Manual Operacion Mapa Triup Trbp-06

TRBP-06 Blood Pressure Monitor User Manual
Copyright
Statement
All information contained in this publication is believed to be correct. Our company

shall not be liable for consequential damages in connection with the furnishing,
performance, or use of this material. This publication may refer to information and
protected by copyrights or patents and does not convey any license under the patent
rights of our company, nor the rights of others. Our company does not assume any
liability arising out of any infringements of patents or other rights of third parties.
Content of this manual is subject to changes without prior notice.
Responsibility on the manufacturer party
Our company is responsible for safety, reliability and performance of this equipment
only in the condition that:
• all installation, expansion, change, modification and repair of this equipment are
conducted by our qualified personnel;
• applied electrical appliance is in compliance with relevant National Standards;
• the monitor is operated under strict observance of this manual.
Warning
This monitor is not a device for treatment purpose.
It is important for the hospital or organization that employs this equipment to carry out
a reasonable maintenance schedule. Neglect of this may result in machine
breakdown or injury of human health.
Upon request, our company may provide with compensation, necessary circuit
diagrams, calibration illustration list and other information to help qualified technician
to maintain and repair some parts, which our company may define as user
serviceable.
-I-
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Warranty
Workmanship & Materials
Our company’s guarantees new equipment other than accessories to be free from
defects in workmanship and materials for a period of 18 months from date of shipment
under normal use and service. Our company's obligation under this warranty is limited
to repairing, at our company’s option, any part which upon our company's examination
proves defective.
Exemptions
Our company's obligation or liability under this warranty does not include any
transportation or other charges or liability for direct, indirect or consequential
damages or delay resulting from the improper use or application of the product or the
substitution upon it of parts or accessories not approved by us or repaired by anyone
other than a our company authorized representative.
This warranty shall not extend to any instrument which has been subjected to misuse,
negligence or accident; any instrument from which our company's original serial
number tag or product identification markings have been altered or removed, or any
product of any other manufacturer.
Safety, Reliability and Performance
Our company is not responsible for the effects on safety, reliability and performance of
the Monitor if:
■ assembly operations, extensions, re-adjusts, modifications or repairs are carried
out by persons other than those authorized by us.
■ the Monitor is not used in accordance with the instructions for use.
- II -

Preface
This manual gives detailed description to the Blood Pressure Monitor concerning its
performance, operation, and other safety information. Reading through this manual is the
first step for the user to get familiar with the equipment and make the best use of it.
Caution proceeding
A Before using this monitor, y ou must pay attention to the safety and the validity.
B The reliability lies on if you operate according to the manual.
C Dispose of the packaging material, observing the applicable waste control regulations
and keeping it out of children’s reach.
Responsibility of the operator:
Please reading the manual carefully before you use blood pressure Monitor.
- III -

CONTENT
Chapter1 Introduction .......................................................................................................1
1.1 General Information................................................................................................1
1.2 Button Fuctions and Interfaces...............................................................................2
Chapter2 Installation to the Monitor ................................................................................3
2.1 Open the Package and Check ...............................................................................3
2.2 Installation...............................................................................................................3
Chapter3 Safety and effectiveness considerations .......................................................3
Chapter4 Maintenance& Cleaning....................................................................................4
4.1 Maintenance ...........................................................................................................4
4.2 Cleaning..................................................................................................................4
Chapter5 Cuffwearing........................................................................................................4
Chapter6 Installation of the software...............................................................................5
6.1 Demandofeditor ......................................................................................................5
6.2 Installation of software(MREV1.0)..........................................................................5
6.3 Connecting the monitor to the computer ................................................................6
Chapter7 Introduction to functions..................................................................................6
7.1 registered by User ..................................................................................................6
7.2 Primary Interface ....................................................................................................7
7.3 Setthe collecting scheme........................................................................................8
7.4 Download the data................................................................................................10
7.5 Choose the case to beedited................................................................................ 11
7.6 Delete the case..................................................................................................... 11
7.7 Copy the case.......................................................................................................12
7.8 Edit the blood pressure data.................................................................................14
7.9 Edit the trend graph ..............................................................................................15
7.10 Display the statistic information..........................................................................17
7.11 Edit the diagnostic information............................................................................18
7.12 Set the sleeping time ..........................................................................................20
7.13 Setthe warning pointof the blood pressure.........................................................21
7.14 Print the report ....................................................................................................21
Chapter8 Appendix ..........................................................................................................23
8.1 Help.......................................................................................................................23
Chapter9 Troubleshooting guide ...................................................................................23
- IV -

Chapter 1 Introduction
n For an overall introduction to the blood pressure monitor, please refer to General
Information.
n For basic operating instructions and allocation of interface sockets, please
refer to Button Function and Interfaces.
Warning
Possible explosion hazard if used in the presence of flammable anesthetics or

other flammable substance in combination with air, oxygen-enriched
environments, or nitrous oxide.
1.1 General Information

