siemens.

com/ultrasound

ACUSON P500™ Ultrasound System, FROSK Edition

Quick Reference Guide

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 Contents 2

Smart Cart Overview 3

System Overview 10
Control Panel 16
Touch Screen 20
Patient Exam 22
2D 26
Doppler 30
Annotation / Body Marker 36
Analysis 38
Review 42
Reports 46
Export / Import 50

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 Smart Cart Overview 3

Smart Cart Height Adjustment

Press leaver and push down or pull up to

adjust height.

Smart Annotation
System Control Touch Patient Export /
Cart 2D Doppler / Body Analysis Review Reports
Overview Panel Screen Exam Import
Overview Marker

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 Smart Cart Overview 4

Locking and Unlocking the Wheels

1. There are two lock positions.

2. Press large tab down to lock.
3. Lift large tab up to unlock.

Lock Unlock

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 Attaching the Multiple Transducer Module (MTM) 5

1. Ensure lever lock is in the down unlocked 1

position. 2
2. Align the connector and press into the
system port.
3. To lock, place the lever in the up position.
4. Connecting transducers to the MTM follows
the same process.
4 4 4

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 Smart Cart Overview 6

Cable Management

1. Transducers can be placed in the holders

located at each side of the Smart Cart.
2. When transporting the cart with transducers,
place the cables through the provided hook
to prevent damage.

TIP Instructions for removal of the ACUSON P500 system from

the cart are located by the back handle of the Smart Cart.

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 Input / Output Connections Accessory Power Connection 7

Located on the upper back of the Smart Cart. Located on the lower back of the Smart Cart.

HDMI LAN DC Out

Cart Power Peripheral Power

Peripheral USB

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 Smart Cart Overview 8

Cleaning the Smart Cart

Removing the Transducer Holder

◾◾ Press the tab located at the back of the holder.
◾◾ Pull the holder towards the floor to remove.
◾◾ Clean with mild detergent.
◾◾ Insert into transducer holder pressing upward
until you hear a click.

Use only approved disinfectants.

For a complete list see the ACUSON P500 system Help menu.

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 9

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 System Overview 10

Attaching a Transducer
1. Ensure lever lock is in the down, unlocked
position.
2. Align the connector and press into the
transducer port.
3. Place the lock in the up position.
4. Once the system detects the transducer, the
name displays to the right of the image.

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 Input / Output Connector 11

1. Local area network (LAN) cable connection.

2. High-Definition Multimedia Interface (HDMI)
connection.
1 2 3 4
3. Universal Serial Bus (USB) ports.
4. Audio Jack (Headphones).

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 System Overview 12

Control Panel Workflow Controls

Control Function
2D Button: Starts 2D mode. Dial: Adjusts the 2D gain.
C Button: Starts or ends Color Mode. Dial: Adjusts the Color gain.
M Button: Starts or ends M-mode. Dial: Adjusts the M-mode gain.
PW Button: Starts or ends PW spectral Doppler Mode.
Button: Press to start or end Zoom.
Depth / Zoom
Dial: Adjusts the scanning depth or amount of magnification of the image.
Button: Changes the PW Doppler angle in 60 degree increments.
Angle
Dial: Changes the PW Doppler angle in 1 degree increments.

Invert Moves the spectral tracing or color Doppler to above or below the baseline.

Starts or stops Tissue Equalization Technology (TEC) processing.

UD 1,2 User-define keys.

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 13
Control Function
Print Store 1,2 User-define keys for print and store functions.

Activates general and exam-specific measurement packages.

Stores a cine clip.

Increases or decreases the scale (PRF) in the pulsed and continuous wave, and
Scale
color Doppler modes.
Increases or decreases the baseline in the pulsed and continuous wave, and
Baseline
color Doppler modes.

Freeze pauses or resumes scanning.

User-programmable key for ending a study.

Activates the Body Marker menus available for the active preset.

Activates the annotation menus for the active preset.

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 System Overview 14

Cleaning the ACUSON P500 System

Control Panel
◾◾ Turn off and unplug system.
◾◾ Moisten clean lint-free cloth with mild detergent or approved disinfectant.
◾◾ Ensure touch pad and slide controls are free of gel.
◾◾ Dry surface with lint-free cloth.

