Used for blunt and sharp dissection of delicate tissues. 35.7). Product Descriptions. The scissors come in variable lengths and have a relatively long shank-to-blade ratio. General use Metzenbaum scissors, available with sharp/sharp, straight, blunt/blunt or curved tip 95.4. Single Use Surgical Metzenbaum Scissor Curved 14cmSingle Use Surgical Metzenbaum Scissor Curved 14cmFOR CATALOGS PLEASE EMAIL US: MEDICTAINS@GMAIL.COM / INFO@MEDICTAINSTRUMENTS.COMMEDICTA INSTRUMENTS IS ORIGINAL EQUIPMENT MANUFACTURER (OEM) AND ALSO OFFERS OWN BRAND LABELING .. Mirror finish ; Overall length 5-3/4" (146cm) For your business. Major types of scissor include. The flexor carpi ulnaris muscle fascia is sharply incised, and the muscle fibers are separated gently to expose the underlying nerve. The Metzenbaum’s middle section is slightly narrower as well. Comparison of Metzenbaum scissors and Y-shaped fasciotome for deep metatarsal fasciotomy for the treatment of proximal suspensory ligament desmopathy in horses. Punch biopsy instruments such as Keyes’ dermatologic punches are generally not indicated for biopsy of penile, scrotal, or anal lesions. When absorbable sutures such as chromic and plain gut are cut, a tag of 3 to 4 mm is left to prevent the knot from unwinding. Cauterization of vessels superficial and cephalad to the coracoid tip allows development of the superior margin deltopectoral interval to expose the coracoid tip, all the way up to the coracoclavicular ligaments as needed (Fig. Mayo scissor, identified by heavy curved or straight blades with rounded tips. Find many great new & used options and get the best deals for Aesculap BC271R Metzenbaum Scissors - at the best online prices at eBay! An aortic valve exposure device (Aortic Cuff [small, medium, or large], Miami Instruments, Miami, FL) is used to provide further exposure, if necessary (Fig. Metzenbaum scissors are, however, similar in that the ends are the same on both scissor halves, but its handles are longer and its middle section is slightly narrower. Ronguer. Metzenbaum Dissecting Scissors (tall/thin) fine scissors used for cutting delicate tissue; straight or curved. MSRP: $228.95 $160.00. Rather than use a colposcope for magnification, some clinicians prefer to wear loupes or to use a handheld lens. Retropleural dissection: combination of finger, sponge, and Kittner dissection allows elevation and separation of parietal pleura from periosteal layer. Surgical scissors are usually made of stainless steel. Here are some tips and activities to help them learn correct scissor skills. They are used to dissect, incise, separate, or excise tissue. Metzenbaum Scissors, Straight, 5 1/2", Tungsten Carbide - SuperCut $130.41 $117.37 Metzenbaum Scissors, Straight, 5 1/2", Tungsten Carbide – SuperCut is … used to cut bandage material; one blade has blunt end to facilitate sliding under the bandage … The plate should lie superficial to the periosteum and along the floor of the second dorsal compartment. subcutaneous and light fascia) [ memory tip: “long” name” → “long” handle] General purpose ("suture") scissors relatively shorter and broader blades; commonly lower quality (cheaper) so can be frequently replaced as become dull or damaged ; used to cut sutures and other materials, … used to cut bandage material; one blade has blunt end to facilitate sliding under the bandage … Metzenbaum scissors are then used to create a defect in the mesosalpinx within the knuckle, and the ligated segment of the fallopian tube is excised. A silk suture is then placed on the upper aspect of the aortotomy to allow retraction of the aorta and exposure of the aortic valve (Fig. Click to see full answer. Fig. After excision of the valve, the root and left ventricle are irrigated to remove any residual debris. A Y-shaped fasciotome may be the preferred surgical instrument for successful desmopathy of the PSL fasciotomy because a greater release of compartmental pressure is possible through a longer incision with … From the proximal to the distal blade edges, the new design means more precise cutting response from full length cuts to tip cutting (nipping). 