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510(k) Data Aggregation

    K Number
    K230892
    Date Cleared
    2023-06-09

    (70 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K171299, K192484, K192032

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Fixone Biocomposite Anchors are intended for fixation of suture (soft tissue) to bone in the shoulder, foot/ankle, knee and elbow in the following procedures:

    Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction;

    Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair;

    Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Oblique Ligament Repair, lliotibial Band Tenodesis;

    Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction.

    The following indications are for the S and SL type anchors only:

    Hand/Wrist: Scapholunate Ligament Reconstruction, Carpal Ligament Reconstruction, Repair/Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP joints for all digits, digital tendon transfers

    Hip: Capsular repair, Acetabular Labral repair

    Device Description

    The Fixone Biocomposite Anchor is intended for reattaching soft tissue to bone with sutures. The anchor is manufactured from biodegradable materials (PLGA copolymer and β-TCP). A nonabsorbable UHMWPE suture is inserted into the anchor. The anchor is implanted using a provided driver.

    B,N,BN type(Knotted suture anchors) are 'screw-in' anchors used alone or in combination with Kc,KcN type(Knotless suture anchors) for soft-tissue repair.

    Kc,KcN type(Knotless suture anchor) are used for a soft-tissue repair in combination with the B,N,BN type.

    SL type 'push-in' anchors that are ideal for soft-tissue repair in narrow or deep areas.

    S type are 'push-in' anchors that are ideal for soft-tissue repair in the foot, ankle, hand and wrist

    The Fixone Biocomposite Anchor consists of cannulated anchors with an eyelet. They are pre-loaded on an insertion device. The Fixone Biocomposite Anchor is intended to provide secure reattachment of the soft tissue to bone.

    Devices are provided sterile. Single use only.

    AI/ML Overview

    The provided text describes a medical device, the "Fixone Biocomposite Anchor," and its 510(k) submission to the FDA. This submission aims to demonstrate substantial equivalence to previously cleared devices. However, the document does not contain information related to acceptance criteria or a study proving the device meets those criteria in the context of an AI/ML medical device.

    The document discusses:

    • Device Description: What the Fixone Biocomposite Anchor is, its components (PLGA copolymer and β-TCP anchor, UHMWPE suture), and how it's implanted.
    • Intended Use: Fixation of suture (soft tissue) to bone in various anatomical locations (shoulder, foot/ankle, knee, elbow, hand/wrist, hip).
    • Predicate Device Comparison: A detailed table comparing the subject device to several predicate devices (K171299, K192032, K192484, K213008) across various attributes like indications for use, materials, dimensions, fixation mechanism, suture characteristics, and sterilization.
    • Performance Data: Mentions "Bench test were performed. Bench testing included biocompatibility, mechanical testing including EO residues, shelf-life testing, pyrogenicity testing and endotoxin monitoring. The tests demonstrated that the device performs in a substantially equivalent manner to the prior related devices."

    Crucially, there is no mention of:

    • AI/ML components: The device is a physical biocomposite anchor, not a software algorithm.
    • Clinical study or diagnostic performance metrics: The performance data refers to bench testing for physical and material properties, not clinical outcomes, sensitivity, specificity, or AUC for a diagnostic tool.
    • Ground truth, expert readers, sample sizes for AI models, or MRMC studies. These are concepts relevant to evaluating AI/ML diagnostic or predictive devices, which the Fixone Biocomposite Anchor is not.

    Therefore, I cannot fulfill the request as the provided input does not contain the necessary information about acceptance criteria and a study proving an AI/ML device's performance. The device described is a traditional medical implant, and its evaluation focuses on physical and biological equivalence, not AI performance.