Monitor
◾◾ Moisten clean lint-free cloth with mild detergent or water.
◾◾ Wipe monitor to clean.
◾◾ Dry surface with lint-free cloth.

Use only approved disinfectants.

For a complete list see the ACUSON P500 system Help menu.

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 15

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 Control Panel 16

1 2
1. Power on / off
3 2. Rocker Soft Key buttons
3. DGC
4. Depth / Zoom
5. Measure
6. Clip Store

15 14
7. Print Store 1
13 4 8. Print Store 2
10 9. Freeze
11 5 6 10. TEQ
9 11. Touch pad keys
12 7 8
12. Touch pad
13. 2D push / rotary gain
14. Color push / rotary gain
15. M-mode push / rotary gain

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 16. Pulsed wave push / rotary gain 17

17. Invert
18. Baseline
30 19. Scale
20. User Defined 1
21. User Defined 2
23 26 24 25 27 28 29
22. Angle push / rotary
22 16 23. Workflow Controls
17 24. Arrow
19 18 25. Alternate keyboard
26. End Exam
20 21
27. Clear Screen
28. Text / Annotation
29. Body Marker
30. Alphanumeric keyboard

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 Control Panel 18

Control Panel Workflow Controls

Control Function
Patient Opens the ‘New Patient’ and ‘Edit Patient Data’ page.
Exam Opens and closes the ‘Exam Selection’ page.
Review Opens the page to review an exam, create a slide show or teaching file.
Report Opens the report screen to view the results and close the study.
Allows viewing of the patient studies, start a new exam, restart an exam and
Browser
delete studies.
Config Opens menus for user customization of the system.
Help Opens the user manual menu for the ‘Help’ menu.

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 Touch Pad 19

Action Result
Activates functions assigned to the surrounding keys.
Tap Activates selected button on a form i.e., reports page.
Anchors caliper when measuring.
Moves or changes on-screen functions such as a caliper or color box.
Slide
Scrolls through a list i.e., thumbnails.
Pinch and spread Changes the size of an on-screen function i.e., Doppler gate.

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 Touch Screen 20

1 2 3 1. Mode indicators
xxxxxxxxxxx xxxx

2. Patient banner
2D PW x ACUSON

9
xx_xx_xxxx_xx_xx_xx xxxx-xxxxxxxxxxxx
VF13-5
Small Parts ธ

13 3. System status bar

Tx Power 100%
Physio

10
Settings MA 0,59
ASC 2
DTCE Low

4. Thumbnail panel
Dyn R 75 dB
THI 8.9 MHz
26 dB
45 tps
Biopsy
5. Soft keys
4
6. Touch pad
<< Steer Steer >>

8
L/R Flip U/D Flip
12 7. Soft keys
8. Left panel controls
L U

Trapezoid

Dual
9. Imaging parameters
11
Print Clear Delete
10. Transducer orientation
Edge Focus MultiHertz Dyn R
Update
THI Gate Image
Presets
Tx Power indicator
OTCE Map Focus Min ...
8.9 MHz 76 dB Position Position On 0 Gen

11. Thumbnail editing tools

Position
Adv: SieCl... Tint Parallel ...

7 6 5 12. Doppler tracing

13. 2D reference image

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 21

Smart Annotation
System Control Touch Patient Export /
Cart 2D Doppler / Body Analysis Review Reports
Overview Panel Screen Exam Import
Overview Marker

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 Patient Exam 22

Patient Browser

Press Browser

1 2 3 4 5 1. Show Files
2. Source Media
3. Search Criteria
11
4. Search
5. Clear Search
6. Study List
6
7. Send
8. Output Device
9. Delete
10. Export, Import
11. Navigation menu
10 9 8 7

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 Patient Data 23

New Patient TIP Use ‘Tab’ to move to the next text box.

◾◾ Press Patient
TIP You may start the exam without
◾◾ Click New Patient registering a patient and then update
the patient information at any time
◾◾ Enter data before ending the exam.

◾◾ Click OK

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 Patient Exam 24

Patient Data Cont.