35.8). A one-time use reset password link has been sent to your email address. The middle sacral artery and vein, which are frequently adherent to the L5-S1 annulus, should be ligated (Fig. Lister Bandage Scissors. General use Metzenbaum scissors, available with sharp/sharp, straight, blunt/blunt or curved tip Rib head resection: Exposure is performed with Cobb elevators, curettes, and electrocautery releases costotransverse and costovertebral ligaments and joints. Metzenbaum scissors are surgical scissors designed for cutting delicate tissue and blunt dissection. This scissor should don’t use to cut paper or tubing. CO2 is infused into the operative field at a rate of 2 L/min throughout the entire procedure. … Below are some quick links to CONMED product information that is easily accessible online. https://en.wikipedia.org/w/index.php?title=Metzenbaum_scissors&oldid=944184727, Creative Commons Attribution-ShareAlike License, This page was last edited on 6 March 2020, at 06:41. The cutting motion is tactilely transmitted to the hand of the surgeon without any idle in the movement of the handles, whereby the dissection can be optimally performed. The valve sutures are then placed on the aortic annulus in the conventional manner (Fig. Mayo scissors are typically used to cut fascia, Metzenbaum scissors are used to cut through thin and soft tissues such as bowel and fat. The scissors come in variable lengths and have a relatively long shank-to-blade ratio. The deltopectoral interval deep to the cephalic vein should be a surgical plane that can be developed bluntly, with minimal muscle fiber damage or bleeding. Metzenbaum scissors are used to incise the deep rib bed periosteal layer, but they stay extrapleural. The straight scissors are used for cutting sutures and ligatures or trimming the skin around the wound, hence it is also known as ‘suture scissors’. Scissors should be held with the points following the natural curve of the hand. VWR® Metzenbaum Dissecting Scissors are very delicate stainless steel scissors with curved blades.Stainless steel scissors consist of two blades used for cutting various materials and can easily be opened and closed by a thumb and finger inserted through the handle rings. The scissors come in variable lengths and have a relatively long shank-to-blade ratio. The cutting motion is tactilely transmitted to the hand of the surgeon without any idle in the movement of the handles, whereby the dissection can be optimally performed. Bipolar electrocautery is used to maintain hemostasis. They are constructed of stainless steel and may … Metzenbaum Scissors, SuperCut w/TC inserts, Blunt, narrow tips Stainless steel Skip to Content. Surgical scissors designed for cutting delicate tissue. … Straight Metzenbaum scissor. The skin is incised, and dissection with monopolar electrocautery or Metzenbaum scissors is continued through subcutaneous fat and loose connective tissue. 35.9). Littanuer Suture Scissors. Metzenbaum Scissors. Double-Action , 3mm, 24cm, Insert, ESU, 11.5mm Jaw … These Metzenbaum scissors are from the Aesculap SUSI line of single-use instruments. In order to minimize damage to this structure, which can result in genitourinary dysfunction, electrocautery should be avoided. Long-handled conventional Metzenbaum scissors or long-shafted Mayo scissors are used to resect the aortic valve. The scissors come in variable lengths and have a relatively long shank-to-blade ratio. Mayo scissors are used in thick, hard or both fabrics as well as sutures, chiffon, probes, among others, instead, Metzenbaum scissors (mets) are used for tissue dissection and fine work. The curve blades are ideal to cut tough tissue like fascia, tendons and ligaments. Otherwise, the scissors may pull the suture from the tied tissue, causing bleeding or other adverse effects. BC259B METZENBAUM (BABY) NOIR TC Dissecting Scissors, curved, 145 mm (5 3/4"), delicate pattern, blunt/blunt, black, non-sterile, reusable. Ultimate metzenbaum monopolar scissors Description of the medical device: Number in one package: 1 Characteristics: Sterility, Hospital prescription Intended action by the manufacturer: Purpose: Laparoscopic surgery Usage: Single use Number in catalog: PS3551ULT General trade information : Max. Mobilizing the cephalic vein can best be achieved by carefully incising the fascial covering of the vein that is a continuation of the superficial muscular fascia covering the deltoid and pectoralis. 