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    K Number
    K231326
    Manufacturer
    Date Cleared
    2023-05-31

    (23 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K192032

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Fix2Lock is intended use for fixation of soft tissue to bone, using suture, in the following procedure; shoulder, foot/ankle, knee, hand/wrist and elbow.
    Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction
    Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus reconstruction, digital tendon transfers, Mid-foot reconstruction
    Knee: Medial Collateral Ligament Repair, Lateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis
    Hand Wrist: Scapholunate Ligament Reconstruction, Carpal Ligament Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP joints for all digits, digital tendon transfers Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction

    Device Description

    The Fix2Lock (Bioabsorbable bone anchor) is an absorbable bone fixation screw that fixes soft tissues such as ligament, tendon, and the articular capsules to bone, and is used in orthopedic surgery. This product consists of an absorbable and/or non-absorbable suture and driver shaft and handle.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device called Fix2Lock. It details the device's indications for use, comparison to predicate devices, and non-clinical test conclusions. However, it does not contain information about acceptance criteria, reported device performance, sample sizes for test or training sets, data provenance, expert qualifications, adjudication methods, MRMC studies, standalone algorithm performance, or ground truth types used in a study to prove acceptance criteria for a software device.

    This document is for a physical medical device (bioabsorbable bone anchor) and the "studies" mentioned are bench tests verifying compliance with material, mechanical performance, sterilization, shelf-life, packaging, and bacterial endotoxin standards. These are typical engineering and safety tests for a physical implant, not studies involving AI or software performance against clinical ground truth.

    Therefore, I cannot fulfill your request for information related to AI/software acceptance criteria and studies, as the provided document does not contain this type of information.

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    K Number
    K222423
    Date Cleared
    2023-03-23

    (224 days)

    Product Code
    Regulation Number
    888.3040
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K192032, K133224, K110145

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The non-absorbable suture anchors are intended to reattach soft tissue to bone in orthopedic surgical procedures. The Fixone All Suture Anchors may be used in either arthroscopic or open surgical procedures. After the suture strands are anchored to the bone, they may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. In conjunction with appropriate postoperative immobilization throughout the healing period, the suture anchor systems stabilize the damaged soft tissue.

    Device Description

    Fixone All suture anchor consists of one "fix Suture" and one,two or three non-absorbable Sutures. The nonabsorbable suture is manufactured from UHMWPE. They are pre-loaded on a handled insertion device. This device is provided sterile, for single use only. This device is medical device. Prescription use only.

    The color additive copper-phthalocyanine blue, color additive D&C green 6, color additive D&C violet 2 and color additive D&C black 4 are according to FDA regulations and it is approved for use in medical applications (§74.3045 – FDA), (§74.3206 –FDA), (§74.1602 –FDA) and (§74.3054 – FDA) respectively.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device called "Fixone All Suture Anchor." This document primarily deals with the substantial equivalence of a new version of the suture anchor to previously cleared predicate devices. It focuses on engineering and biocompatibility testing rather than clinical study data involving AI or human readers evaluating image-based diagnostics.

    Therefore, the information required to answer the prompt regarding acceptance criteria and study that proves the device meets the acceptance criteria, specifically related to AI in a clinical setting (e.g., sample size for test set, data provenance, expert ground truth, MRMC study, standalone performance, training set details), is not present in the provided text.

    The document discusses acceptance criteria and proof of mechanical performance and biocompatibility for the suture anchor. Here's what can be extracted based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance (Mechanical & Biocompatibility)

    Please note that the acceptance criteria are generally implied by the "Requirements" column and "Pass" result, indicating the device met those requirements. Specific numerical requirements are given where applicable.

    Anchor Performance

    Test ItemRequirementsReported Device Performance
    Insertion StrengthInsert each anchor with 5mm/min rate into 10pcf/40pcf combined urethane block.Pass
    Pull-out (FAS-1652802iw)Pull out each anchor with 5mm/min rate from 10pcf/40pcf combined urethane block.Pass
    Fatigue test (FAS-1652802iw)Pull out each anchor with 20N to 60N cycle loading and 1Hz/40,000 cycles from 10pcf/40pcf combined urethane block.Pass
    Pull-out (FAM-7615802fg)Pull out each anchor with 5mm/min rate from 10pcf/40pcf combined urethane block.Pass
    Fatigue test (FAM-7615802fg)Pull out each anchor with 20N to 60N cycle loading and 1Hz/40,000 cycles from 10pcf/40pcf combined urethane block.Pass