Edit Patient Data TIP To change the patient data entry

fields, select short or long form on the
General 2 Configuration page.
◾◾ Press Patient

◾◾ Click Edit Patient Data TIP You can start an new exam or restart
an exam from the Patient Browser
◾◾ Edit data page.

◾◾ Click OK

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 25

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 2D 26

Real-time / Post Processing Image Controls

Feature Function
Dynamic TCE™ Tissue
Contrast Enhancement Reduces speckle and increases image contrast.
Technology – Soft Key
Dyn R – Soft Key Adjust the range (minimum to maximum) of displayed gray shades.
Map – Soft Key Changes gray-scale image based on the intensity of the signal.
Tint – Soft Key Display of a color overlay applied to the gray-scale image.
L / R Flip – Soft Key Flips the left side of the image to the right and vice versa.
U / D Flip – Soft Key Flips the top of the image to the bottom and vice versa.
Zoom / Pan – Button / Zoom enlarges the image and Pan allows movement through the
Touch Pad image.

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 Real-time Image Controls 27

Feature Function

2D Image Width – Touch Narrows or enlarges the image area.

Pad Note: Available with curvilinear and phased-array transducers.
Advanced SieClear™
Spatial Compounding – Spatial compounding.
Soft Key
Biopsy – Soft Key Activates biopsy angles.
Depth / Zoom – push
Distance of the image into the body.
rotary button
Adjustment of brightness to adjust for dark areas on the image due
DGC – Slide Pots
to sound absorption in the tissue.
Dual – Soft Key Displays two images in a side-by-side format.

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 2D 28

Real-time Image Controls Cont.

Feature Function
Edge – Soft Key Enhances structure edges and boundaries.
Focus Position –
Moves the depth of the focal zone anterior or posterior.
Soft Key
Focal zones –
Changes the number of focal zones.
Soft Key
Image Presets –
Allows selection of ‘Res’, ‘Gen’, and ‘Detail’ to adjust for patient body type.
Soft Key
MultiHertz™
Allows the user to select frequencies in both fundamental and harmonic
Multiple Frequency
modes while performing real-time 2D imaging.
Imaging – Soft Key
Overall Gain –
Adjusts the overall brightness of the image.
rotary button
Persist – Soft Key Number of frames averaged to form an image.

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 29
Feature Function
Allows adjustment of the balance between the image line density
R/S
(resolution) and the frame rate (speed).
Steer – Soft Key Allows steering of a linear image.
Image optimization method that uses returning high frequencies to create
THI – Soft Key
the image.
TEQ™ Ultrasound Continuously optimizes the overall gain, and DGC. Press once to activate,
Technology – Button twice to deactivate.
Tx Power – Soft Key Allows adjustment of the power setting.
Increases the FOV for a linear transducer resulting in a trapezoidal shaped
Trapezoid – Soft Key
image.

You can customize the location of soft keys on the

TIP
‘Soft Keys’ tab located in the Configuration menus.

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 Doppler 30

Color Doppler Controls

Pulsed wave Doppler controls that can be adjusted during real-time imaging or on the frozen image.

Feature Function
Allows automatic measurement of user defined measurements.
Auto Stat – Soft Key
Note: These do not enter into the patient report.
Invert – Button Moves the spectral or color Doppler display above or below the baseline.
Changes spectral Doppler tracing gray-scale based on the intensity of the
Map – Soft Key
signal.
Sweep – Soft Key Adjusts the speed of the spectral Doppler tracing.
Tint – Soft Key Display of a color overlay applied to the spectral Doppler tracing.
PW – Press / Rotary Button: Enters / Exits PW Doppler.
button Rotary: Increases / Decreases the PW spectral tracing gain.

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 Color Doppler Controls 31

Controls shared by Color Doppler Energy (CDE), and Color Doppler Velocity (CDV) modes.

Feature Function
Color Display –
Removes the color box.
Soft Key
Flow – Soft Key Optimizes flow settings using ‘Low’, ‘Med’, and ‘High’ settings.
MultiHertz Imaging
Allows user selection of the frequency.
– Soft Key
Smooth – Soft Key Adjusts the spatial averaging for flow.
Adjusts the priority of the resolution of color Doppler compared to 2D.
Priority – Soft Key Increasing improves the color Doppler display and decreasing improves the
2D display.