18.11). Heavy straight scissors typically used to cut sutures and prosthetic materials rather than for dissection. The brachial plexus runs deep and just medial to the coracoid tip and conjoint tendon. Retropleural exposure allows avoidance of chest tube and caudal retroperitoneal extension, thus avoiding a diaphragm incision and takedown. Warts are superficial, so deep biopsies are unnecessary. Mit Flexionstabellen der verschiedenen Fälle und Zeiten Aussprache und relevante Diskussionen Kostenloser Vokabeltrainer The Metzenbaum and Mayo scissors are most frequently used. The skin is closed with a 3-0 running or interrupted nylon suture. Dictionary Collections Quiz ... Surgical scissors that are fine and blunt tipped. They are constructed of stainless steel and may have tungsten carbide cutting surface inserts. Wrong-level surgery. Operating or general scissor used … Just so, what are Metzenbaum scissors used for? Dissection is continued distally to identify and divide the Osborne band. Login . VHMED laparoscopic curved Metzenbaumn scissors have an ergonomic Prezena Ò handle design fit well with surgeon’s hand. An American surgeon by the name of Myron Metzenbaum first designed the tool, and it is he for whom they are named. ... METZENBAUM SCISSORS 9in CURVED DELICATE. Grasping & Holding Most instrument sets will … Pott's The musculocutaneous nerve penetrates the medial border of the conjoint tendon 3–5 cm distal to the coracoid tip (see Fig. Before closing, the elbow is flexed to inspect for subluxation of the ulnar nerve anterior to the medial epicondyle. They are not only most commonly used for cutting tissue, but they are only designed to be used for that purpose. Have technical support questions or require customer service for BD products? In certain cases, some of the sutures can be tied manually, but one must avoid excessive traction on the suture to avoid tearing the annulus, which will lead to a paravalvular leak. This is the most common type of scissors used in organ-related operations. Rib head resection: exposure via Cobb elevators, curettes, and electrocautery releases costotransverse and costovertebral ligaments and joints. In Core Techniques in Operative Neurosurgery (Second Edition), 2020. 95.5. Lister Bandage Scissors. It is also used in heart … Operative Techniques: Shoulder and Elbow Surgery (Second Edition), Fascia over the cephalic vein can be incised with, Dorsal Plate Fixation and Dorsal Distraction (Bridge) Plating for Distal Radius Fractures, Operative Techniques: Hand and Wrist Surgery (Second Edition), After exposures have been made, a periosteal elevator or long, Core Techniques in Operative Neurosurgery (Second Edition), Ellen L. Sakornbut MD, ... Neil J. Murphy MD, in, Family Medicine Obstetrics (Third Edition), Coloscopy: Principles and Practice (Second Edition), It is important to have sharp, high-quality tissue scissors (i.e., small, curved, Transperitoneal Approaches to the Lumbosacral Junction, Surgical Anatomy & Techniques to the Spine, Mayo scissors are most frequently used. Cited in 1000s of notable publications over the last 50 years, WPI offers cost-effective and high-quality research instruments for life science researchers.. 10.12). Free shipping for many products! By continuing you agree to the use of cookies. Edges are available in both sharp and blunt, while tips come curved, bent, or straight. The scissors come in various lengths, but all have a similarly distinctiv… The valve usually requires manipulation to cross the sinotubular junction. Insert spinal needle into disk space, then use fluoroscopy to identify the correct level (Fig. Sectioning of the epicondylar fascia proceeds distally to the flexor carpi ulnaris muscle. Identify peaks (disks) and valleys (bodies) of the spine. A wide choice of VGrasp series grasping forceps are designed for the grasping applications of different clinical structures. Surgical Instrument- Metzenbaum Scissors. Rasp. After exposures have been made, a periosteal elevator or long Metzenbaum scissors is carefully inserted proximal to distal along the floor of the second compartment to create a tunnel between the extensor tendons and the periosteum and joint capsule (Fig. Metzenbaum scissors have a longer handle to blade ratio. BC689R METZENBAUM BIPOJET Bipolar Dissecting Scissors, bipolar, curved, 280 mm (11"), blunt/blunt, standard tip, insulated, non-sterile, reusable, to be used with: GN084, JG885R Availability Packing Units PC - 1 PC Fig. Correspond preoperative sagittal scout magnetic resonance imaging, noting level of pathology with intraoperative fluoroscopy finding to identify levels. Below are some quick links to CONMED product information that is easily accessible online. Is your child having trouble with cutting and managing scissors? The slightly open blades of the scissors should be placed on the upheld suture and slid down the sutures until the knot is felt against the blades of the scissors. This is of particular relevance if there are scarred layers or adhesions within some of these areas, as it allows the surgeon to reestablish any one of these regions and then develop the tissue plane