3.11 XO OSSEO motor ......................... 23 Set-up ..........................23 Operation ........................24 Implant surgery - operation with XO Smart Link ............25 3.12 Air instrument ........................25 3.13 Ultrasonic scalers ........................26 3.14 XO ODONTOSON 360 ultrasonic scaler ................27 How to use XO ODONTOSON 360 ................
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5.10 Infection control Bien-Air micromotors ................. 56 5.11 Autoclaving of XO OSSEO motor..................56 5.12 Infection control XO ODONTOSON 360 ................57 5.13 Infection control XO ODONTOCURE curing light ..............57 5.14 Infection control other instruments ..................58 5.15 Infection control XO Peristaltic Pump ................... 58 5.16 Disinfection of light........................
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XO FLEX – Instructions for use Table of contents Suction filters ........................61 Replacement of XO Suction Disinfection cartridge ............62 5.20 Disinfection of unit water lines ....................63 Overnight water treatment ....................63 Intensive water treatment ....................64 Replacement of XO Water Clean cartridge ..............64 6 Maintenance and repairs .......................
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11.13 Other labels ......................... 85 11.14 Product disposal information ....................85 12 Symbols ............................86 13 Dimensions and technical data ....................89 13.1 Dimensions and range of movement ..................89 13.2 Technical specifications ......................90 14 XO FLEX Quick Guide ........................93...
• Maintain the unit as described in section 6 • XO FLEX must be inspected and serviced every 12 months by an XO authorized service provider to ensure safe operation and high uptime – see details in section 8 •...
XO FLEX – Instructions for use 2 INSTALLATION XO FLEX is intended to be permanently installed in a dental operatory at least 220 cm wide and 360 cm long – see Figure 1 and see the required operation conditions in Table 1.
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70 cm male connector to the unit end. XO HD Display Connect XO HD Display and an external PC through a HDMI cable. 10 cm Depending on the environment it might be necessary to use an HDMI amplifier with the HDMI cable.
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• IEC 60601-1 (medical electrical equipment) When external equipment is connected to the XO FLEX unit to create a medical electrical system, the requirements of IEC 60601-1, 3 edition, must be complied with.
3 OPERATION 3.1 GENERAL XO FLEX is a combined dental unit and patient chair which is to be used by skilled dental operators for prevention and treatment of diseases in the oral cavity of humans. The unit has a compact floor-mounted stand fitted with a patient chair, a cuspidor and single- column pivoting articulated balanced arms for the instrument bridge, operating light and display –...
Switch the unit on (and off) using the main switch – see Figure 3. The unit is ready for use after a few seconds when the text “XO FLEX” is shown on the instrument bridge display and you hear the welcome tune.
Figure 4 – Position of instrument bridge for optimal patient access to chair 3.4 FOOT CONTROL FUNCTION XO FLEX is controlled hands free by using the foot control – see Figure 5 – and the chair base joystick – see Figure 6. Figure 5 – Foot control The foot control has: •...
Figure 6 – Chair base joystick In this manual, the above-presented terminology (e.g. ▲ = move joystick to north) will be used to explain the functions of XO FLEX. See section 14 for an overview of the foot control and chair base joystick functions.
3.5 XO SMART LINK XO SMART LINK is an optional software running on an external PC connected to FLEX. With XO SMART LINK you can configure the function of the foot control and you can work with instrument programs. Please see “XO SMART LINK instructions for use”.
That allows you to see all tooth surfaces in good working postures – see details in section 3.7. XO FLEX is intended to be used primarily with supine patients! NECK REST The patient chair is equipped with an adjustable neck rest, supporting the patient’s neck and head.
XO FLEX – Instructions for use Operation 2. Release the longitudinal lock (1) – see Figure 10 – while the chair is moving 3. When in the desired working position, adjust the angular position of the neck rest using the...
