jaws, extra delicate, straight Forceps, oval cupped jaws, extra delicate, upturned 0.9 mm 18 cm TE TF Forceps, oval cupped jaws, extra delicate, curved to right Forceps, oval cupped jaws, extra delicate, curved to left 0.6 mm Cutting Forceps Order No. Description Spoon Diameter MZF Spoon Forceps, single action jaws 3 x 10 mm 17 cm SEPEHRNIA Spoon Forceps Order No PBB Description Spoon Diameter 2 mm PBE Micro Forceps, bayonet-shaped 4 mm PBF 6 mm PBG 2 mm Micro Forceps, bayonet-shaped, PBH 4 mm spoon horizontal PBI 6 mm 10 cm 25
26 SEPEHRNIA Grasping Forceps Order No. Description Size PBA Micro Grasping Forceps, bayonet-shaped, straight jaws, smooth 0.5 mm PBC Micro Grasping Forceps, bayonet-shaped, straight jaws, serrated 3 mm 10 cm PBD Micro Grasping Forceps, bayonet-shaped, jaws curved to left 0.75 mm Grasping Forceps Order No. Description Size MZA Grasping Forceps, fine serration, straight, with cleaning connector - 18 cm Miniature Grasping Forceps Order No. Description Size GF Miniature Grasping Forceps, serrated, straight - 18 cm 26
27 Miniature Forceps, through-cutting Order No. Description Bite GS Miniature Forceps, straight, through-cutting, with fine flat jaws GR Miniature Forceps, curved to right, through-cutting, with fine flat jaws 1 mm 18 cm GL Miniature Forceps, curved to left, through-cutting, with fine flat jaws GU Miniature Forceps, curved upwards, through-cutting, with fine flat jaws 27
28 RHINOFORCE II, through-cutting Order No. Description Bite UA RHINOFORCE II Nasal Forceps, with extra fine flat jaws, through-cutting, tissue-sparing, straight sheath, straight jaws, with cleaning connector UB RHINOFORCE II Nasal Forceps, with extra fine flat jaws, through-cutting, tissue-sparing, straight sheath, jaws angled upwards 45, with cleaning connector 1.5 mm 18 cm UE RHINOFORCE II Nasal Forceps, with extra fine flat jaws, through-cutting, tissue-sparing, straight sheath, jaws angled downwards 45, with cleaning connector UD RHINOFORCE Nasal Forceps, with extra fine, flat jaws, through-cutting, tissue-sparing, sheath end curved upwards 25, jaws angled downwards 45 28
29 GAAB Specula GAAB Titanium Speculum, MR-compatible, black coating, for transnasal operations, with obturator, for use with holding arm* Order No. Obturator GSA 70 x 14 mm OA GSB 80 x 14 mm OB GSC 90 x 14 mm OC * For compatible holding arms, please refer to the KARL STORZ product catalog. Armrest This armrest makes it easier to keep a steady hand, even during long surgeries. This can be used with KARL STORZ holding arms and is simply attached via the KSLOCK AR Armrest, with quick release coupling, rotating, for use with mechanical holding systems with KSLOCK 29
30 UNIDRIVE S III NEURO SCB * UNIDRIVE S III NEURO SCB, motor system with color display, touch screen, two motor outputs, integrated irrigation pump and integrated SCB module, VAC, 50/60 Hz including: Mains Cord Irrigator Rod Two-Pedal Footswitch SCB Connecting Cable, length 100 cm Single Use Tubing Set, sterile, package of 3 Specifications: Touch Screen 6.4"/300 cd/m 2 Dimensions w x h x d 300 x 165 x 265 mm Available languages English, French, German, Spanish, Italian, Portuguese, Greek, Turkish, Polish, Russian Weight 5.2 kg Power supply VAC, 50/60 Hz Certified to: IEC 601-1, CE acc. to MDD All items on this page are not available for sale in the USA. It is recommended to check the suitability of the product for the intended procedure prior to use. 30
31 Recommended KARL STORZ Standard Set Configuration Endonasal UNIDRIVE S III NEURO SCB, motor control unit with color display, touch screen, two motor outputs, integrated irrigation pump and integrated SCB module, power supply VAC, 50/60 Hz A High-Speed Micro-Motor, max. speed 60,000 rpm, including connecting cable High-Speed Handpiece, extra long, malleable, slim, angled, 60,000 rpm High-Speed Handpiece, super long, malleable, slim, angled, 60,000 rpm High-Speed Handpiece, medium, angled, 60,000 rpm High-Speed Handpiece, long, angled, 60,000 rpm DRILLCUT-X II Shaver Handpiece Wire Tray, provides safe storage of accessories for KARL STORZ drilling/grinding systems during cleaning and sterilization, includes tray for small parts, for use with Rack , rack not included, for storage of: Up to 6 drill handpieces Connecting cable EC Micro-Motor Small parts Note: Drill and shaver inserts have to be ordered separately. For all handpieces and shavers, please refer to the KARL STORZ product catalog. All items of this page are not available for sale in the USA. 31
32 KARL STORZ SE & Co. KG Dr.-Karl-Storz-Straße 34, Tuttlingen/Germany Postbox 230, Tuttlingen/Germany Phone: +49 (0) Fax: +49 (0) NEURO /2017/EW-E
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