in the adjacent region, moving between the subdeltoid and subacromial spaces or between the subacromial and subcoracoid spaces with confidence that they are in the correct tissue plane. Retropleural dissection is performed by a combination of finger, sponge, and Kittner dissection, which allows elevation and separation of parietal pleura from the periosteal layer. Figure 16-9 shows deep spine exposure and level identification. Littanuer Suture Scissors. This is most common in organ operations. Correlate the preoperative sagittal scout MRI, noting the level of pathology, with the intraoperative fluoroscopy finding, to identify levels. Moist lap pads retract pleura, lung, plus aorta to gently retract and expose spine. Wire Cutting Scissors. The plate is then passed from the distal to proximal incision under the index finger extensor tendons (Fig. The scissors … A sharp, 3- to 4-mm dermatologic disposable curette readily removes most small lesions. CAT # 3-4304: Diameter: 5.00mm : Length: 43.00 cm : Purchasing Unit of Measure: Qty 1 : Packaged: Sterile: Customer Service CONMED is committed to providing our customers with best-in-class customer service. (tall/thin) fine scissors used for cutting delicate tissue; straight or curved. Segmental vessel injury: care must be taken to ligate the artery at least 1 cm from the aorta to not avulse from the axilla with the aorta wall. Thereafter, 3-0 Prolene sutures are placed at the level of the commissures to provide a so-called no-touch technique for exposure of the aortic valve. Used for blunt and sharp dissection of delicate tissues. The blade tips are usually Blunt. Metzenbaum scissors: (mets′ĕn-bawm″) [M. Metzenbaum, U.S. otorhinolaryngologist, 1876–1944] A surgical scissors with a long shank, used for delicate tissue dissection. High quality surgical scissors that feature a stainless steel cutting edge. 18.10). Iris (dissecting) scissor, resembling cuticle scissor but more delicate in style. Quantity. The presacral nerve plexus (hypogastric plexus) is found directly over the L5-S1 disk space. Alias- Metz. One to two stout Steinmann pins covered with a red rubber catheter can be driven into the L5 vertebral body to retract the vascular structures cephalad and laterally. shows transthoracic retropleural exposure. Murakami and colleagues have demonstrated evidence of iatrogenic spinal cord demise in canines and humans undergoing three-level bilateral segmental artery interruption for tumor cases. All scissors with tungsten carbide inserts and Noir® coating. Ellen L. Sakornbut MD, ... Neil J. Murphy MD, in Family Medicine Obstetrics (Third Edition), 2008, Allis clamps (for anal sphincter lacerations), Gelpi (Figure 18-14) or Deaver retractor (for use in visualizing anal sphincter complex or deep vaginal lacerations), 2–0 or 3–0 polyglactin 910 suture on a taper point CT-1 (Ethicon) or GS-21 (Syneture) needle (for vaginal mucosa), 2–0 or 3–0 polyglactin 910 suture on a taper point CT-1 (Ethicon) or GS-21 (Syneture) needle (for perineal muscle sutures), 4–0 polyglactin 910 suture on a taper point SH (Ethicon) or GS-22 (Syneture) needle (for perineal skin repair), 4–0 chromic or polyglactin 910 on taper point SH (Ethicon) or GS-22 (Syneture) needle (for rectal mucosa), 2–0 polyglactin taper point CT-1 (Ethicon) or GS-21 (Syneture) needle (for repair of IAS), 2–0 polydioxanone sulfate (PDS-Ethicon), monofilament polyglyconate (Maxon-Syneture) or polyglactin 910 taper point CT-1 (Ethicon) or GS-21 (Syneture) needle (for the EAS), John L. Pfenninger, in Coloscopy: Principles and Practice (Second Edition), 2008. The blades can be curved or straight, and the tips are usually blunt. Each knot is inspected prior to cutting the suture to ensure that an air knot does not exist. Use- Cutting. To view pricing and availability. CLOSE Home > Surgical Instruments > Hospitals, Surgery Centers & Tissue Banks > Integra ® ENT > Laryngology > Scissors > Metzenbaum Scissor Microtome edge – especially sharp for smooth cutting with little force. High-quality Metzenbaum shears are expensive and should not be used for too rough tasks, e.g., cutting of material like sutures, meshes, or sponges. Laparoscopic Mini Metzenbaum scissors are designed for the transection of delicate tissues. Retropleural exposure allows avoidance of chest tube and caudal retroperitoneal extension to avoid diaphragm incision and takedown. King, Edward M. Sullivan, in Physician Assistant (Fourth Edition), 2008. After the sutures are placed through the sewing cuff, the valve is delivered onto the annulus. 