    Suture Performance (USP 0, UHMWPE)

    Test ItemRequirementsReported Device Performance
    AppearanceThe test article shall be no damage to the appearance in visual inspection.Pass
    LengthThe length of suture was measured while the strand is laid out smooth, without tension, on a plane surface: the length of the strand is not less than 95.0 percent of 750mm.Pass
    Tensile StrengthFor USP 0 size suture, tensile strength must be larger than 2.16 kgf.Pass
    Needle AttachmentFor USP 0 size suture, needle attachment must be larger than 1.50 kgf.Pass

    Suture Performance (USP 2, UHMWPE)

    Test ItemRequirementsReported Device Performance
    LengthThe length of suture was measured while the strand is laid out smooth, without tension, on a plane surface: the length of the strand is not less than 95.0 percent of 750mm.Pass
    Tensile StrengthFor USP 2 size suture, tensile strength must be larger than 3.52 kgf.Pass

    Suture Performance (USP 0, USP 2, UHMWPE)

    Test ItemRequirementsReported Device Performance
    AppearanceThe test article shall be no damage to the appearance in visual inspection.Pass
    DiameterFor USP 0 size suture, diameter must be within 0.350.399mm. For USP 2 size suture, diameter must be within 0.500.599mm.Pass
    Tensile strengthWith 25~35cm/min, record the load-displacement curves and maximum load. (N)Pass

    Biocompatibility (UHMWPE + PET)

    Test ItemTest Method / Test CriteriaReported Result
    CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicityPass
    Systemic toxicity testISO 10993-11, Biological evaluation of medical devices - Part 11: Tests for systemic toxicityPass
    Pyrogen TestISO 10993-11 Test for systemic toxicity, pyrogen testPass
    Intracutaneous reactivity testISO 10993-10, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationPass
    Maximization sensitizationISO 10993-10, Test for irritation and skin sensitization, Maximization test for delayed hypersensitivityPass
    Genotoxicity testISO 10993-3, Genotoxicity test OECE 471, Bacterial reverse mutation testPass
    Implantation testISO 10993-6, Tests for local effects after implantation, Annex D test methods for implantation in bonePass
    Hemolysis testISO 10993-4, Biological evaluation of medical devices - Part 4: Selection of tests for interactions with bloodPass
    Subchronic toxicityISO 10993-11 Tests for systemic toxicityPass

    Biocompatibility (Only UHMWPE)

    (Same tests and results as UHMWPE + PET table, excluding PET interaction)

    Test ItemTest Method / Test CriteriaReported Result
    CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicityPass
    Systemic toxicity testISO 10993-11, Biological evaluation of medical devices - Part 11: Tests for systemic toxicityPass
    Pyrogen TestISO 10993-11 Test for systemic toxicity, pyrogen testPass
    Intracutaneous reactivity testISO 10993-10, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationPass
    Maximization sensitizationISO 10993-10, Test for irritation and skin sensitization, Maximization test for delayed hypersensitivityPass
    Genotoxicity testISO 10993-3, Genotoxicity test OECE 471, Bacterial reverse mutation testPass
    Implantation testISO 10993-6, Tests for local effects after implantation, Annex D test methods for implantation in bonePass
    Hemolysis testISO 10993-4, Biological evaluation of medical devices - Part 4: Selection of tests for interactions with bloodPass
    Subchronic toxicityISO 10993-11 Tests for systemic toxicityPass

    Sterilization/Endotoxin

    Test ItemTest Method / Test CriteriaReported Result
    Endotoxin testUSP 43 , Bacterial endotoxin test (LAL)Pass