3 o’clock position and the hand instruments are positioned near the patient’s temple XO FLEX is equally suited for four-handed (Figure 14) and two-handed operation (Figure 15). Figure 15 – Two-handed operation – here the operator is working in the 11 o’clock position WORKING POSITIONS With the patient in the supine position you may work in positions between 9 o’clock to 12 o’clock...
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Operation XO FLEX – Instructions for use Figure 17). This, combined with the flexibility of working in positions between 9 and 12 o’clock (see Figure 16), provides you with the best possible view of each tooth surface without bending or straining your neck, spine or upper body.
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Operation XO FLEX – Instructions for use Figure 17 – Six different patient positions...
The instruments are numbered 1 – 6 starting from the left. Your XO authorized service provider may add instruments or change the order of the instruments – the multifunction syringe, however, must always be placed to the left (right-handed operator) or to the right (left-handed operator).
XO FLEX – Instructions for use Operation The display consists of: • One red 8-digit text field mostly used for indication of the primary instrument parameter (for example, speed of a micro motor) • Three green LEDs for indication of selected amount (three levels) of spray water or for spray water off (all LEDs off) •...
Decrease maximum speed with ▼. 3.11 XO OSSEO MOTOR XO OSSEO motor is intended for bone surgery in general and for dental implantology. XO OSSEO motor is intended to be used with surgical contra-angles and handpieces with couplings as specified in ISO 3964, type 1.
See the maximum speed on the display when the foot control is not activated. See the actual speed on the display when the motor is running. Figure 22 – Foot control of XO OSSEO motor Switch irrigation on/off with X.
Please see section 3.11.3 if you need to control the maximum torque! IMPLANT SURGERY - OPERATION WITH XO SMART LINK In combination with XO Smart Link you can work with instrument programs and implant treatments. Please see “XO Smart Link – Instructions for use”.
3.13 ULTRASONIC SCALERS The ultrasonic scaler is used as described by the supplier. For XO ODONTOSON scalers see below in section 3.14. Lift the scaler forward and control it with the foot control. Switch on the power (one step) with ⮕ or ⬅.
For details about other scalers – see user manuals supplied by the manufacturer. 3.14 XO ODONTOSON 360 ULTRASONIC SCALER XO ODONTOSON 360 is intended to be used for treatment in the oral cavity of humans. XO ODONTOSON 360 is a multi-purpose dental scaler for periodontology, endodontics and prophylaxis.
Increasing the contact pressure will neither increase the efficiency nor improve the quality or speed of the treatment! If you use XO ODONTOSON 360 instrument in this way you will achieve: • Easy access to any tooth surface without awkward positioning of the hand-piece and hand.
It is generally much less painful for the patient and less tiring for the operator. Only use XO ODONTOSON 360 on teeth and root surfaces. Use the mirror to hold lips and tongue away from the instrument tip.
Prepare the peristaltic pump as described in section 3.16. Insert the connector piece (XO-069) between the hose and the handpiece – as shown in Figure 27. Figure 27 – Connector piece for external irrigation of XO ODONTOSON 360 Attach the irrigation tube to the connector piece using the appropriate outlet –...
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Never look directly into the light or direct it at the eyes of others! XO ODONTOCURE emits thermal radiation, and blue light and ultraviolet light in the range 385 – 515 nm at an intensity that requires protection of the eyes. Protect eyes with light shield and/or protective eyewear that removes light in the previously mentioned wavelengths.
XO-051). DISPOSABLE IRRIGATION KIT The irrigation kit is manufactured for XO CARE A/S as an accessory for XO Peristaltic Pump. The kit consists of a main tubing part and two alternative outlet parts. The main tube is equipped with a bag inlet cannula and an insert piece for the pump.
Appropriate sterile handling procedures must be observed to ensure and maintain sterile conditions. The disposable irrigation kits are for one-time use only. Do not re-sterilize! XO Peristaltic Pump is delivered with two sample disposable irrigation kits. Additional kits can be ordered from your XO distributor: •...