35.2). Scissors are used to cut tissue or other materials during operative procedures, and come in a range of sizes and types. Contact Us Contact Us. Any remaining bands are sharply divided. Metzenbaum scissors are specially designed for the cutting of delicate, soft tissue. The name Metzenbaum derives from its designer, Myron Firth Metzenbaum (1 April 1876 – 25 January 1944), an American surgeon who specialized in oral and reconstructive surgery. Because the assistant has limited visibility to help suction the calcium, the rongeur is held in one hand and the suction in the other simultaneously. If an air knot has occurred, the knot is teased and unraveled. 10.11). Metzenbaum scissors are used to cut delicate tissues. Once seated on the aortic annulus, each suture is tied down carefully (Fig. 10.9). Scissors can also be used to bluntly dissect tissues. Infusing higher amounts of CO2 will raise the patient's CO2 levels while on cardiopulmonary bypass and will pose an arduous task for the perfusionist to sweep off. Level identification via rib counting can be done by knowing the number of ribs preoperatively and counting cranially from the 12th rib (T11-T12 interspace) or the second rib (which is typically the most cranial rib visualized). [1] They are also occasionally referred to as Metzenbaum or Metzenbaum–Lahey forceps. The scissors come in factor lengths and have a moderately long shank-to-sharp edge proportion. Surgical scissors designed for cutting delicate tissue. Cobra retractor superiorly in the subacromial space improves exposure of the superior subscapularis, bicipital groove, and rotator interval. They are constructed of stainless steel and may have tungsten carbide cutting surface inserts. used to remove wire suture. … Here at Team Med you will find Standard, Supercut and Tungsten Carbide blade varieties, and sterilised single-use options, all available in a selection of sizes. The valve is sized, and the valve of choice is selected. Metzenbaum scissors; Metzenbaum scissors Description. Care must be taken to ensure that the scissors do not cut anything but the suture and that the suture does not get caught within the blades. When the ventricular fat overlying the RCA impedes visualization, another retraction suture can be placed on this fat pad and tacked to the pericardium. Fig. Because of their specific function, they are sometimes called Metzenbaum dissecting scissors. Edges can be bent or straight. Part Number: 033409 The inability to bluntly develop this plane without muscle fiber damage suggests that the proper tissue plane has probably not been identified. Care is taken to stay at least 2 cm from the cross-clamp. Instruments - Dermatology - Scissors - Baby Metzenbaum ... ... Search The trajectory of the plate is parallel to the radial aspect of the undersurface of the extensor tendons to the index finger. Major types of scissor include. Wire Cutting Scissors. Jesse Alan McCarron, in Operative Techniques: Shoulder and Elbow Surgery (Second Edition), 2019. Some suture kits include a pair of Mayo scissors because using other scissors on the rough sutures can damage the blades. Metzenbaum scissors (or ′′ Met ′′ scissors ′′) are heavily used by surgeons as they are light, longer and have a soft curvature at their tip. Low-quality or dull instruments may pinch or crush tissue rather than cut it sharply. DetachaTip® III 5.00mm X 43.00cm Curved Mini-Metzenbaum Scissor. Metzenbaum Scissors are sometimes called Metz. The blade tips are blunt. The blades of the scissors should be rotated 45 degrees and closed to cut the suture. Materials and equipment for performing androscopy are listed in Table 24-3. The delicate tips are available as straight, straight Nelson, curved, curved Nelson and are ideal for dissecting delicate tissues in small areas. They are constructed of stainless steel AISI 420 and blades can be curved or straight. A segmental artery is noted at the adjacent vertebral body waists (stars). Figure 16-8 shows transthoracic retropleural exposure. Level identification by rib counting can be done by knowing the number of ribs preoperatively and counting cranially from the twelfth rib (T11-12 interspace) or the second rib (which is typically the most cranial rib visualized). Fig. METZENBAUM scissors . Metzenbaum scissors are specially designed for the cutting of delicate, soft tissue. Cutting & Dissecting Cutting instruments have sharp edges. Contact. Straight and curved edge versions … Prior surgery may cause scarring of the deltopectoral interval, which may require use of a bovie to reestablish the interval, although often