    2. Sample size used for the test set and the data provenance:
    This information is not provided in the context of an AI/image-based diagnostic test set. The document refers to "bench tests" performed on physical samples of the anchors and sutures. The number of samples for each mechanical test is not specified, only that "each anchor" or "the test article" was evaluated. The data provenance is implied to be from AJU Pharm Co., Ltd.'s internal testing, likely at their facility or a contracted lab. No country of origin for this specific testing data is given, but the company address is in South Korea (A-207, 697, Pangyo-ro, Seongnam-si, Gyeonggi-do, Korea). The data is retrospective of the device design.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
    Not applicable for this type of device (mechanical and biocompatibility testing). Ground truth is established by objective physical measurements and standardized biological assays.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
    Not applicable for this type of device.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
    Not applicable. This is not an AI-assisted diagnostic device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
    Not applicable. This is not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):
    For mechanical tests: Physical measurements against engineering specifications (e.g., tensile strength, length, diameter, pull-out force).
    For biocompatibility tests: Standardized laboratory assays with pass/fail criteria based on ISO standards.
    For sterilization/endotoxin: Standardized laboratory assays (e.g., LAL test) with pass/fail criteria.

    8. The sample size for the training set:
    Not applicable. This is not a machine learning/AI device.

    9. How the ground truth for the training set was established:
    Not applicable.

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    Why did this record match?
    Reference Devices :

    K192484, K192032, K192709, K193497, K162070

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The OneFix Biocomposite Anchors are intended for fixation of suture (soft tissue) to bone in the shoulder, foot/ankle, knee and elbow in the following procedures: Shoulder: Rotor Cuff Repair, Bankart Repair, BLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction; Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair; Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Oblique Ligament Repair, lliotibial Band Tenodesis; Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction.

    The OneFix Biocomposite Small Anchors are intended to be used for suture (soft tissue) fixation to bone in the foot. ankle, knee, hand, wrist, elbow, shoulder, and hip. Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus reconstruction, digital tendon transfers, Mid-foot reconstruction Knee: Medial Collateral Ligament Repair, Lateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis Hand/Wrist: Scapholunate Ligament Reconstruction, Carpal Ligament Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP joints for all digits, digital tendon transfers Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction Hip: Capsular repair, Acetabular Labral repair

    The non-absorbable suture anchors are intended to reattach soft tissue to bone in orthopedic surgical procedures. The OneFix All Suture Anchor may be used in either arthroscopic or open surgical procedures. After the suture strands are anchored to the bone, they may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. In con junction with appropriate postoperative immobilization throughout the suture anchor systems stabilize the damaged soft tissue.

    The OneFix Biocomposite Interference Screws are indicated for fixation of bone or soft tissue grafts during Anterior and/or Posterior Cruciate Ligament (ACL/PCL) reconstruction.

    The OneFix Cannula System is introduction of instrumentation through a portal for surgical procedure.

    Device Description

    The OneFix Biocomposite Anchors consist of cannulated anchors with an eyelet. They are pre-loaded on an insertion device. The anchor is manufactured from PLGA copolymer and B-TCP. A nonabsorbable suture manufactured from cobraided UHMWPE/PET is inserted into the anchor and then implanted using the provided driver. There are 96 model codes over 4 families. The anchors widths range from 3.0mm through 6.5mm and lengths of 11.9mm through 16.8mm.

    The OneFix Biocomposite Small Anchors consist of cannulated anchors with an eyelet. They are preloaded on an insertion device. The anchor is manufactured from PLGA copolymer and B-TCP. A nonabsorbable suture manufactured from cobraided UHMWPE/PET is inserted into the anchor and then implanted using the provided driver. There are 9 model codes corresponding to variations of sutures with anchor dimensions (11.9mm x 2.4mm x 3.0mm).

    The OneFix All Suture Anchors consist of one "fixed suture" and 2 or 3 non-absorbable sutures. The non-absorbable suture is manufactured from UHMWPE and PET fibers. The OneFix All Suture Anchor is implanted using its self-punching option and are pre-loaded on a handled insertion device. They come in 14 various model codes.

    The OneFix Biocomposite Interference Screws are inserted into the bone tissue and the external thread is screw shaped and the inside of the screw is start shaped. The screws are manufactured from PLGA copolymer and ß-TCP. There are 36 model codes with outside diameter ranging from 7-12mm and 20-35mm lengths.