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Operation XO FLEX – Instructions for use Figure 34 – Attaching the irrigation tubing Lock the pump head by turning the handle (1) clockwise – see Figure 35. Figure 35 – Locking the pump head Place the irrigation tube into the tube guide and attach it to the instrument bridge arm, as shown in Figure 36.
Operation XO FLEX – Instructions for use Figure 37 – Attaching the irrigation tube to the instrument hose IRRIGATION BAG Insert the bag inlet cannula into the irrigation bag and hang the bag containing the irrigation liquid from the knob at the bottom of the pump module – see Figure 38.
Figure 40 - Cutting the irrigation tubing bag inlet cannula DESIGNATION OF INSTRUMENT Figure 41 – Initiating selection of instrument to be used with XO Peristaltic Pump Before the pump can be used, a designated instrument must be selected. With all instruments at rest, press the button (1) once – see Figure 41.
Operation XO FLEX – Instructions for use Figure 43 – Display Use ▲ and ▼ to select the designated suspension that should be used with the pump – see numbers in Figure 18, page 21. Figure 44 – Displaying instrument suspension Use ◄...
Figure 45 – Foot control of intraoral video camera The intraoral camera must be connected to an external PC! This is done during installation of the unit and shall be done by an XO authorized service provider. To use the foot control for controlling the camera, the PC must be appropriately configured and a compatible imaging program must be used.
Operation XO FLEX – Instructions for use Figure 46 – Correct position of light SWITCH THE LIGHT ON AND ADJUST THE LIGHT INTENSITY Manage the light manually by activating the no-touch sensor under the light head – see Figure 47 (1).
The light switches off automatically when the patient chair is moved towards the entry position. 3.19 XO HD DISPLAY Please note that XO HD Display must be connected to an external PC! The best image quality is obtained using the native resolution of 1920 * 1080 pixels.
Figure 50 – Hand-instrument table near the patient’s temple Alternatively, the unit may be configured with a hand-instrument table fitted under the instrument bridge – see Figure 51. Figure 51 – Hand-instrument table attached to XO FLEX...
XO FLEX – Instructions for use Operation Please note that the brake and the balance spring of the arm system should be adjusted by an XO authorized service provider in accordance with the load of the hand instrument table. Maximum load on hand instrument table attached to XO FLEX unit is 1.5 kg! Exceeding the limit may compromise the balance of the instrument bridge and could cause the bridge suspension arm to fail altogether exposing the patient to a risk.
Operation XO FLEX – Instructions for use Figure 54 – Manual start of (1) cuspidor and (2) cup filler Activate (2) – see Figure 54 – for less than one second and the glass fills with the pre-configured amount of water.
XO SEAT and XO STOOL are available in two heights: 1) for operators up to about 180 cm tall and 2) for operators who are taller. If your XO SEAT/XO STOOL is too low or too high, it is possible to replace the gas spring with a shorter or longer version.
Operation XO FLEX – Instructions for use Figure 57 – Upright, balanced position XO SEAT Adjust the seat height using the left handle as shown in Figure 58. Figure 58 – Adjustment of seat height Adjust the seat angle with the right handle as shown in Figure 59.
Operation XO FLEX – Instructions for use Figure 59 – Adjusting the seat angle XO STOOL Adjust the seat height as shown in Figure 60 and the seat angle as shown in Figure 61. Figure 60 – Adjusting the seat height Figure 61 –...
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XO FLEX – Instructions for use Operation Figure 62 – Adjusting the backrest angle Figure 63 – Adjusting the backrest height...
Configuration XO FLEX – Instructions for use 4 CONFIGURATION This section describes the many aspects of XO FLEX that can be customized to fit your personal needs. 4.1 CONFIGURATION OF PATIENT CHAIR POSITIONS 1. Adjust the chair to the required position using the foot control joystick as described in section 3.6.2...
Configuration XO FLEX – Instructions for use Figure 66 – Configuration using the foot control Table 5 – Unit and patient chair parameters that can be configured Parameter Display text Factory default Possible settings configuration Enabling XO Peristaltic PUMP None None, POS.