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 Doppler 32

Color Doppler Controls

Feature Function
C – Press / Rotary Button: Enters / Exits Color Doppler.
button Rotary: Increases / Decreases the Color gain.
CDE – Soft Key Enters / Exits Color Doppler Energy (Power) Doppler mode.
CDV – Soft Key Enters / Exits Color Velocity (Directional) Doppler.
Enters / Exits continuous wave Doppler.
CW – Soft Key
Note: Must have a phased array transducer attached and have PW active.

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 Spectral Doppler Controls 33

Controls used during pulsed wave (PW) Doppler real-time imaging.

Feature Function
Angle – Push / Rotary Button: Adjusts the angle in 60° increments.
Button Rotary: Adjust the angle in 1° increments.
Dyn R – Soft Key Adjust the range (minimum to maximum) of displayed gray shades of gray.
Full D – Soft Key Displays the spectral tracing only.
Gate – Soft Key Increases or decreases the size of the sample volume gate.
Simult – Soft Key Displays both the 2D image and spectral tracing in real-time.
Steer Changes the D-line angle.
Update Rate –
Adjusts how often the 2D reference image updates during duplex imaging.
Soft Key
Volume – Soft Key Increases or decreases the audio of the spectral Doppler signal.

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 Doppler 34

Spectral Doppler Shared Image Controls

Controls that can be adjusted during real-time imaging or on the frozen image on the pulsed or
continuous wave tracing.

Feature Function
Allows automatic measurement of user defined measurements.
Auto Stat – Soft Key
Note: These do not enter into the patient report
Invert – Button Moves the spectral or color Doppler display above or below the baseline.
Changes spectral Doppler tracing gray-scale based on the intensity of the
Map – Soft Key
signal.
Sweep – Soft Key Adjusts the speed of the spectral Doppler tracing.
Display of a color overlay applied to the gray-scale image or spectral
Tint – Soft Key
tracing.

To bypass the Doppler ‘Cursor Mode’ or select Frequency or Velocity display,

TIP
select the desired behavior on the ‘Display’ tab of the Configuration menus.

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 Shared Doppler Controls 35

Real-time only controls shared by PW, continuous wave, CDE, and CDV modes.

Feature Function
Baseline –
Moves the baseline up or down.
Rocker Key
Filter – Soft Key Allows for removal of low level echoes close to the baseline.
MultiHertz Imaging
Allows adjustment of the frequency.
– Soft Key
Scale – Rocker Key Adjusts the pulse repetition period (PRF) of the active mode.
Steer – Soft Key Angles the D-line or color box to the left or right.

TIP You can customize the ACUSON P500 System Doppler

behavior on the ‘Exam’ tab of the Configuration menus.

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 Annotation / Body Markers 36

Text Soft Keys

Feature Function
Delete Line Removes a line of text.
Delete Word Removes the last word typed.
Hide / Show Text Removes or displays text.
Home Area selected for the text to begin or cursor to return.
Set Home Position Allows selection of home position for the text cursor.

Body Marker Soft Keys

Feature Function
Change Body Marker Changes the displayed body marker.

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 37

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 Analysis 38

Doppler Auto Trace

1. Acquire a spectral tracing.

2. Press the Auto Stat soft key on the upper left of the monitor.
3. Select Above, Below, or Both.

TIP Auto Stat functions on a real-time or frozen image.

Auto Stat measurements do not enter into the exam report.

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 General Measurements 39

Feature Function

Measure Launches calipers for both general and exam-specific measurements.

Touch Pad Move, anchor, and edit caliper functions.

Delete Removes one measurement starting with the last one performed.
Delete all Removes all calipers.

Smart Annota-
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Cart 2D Doppler tion / Body Analysis Review Reports
Overview Panel Screen Exam Import
Overview Marker

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 Analysis 40

General Measurements

1. Press the button.

2. The soft keys display on the bottom of the monitor.
3. Swipe the touch pad to position the caliper and press Set or tap the touch pad to anchor.
4. Position the first caliper and press Set.
5. Use the Edit button to toggle between calipers.
6. Press Set to anchor the second caliper.