    The OneFix Cannula Systems is intended to puncture through tissue to make a pathway for surgical instruments during surgery. It consists of a cannula and a trocar made of polycarbonate. There are 3 types of this product: threaded, smooth and all smooth and comes in 72 model codes with inside diameter of 4.3mm through 8.1mm and lengths of 84mm through 130mm.

    All implant components are provided sterile and are designated as single use. The system also includes the reusable surgical instruments required for implantation.

    AI/ML Overview

    The provided document is a 510(k) summary for medical devices, specifically orthopedic bone fixation appliances. It does not contain information about acceptance criteria for a study, nor does it describe a study that proves a device meets acceptance criteria in the way typically associated with AI/ML-driven devices (e.g., performance metrics like sensitivity, specificity, or reader studies).

    This document is for a traditional medical device (anchors, screws, and cannulas) used in orthopedic surgery. The "study" referenced here is the comparison to predicate devices to demonstrate substantial equivalence, which is a regulatory pathway for market clearance for certain types of medical devices.

    Therefore, many of the requested categories in your prompt are not applicable to the content of this FDA 510(k) summary for a physical orthopedic device.

    Here's an explanation based on the provided text and why certain sections of your request cannot be fulfilled:

    1. A table of acceptance criteria and the reported device performance

    • Not applicable / Not provided. This document is a 510(k) premarket notification, which focuses on demonstrating substantial equivalence to legally marketed predicate devices, not on setting and meeting specific performance acceptance criteria from a clinical trial or algorithm test for a new technology like AI/ML. The "performance" described is in terms of material properties, design features, and intended use being similar to predicates.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    • Not applicable / Not provided. There is no "test set" in the context of an AI/ML algorithm or clinical study described. The "test" in a 510(k) often refers to bench testing (e.g., mechanical strength) which is not detailed in this summary.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)

    • Not applicable / Not provided. No ground truth establishment for a diagnostic or prognostic task is mentioned.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    • Not applicable / Not provided.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    • Not applicable / Not provided. This device is a physical surgical implant/tool, not an AI-based diagnostic or assistive device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    • Not applicable / Not provided. The device is not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    • Not applicable / Not provided.

    8. The sample size for the training set

    • Not applicable / Not provided. There is no "training set" as this is not an AI/ML device.

    9. How the ground truth for the training set was established

    • Not applicable / Not provided. There is no "training set."

    Summary of what the document does provide regarding "acceptance criteria" and "study":

    The "acceptance criteria" in a 510(k) context for a traditional device largely revolve around demonstrating substantial equivalence to predicate devices. This is achieved by comparing technological characteristics, intended use, and materials.

    The "study" or evidence provided to meet this "acceptance criteria" (substantial equivalence) is a qualitative comparison of the new device (OneFix product line) to several predicate devices.

    Comparison of Technological Characteristics (as described in the document):

    The document explicitly states:
    "The design features and materials of the subject devices are substantially equivalent to those of the predicate devices. The OneFix Biocomposite/All Suture Anchors and Interference Screws and Cannula Systems and the predicate devices share the following characteristics:

    • Materials of construction
    • Manufacturing processes
    • Sizes offered
    • Product design for shape and macrostructures
    • Sterilization methods"

    Predicate Devices Used for Comparison:

    The devices for which substantial equivalence is claimed are:

    • Fixone Biocomposite Anchors; K192484
    • Fixone Biocomposite Small Anchors; K192032
    • Fixone All Suture Anchors; K192709
    • Fixone Interference Screws; K193497
    • JOINIX Cannula System; K162070

    In conclusion, this document demonstrates that the OneFix product line is substantially equivalent to already cleared predicate devices based on a comparison of their intended use, technological characteristics (materials, manufacturing, size, design, sterilization), and performance (implied to be similar because of the equivalence in characteristics and materials). No specific quantitative performance metrics or studies in the context of AI/ML are presented.

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