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Configuration XO FLEX – Instructions for use 5. Use ▲ / ▼ to change the value of the selected parameter or ⬇ to increase the value 4. Activate ► to select the parameter to change 6. Activate ◄ to save the new parameter 7.
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Configuration XO FLEX – Instructions for use Parameter Display text Factory default Possible settings configuration Amount of spray water – W LEVEL 3 50 ml/min rrigation Peristaltic pump i Level 3 flow rate: 10 – 90 ml/min ± Amount of spray water –...
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Configuration XO FLEX – Instructions for use Parameter Display text Factory default Possible settings configuration Amount of irrigation W LEVEL 1 20 ml/min 10 – 90 + 10% ml/min water – Level 1 XO ODONTOCURE curing light Curing time 3...
Doing so may damage the product! Failure to comply with these precautions may affect XO’s product warranty. Please see more details in section 10.3, in the safety data sheets at xo-care.com and in the detailed instructions supplied with the product.
Cleaning and infection control XO FLEX – Instructions for use When cleaning the surfaces – do not use an excessive amount of liquid – and make sure that the liquid has evaporated before fitting instrument holder pad, cuspidor, cuspidor protection disc and cup holder.
Cleaning and infection control XO FLEX – Instructions for use Figure 68 – Removing the handle 5.8 DISINFECTION OF INSTRUMENT HOSES AND SUSPENSIONS Remove the instrument hose by turning the release handle (1) counter-clockwise and pulling out the plug as shown in Figure 69.
Cleaning and infection control XO FLEX – Instructions for use Wipe the cloth from the instrument coupling towards the plug to prevent disinfection liquid from leaking into the instrument coupling! See Figure 70. Figure 70 – Wiping direction, instrument hose-cleaning Instrument suspensions (not the instrument hoses) can be washed in a thermo-disinfector.
Cleaning and infection control XO FLEX – Instructions for use Figure 71 – Sealing plug in XO OSSEO motor shaft Do not leave the motor and hose in the autoclave overnight. Doing so may cause damages to the motor. Do not wash the motor and the hose in the thermo-disinfector. Doing so may cause damages to the motor.
Cleaning and infection control XO FLEX – Instructions for use Figure 72 – Removing the light rod from XO ODONTOCURE handpiece 5.14 INFECTION CONTROL OTHER INSTRUMENTS For turbines, other ultrasonic scalers, intraoral video cameras and other instruments please refer to the user manual supplied with the instrument.
Cleaning and infection control XO FLEX – Instructions for use Do not spray water, disinfectants or cleaning agents directly onto the protection screen and the reflector. Take care not to scratch the protection screen surface with any hard or abrasive material.
Figure 75 – Removal of suction nozzle covers Figure 76 – XO Suction Disinfection (1) XO Suction Disinfection cartridge (2) button for activation of XO Suction Disinfection (3) suction hose connectors The process takes approximately 6 minutes, depending on the suction power.
The suction nipple covers can be autoclaved. If much blood has been sucked through the system, we recommend that the system be flushed with at least 1 liter of cold water. After this, the system can be disinfected with XO Suction Disinfection.
4. Replace the cartridge, push the yellow handle in and close the service panel XO Suction Disinfection is a corrosive liquid. Please see section 10.3, the safety data sheets at xo-care.com and the detailed instructions supplied with XO Suction Disinfection.
Cleaning and infection control XO FLEX – Instructions for use To avoid accidentally exposing the patient to XO Suction Disinfection be careful not to interchange XO Water Clean cartridges (white) and XO Suction Disinfection cartridges (yellow)! XO Suction Disinfection is not poisonous but is not intended for human intake.
In case of emergency you may switch off the unit, place the unit instruments on the instrument bridge, remove the water disinfection instrument holder etc. – and switch on the unit again. Please note that XO Water Clean and XO Suction Disinfection cannot be activated simultaneously! INTENSIVE WATER TREATMENT Intensive water treatment should be carried out when the bacterial load of the unit water lines is considered higher than usual, for instance, after vacation or other longer periods without usage.