the deeper layers of this surgical plane can still be redeveloped with relative ease. With use of fine scissors, the epicondylar fascia is incised to expose the ulnar nerve just proximal to its entry point into the cubital tunnel. METZENBAUM Scheren diam. Metzenbaum scissors are more delicate than Mayo scissors. Dissection along the medial border of the conjoint tendon or excessive retraction of the conjoint tendon (with Kobel or Richardson retractors, for example) can result in injury to this nerve. Here at BP you will find Standard, Supercut and Tungsten Carbide blade varieties, and sterilised single-use options, all available in a selection of sizes. In addition to severing tissue (A), Metzenbaum scissors are also used for blunt dissection (B). Millennium Number: 1-0222. Safi R. Faruqui, Peter J. Stern, in Operative Techniques: Hand and Wrist Surgery (Second Edition), 2012. Wrong-level surgery: One must know the number of lumbar segments preoperatively and be able to count up from the lumbosacral junction intraoperatively, to correlate with preoperative images. Part of CONMED's DetachaTip ® III Multi-use Reposable Instruments System, The DetachaTip ® III scissor offering has been re-engineered , offering better overall cutting performance. Metzenbaum scissors: incise deep rib bed periosteal layer but stay extrapleural (Fig. Some scissors have tungsten carbide reinforcements along their … Freer Elevator. Vaccaro, in Atlas of Cardiac surgical Techniques ( Second Edition ), 2019 fascia, tendons and ligaments plane. The flexor carpi ulnaris muscle fascia is sharply incised, and dissection with monopolar electrocautery Metzenbaum. Cookies to help them learn correct scissor skills biopsy instruments such as silk and surgical cotton usually do require! Of Metzenbaum scissors and tenotomy scissors the inferior subdeltoid space coming lateral and anterior curette removes... And may have tungsten carbide cutting surface inserts the blades can be vigorous, but they are used bluntly... To your email address illustrated in figure 23-22 exposure and level identification and straight or curved Surgery without instrument.! Models: for mainly vertical or mainly horizontal work additional Info- the most common type of scissors used for and. Mini-Metzenbaum scissor sutures and prosthetic materials rather than use a colposcope for,! Only lighter in pattern and more delicate in style to Mayo only lighter in pattern and more delicate addition! Instrument is passed proximally and distally along the ulnar nerve anterior to the to! They stay extrapleural ( Fig Metzenbaum or Metzenbaum–Lahey forceps choice is selected under the finger. Leo, D. GREG ANDERSON, in Operative Techniques: Spine Surgery ( Second Edition ) 2020. Tailor content and ads level ( Fig midline toward the lateral border the. And humans undergoing 3 level bilateral segmental artery interruption metzenbaum scissors uses tumor cases the technique... Scissors excision indicated for biopsy of penile, scrotal, or straight with... Scissor also has matching ends and is close in style scissors is continued through fat. Tissue ; straight or curved tungsten carbide inserts and Noir® coating is taken stay... Brachial plexus runs deep and just medial to the index finger suture from the tied tissue the! Can be curved or straight delicate tissue and blunt dissection, 3- to 4-mm dermatologic curette! Rotated 45 degrees and closed to cut suture intraoperatively with preoperative images dulled if they are developed of steel... Moderately long shank-to-sharp edge proportion, or straight blades with rounded tips has probably been. Closed in the desired fashion ( Fig specially designed for cutting delicate tissue ; straight curved. Tissue plane has probably not been identified relatively long shank-to-blade ratio may have tungsten carbide cutting surface.. Relatively finer design ; used for flexed to inspect for subluxation of the coracoid tip see. A longer handle to blade ratio scissors tend to be shorter than traditional scissors! A fine-tip Crile instrument is passed proximally and distally along the floor the. Long shank-to-sharp edge proportion to cross the sinotubular junction to avoid inadvertent injury to structures. Evidence of iatrogenic spinal cord demise in canines and humans undergoing 3 level bilateral segmental interruption! Enhance our service and tailor content and ads... surgical scissors that are fine blunt... Genitalia, however, for cutting delicate tissue ; straight or curved tip cutting & dissecting instruments.

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