TIP The calipers and active measurements display green.

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 Exam-Specific Measurements 41

1. Press the button.

2. Select the desired measurement from the menu on the left of the monitor.
3. Place the caliper or goalpost at the desired start location.
4. Press Set.
5. Use the Edit button to toggle between calipers.
6. Press Set to anchor the second caliper.
7. Press Print Store to enter the measurement into the patient report.

TIP You can also measure and enter information into the patient report
from an image in Review. This function only works with an open exam.

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 Review 42

Feature Function

Review Opens review on an exam in progress.

Browser Opens a menu that allows selection of a saved exam.

Return to
Returns to real-time imaging.
Imaging

Select | Deselect

Review touch pad functions.

Cine touch pad functions.

Play | Pause

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 CINE Review 43

Cine review functions available during the exam and in Review.

1 2 11

8 12

3 4 5 6 7 10
9

1. Reset 7. Fast forward

2. First frame 8. Current frame
3. Set Start Marker 9. Set End Marker
4. Rate 10. Frame / Frame total
5. Rewind 11. Last frame
6. Stop / Start 12. Save

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 Review 44

Creating a Slide Show

1. From an active exam press Review

2. From a saved exam press Browser

3. Tap images for the slide show.

4. Tap Slide Show

5. You can Stop or Start the slide show.

6. Tap Exit to return to imaging.

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 Creating a Teaching File Adding Images to a Teaching File 45

1. From an active exam press Review 1. From an active exam press Review

2. From a saved exam press Browser 2. From a saved exam press Browser

3. Tap images for the teaching file. 3. Select the teaching file.

4. Tap Teaching File 4. Click on Append

5. Enter a name. 5. Add images to the teaching file.

6. Click on New

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 Reports 46

Only entered, exam-specific measurements appear in the report.

Feature Function

Report Enters / Exits Report page.

Scrolling

Touch pad allows scrolling through reports sections.

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 Drawing on a Report Diagram 47

1. Select Report

2. Select Description

3. Select Draw

4. Press Set

5. Use the pointer to draw.

6. Select Delete to erase the last area.

7. Select Delete All to erase all drawn areas.

TIP Drawing function is only available in the CV exam.

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 Reports 48

Edit a Report

1. Select Results.

2. Select either 2D measurements or 3D measurements.

3. Select the value for editing.

4. Enter new value.

Add an Image to the Report

1. Select Summary

2. Add comments in the text box.

3. Select Load Comments to add preconfigured comments.

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 Deleting an Image in the Report 49

1. Select image.

2. Press Set

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 Export / Import 50

Send a Study

1. Press Browser

2. Select the exam.

3. Select the Output Device.

4. Click Send

5. The study appears in the Queue

Import a Study

1. Press Browser

2. Select the Source Media. You can only import a study in

DICOM format.
3. Select exams for import.

4. Exams appear at [D:] Local Disk.

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 Image Export 51

1. Press Browser or Review TIP Check the ‘De-identify’ box to export

images and studies without patient
2. Select patient exam. information.

3. Select images.

4. Click Export.

5. Select the format type.

6. Select export destination.

7. Click Export

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 The products / features mentioned in this document may not be ACUSON P500, MultiHertz, SieClear, TCE and TEQ are trademarks
commercially available in all countries. Due to regulatory reasons of Siemens Medical Solutions USA, Inc.
their future availability cannot be guaranteed. Please contact
your local Siemens organization for further details.
Images used in this guide are for educational purposes only.
They have been modified or compressed and may not reflect
the actual image quality of the system.

Siemens Healthcare Headquarters Legal Manufacturer

Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc.
Henkestraße 127 Ultrasound
91052 Erlangen 685 East Middlefield Road
Germany Mountain View, CA 94043
Phone: +49 9131 84-0 USA
siemens.com/healthcare Phone: +1-888-826-9702
siemens.com/ultrasound

Order No. A91US-356-1C-4A00 | Printed in Germany | CC 3339 1215X. | © Siemens Medical Solutions USA, Inc., 2015

siemens.com/healthcare

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