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Risk of contamination! Do not use any other disinfectants for cleaning the water system! Do not use any other disinfectants for cleaning the water system! Doing so may damage the product! Failure to comply with this will affect XO’s warranty liability.
Figure 82 – Cleaning of foot control “rubber feet” 6.2 XO OSSEO MOTOR MOTOR REPAIR If necessary the XO OSSEO motor must be repaired at the factory. 6.3 XO ODONTOSON HANDPIECE REPAIR If necessary the XO ODONTOSON handpiece must be repaired at the factory.
The curing effectiveness of XO ODONTOCURE should be measured once a month to ensure that the effectiveness of the lamp is consistent. A substantial change in effectiveness is indicative of a fault, which may affect the curing result adversely. XO CARE delivers a testing device that can be used for the curing tests.
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0.8mm from the reference, a fault may be present, and you might need to contact your XO service provider to remedy the fault. Note: This is a technical verification of performance; it does not reflect actual curing...
Maintenance and repairs XO FLEX – Instructions for use In case of faulty performance, the fiber rod may be replaced and retested. In case the problem persists, technical assistance from an authorized service provider is required. 6.5 XO PERISTALTIC PUMP Please refer to Table 9 on page 73 to see an overview of the service messages that may appear on the display while using XO Peristaltic Pump.
Maintenance and repairs XO FLEX – Instructions for use If the value is outside of the indicated range or if the test stripe turns blue you must call an XO authorized service provider to check the water disinfection system. 6.8 MAINTENANCE AND REPLACEMENT OF MAIN FILTER FOR WATER SUPPLY Please see “Instructions for preventive service and safety inspection”...
Service and replacement of this air separator shall be done by an XO authorized service provider. DÜRR CAS 1 COMBI-SEPARATOR – AIR AND AMALGAM SEPARATOR If your XO FLEX unit is equipped with an amalgam separator you need to replace the amalgam collector vessel every 6–9 months.
XO FLEX – Instructions for use Unit messages and remedial actions 7 UNIT MESSAGES AND REMEDIAL ACTIONS 7.1 ERROR MESSAGES Certain functional errors can be detected by XO FLEX and written onto the instrument bridge display. Table 8 – Error messages Error message...
Table 9 – Service messages Service message Reason for message Remedial action CHECK YELLOW BOTTLE The unit will soon run out of XO Make sure you have XO Suction Suction Disinfection. Disinfection cartridges (AN-354) in stock. CHECK WHITE BOTTLE...
PREVENTIVE SERVICE AND SAFETY INSPECTION A – 12, 36 ETC. MONTHS AFTER INSTALLATION Service A includes a general checkup and exchange of parts contained in XO FLEX Service Kit A. Main activities see Table 10. Expected labor time for service A is 1.5 hours.
For replacement of the LED light source please contact your XO authorized service provider. 8.6 XO HD DISPLAY XO HD Display does not contain any field-serviceable parts. A faulty display must be returned to XO CARE for repair. Contact your XO authorized service provider.
Infection control and maintenance checklist XO FLEX – Instructions for use 9 INFECTION CONTROL AND MAINTENANCE CHECKLIST Below is a summary of infection control (section 5) and maintenance procedures (section 6): Table 11 – Infection control and maintenance routines What...
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XO FLEX – Instructions for use Infection control and maintenance checklist What Parts/consumables needed • Handles on instrument bridge, light and unit HD Display • Cuspidor bowl, gold trap and protection disk • Cup and cup holder Clean and disinfect all surfaces.
Tip for syringe SD-214 Cover for syringe SD-510 XO ODONTOSON handpiece None None AP-842 Connector piece when XO ODONTOSON used with XO None None XO-069 Peristaltic pump Fiber glass rod for XO ODONTOCURE None AP-915 Light shield for XO ODONTOCURE...
Accessories, detachable parts and consumables XO FLEX – Instructions for use Product No. of thermo- No. of Ref. disinfection autoclaving cycles cycles XO OSSEO motor sealing plug None 160095 10.3 CONSUMABLES Table 14 – Consumables Product Purpose Note Supplied Ref.
1 tip for syringe • 6 handles for instrument bridge, light and suction hose holder • 1 instrument pad Please shorten hose to 1710 mm when used by right handed operator! 10.4 SUGGESTED RETAIL PRICES See suggested retail prices for parts/consumables at xo-care.com.
XO CARE and the XO distributor warrant that this product is free from defects in materials and workmanship for a period of 12 months from the date of installation. XO CARE and the XO distributor extend the warranty to 36 months from the date of installation under the condition that: 1.
3 party manufacturers. 11.5 PRODUCT UPDATES XO CARE has no obligation to update this product if newer versions or updates are introduced after the time of delivery. 11.6 FIRMWARE VERSION The products described in this manual are according to firmware version 4.02.
Legal XO FLEX – Instructions for use WARNING: Use of accessories, transducers and cables other than those specified or provided by the manufacturer of this equipment could result in increased electromagnetic emissions or decreased electromagnetic immunity of this equipment and result in improper operation.
IP classification of the Foot Control: IP21 (Protected against solid foreign objects of 12,5 mm and greater, and Protection against vertically falling water drops). 11.11 APPLIED PARTS In relation to EN 60601-1 the following parts of XO FLEX are applied parts – that the patient can get in contact with): •...
Legal XO FLEX – Instructions for use Figure 90 – Marking plate XO FLEX 11.13 OTHER LABELS Please see other silver labels with serial numbers, color codes etc. for specific parts of the unit as follows: • Unit: Under rear panel – see section 8.2.3 •...
Symbols XO FLEX – Instructions for use 12 SYMBOLS List of symbols used on the product and in this manual. Table 17 – List of symbols Warning Used to emphasize important safety related information about the use of the device...
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Symbols XO FLEX – Instructions for use Dispose in accordance with instructions provided in this manual Type B applied part ⮕ Foot control pedal right ⬅ ⬇ Foot control pedal left Foot control pedal down X button on foot control...
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Symbols XO FLEX – Instructions for use Chair base joystick south Chair base joystick east...
Dimensions and technical data XO FLEX – Instructions for use 13 DIMENSIONS AND TECHNICAL DATA 13.1 DIMENSIONS AND RANGE OF MOVEMENT Figure 91 – XO FLEX dimensions and range of motion...
Dimensions and technical data XO FLEX – Instructions for use 13.2 TECHNICAL SPECIFICATIONS Table 18 – Technical specifications Part Specification Instrument bridge Number of instruments < 6 Force to move the instrument bridge 400 g – 1,500 g corresponding to...
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Dimensions and technical data XO FLEX – Instructions for use Part Specification Irrigation 10 – 90 ml/min + 20% XO ODONTOCURE Light source Wave lengths 385 – 515 nm (peaks at 400 nm ±10 nm and at 460 ± 3 Power output –...
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Dimensions and technical data XO FLEX – Instructions for use Figure 92 – XO Light – Illuminance pattern contour lines corresponding to 10%, 50% and 75% of the maximum illuminance Table 19 – Boxes dimensions and weight Dimensions (cm) L x W x H...
XO FLEX Quick Guide XO FLEX – Instructions for use 14 XO FLEX QUICK GUIDE Table 20 – XO FLEX Quick Guide Working position 1 Working position 2 Previous position Once: Entry position Twice: Rinse position ▲ Lift chair ▼...
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Product XO FLEX 2018-09-06 Ref. YB-660 Ver. 2.02 Subject to change. Manufacturer XO CARE A/S Usserød Mølle Håndværkersvinget 6 DK 2970 Hørsholm Denmark +45 70 20 55 11 info@xo-care.com xo-care.com...
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