Specification:
Method of Measurement: Oscillometry with deflation
Accuracy: ±3 mmHg
Power: Two 'AA' alkaline batteries or high capacity
Safety Systems: Maximum inflation pressure limited to
300mmHg
Size: 123*67*32mm
Weight: 300g( including batteries)
Environment:
Temperature
Working 5℃～40℃
Transport and Storage 10℃～55℃
Humidity
Working ≤80%
Transport and Storage ≤95%
Atmospheric pressure
Working 86kPa～106kPa
Transport and Storage 50kPa～106kPa
General instruction：
TRBP-06 is a non-invasive oscillometric blood pressure monitor an associated
PC-based computer program, capable of recording up to 500 measurements. It is
intended for use as an aid or adjunct to diagnosis and treatment when it is necessary
to measure an adult patient’s systolic and diastolic blood pressures over an extended
-1-

period of time.
The system is only for measurement, recording, and display. It makes no diagnoses.
The monitor is Worn by the patient, and records the ambulatory blood pressure during
normal daily activities. The software MRE V1.0 provides the display and
record-keeping function of the system. After the ambulatory blood pressure has been
recorded for the desired period of time, the stored readings in the TRBP-06 are
downloaded into the program. MRE V1.0 provides the data in tabular and graphic
form, as well as a patient report. A measurement plan can also be constructed with
the MRE V1.0, and up-loaded to the monitor.
When you take one measurement, the TRBP-06 monitor is worn by the patient either
in a waist belt or shoulder strap and is connected to a traditional cuff around the
non-dominant upper arm. The cuff is inflated automatically at intervals that can be
programmed during set-up, using MRE V1.0.
Blood pressure is measured by the oscillometric method, which senses the
cessation of pressure waves in the artery when occluded by pressure in the cuff.
Measurement of the frequency of the pressure waves also enables heart rate to be
measured.
1.2 Button Fuctions and Interfaces

There is only one button on the monitor(see following). You can hear a sound "didi",
when you press the button.And then a measurement begins.If you press the button
again during measuring, you can hear a sound "dididi", and this measurement will be
over.
There is LCD screen beside the button, you can see the result of measurement
there like this:
systolic blood diastolic blood mean blood pulse rate

pressrue pressure pressrue
At the bottom of the monitor there is a interface(see following).You can connect the
monitor and computer by it.
-2-

Chapter 2 Installation to the Monitor
n Open the Package and Check

n Installation
Note
To ensure that the monitor works properly, please read Chapter Safety and
effectiveness considerations, and follow the steps before using the monitor.
2.1 Open the Package and Check

Open the package and take out the monitor and accessories carefully. Keep the
package for possible future transportation or storage. Check the components
according to the packing list.
u Check for any mechanical damage.
u Check all the accessories.
If there is any problem, contact the distributor immediately.
2.2 Installation
Take out the monitor and the accessories, put the battery in the monitor, connect
the monitor and the cuff.
Note
For information on correct connection, refer to chapter 5.
Chapter3 Safety and effectiveness considerations
The following safety and effectiveness issues are to be considered before using
the TRBP-06 monitor.
l The reliability of the device is dependent upon conformance with the operation
and service instructions, as detailed in this manual.
l The interpretation of blood pressure measurements should only be made by a
physician. The accuracy of any blood pressure recording may be affected by the
position of the subject, his or her physical condition, and use outside the
operating instructions detailed in this manual and other factors.
l DO NOT use on neonates or children, and someone who can not protect himself.
-3-

Chapter 4 Maintenance&Cleaning
n Maintenance
n Cleaning
4.1 Maintenance
The monitor performs a range of systems and software checks during normal
operation, reporting to the user the operational status via the report and display.
However, preventive maintenance is an important function that should be routinely
performed to ensure the safe and efficient operation of the monitor.
DO NOT use the monitor if it has failed any of its diagnostic self tests, or if it displays
a greater than zero pressure with no cuff attached.
The preventative maintenance should include the inspection of cables and

pneumatic hoses for cracks, fraying or kinks.
DO NOT use the monitor if there are any signs of damage.
WARNING: Fire, Explosion, and Severe Burn hazard. Ensure battery is inserted
with correct polarity according to the sign in the monitor.
4.2 Cleaning
The monitor is not sterilisable. DO NOT immerse the monitor in any fluid, or attempt to
clean with any liquid detergents, cleaning agents, or solvents. Remove dirt and dust
from the monitor by wiping it with a soft, damp cloth. If the monitor does become
immersed in water,you should send it to our service department.
Chapter 5 Cuff wearing
One:
It is important to select the cuff size that is appropriate to the
diameter of the patient’s upper arm. Use the ‘range lines’ on the
inside of the cuff to determine the correct size cuff to use.Wrap
the cuff gently around the arm as shown in Figure5-1. Too loose
or too tight is not recommended. The cuff maybe worn over a thin
shirt, without compromising accuracy or performance.However, it
is advised that the cuff is secured using the cuff anchor. Ensure
the air hose from the monitor to the cuff is not
Fig.5-1 compressed,crimped or damaged. Please remember that using
the wrong size cuff may give false readings.
-4-

Two:
With the patient cable draped over the patient’s shoulder, connect
the monitor and the cuff.Look at the cuff , there is a little clip.
When you wrap the cuff on your upper arm ,you can clamp it on
you sleeveas in figure5-1. Do not remove the cuff anchor at this
time. Before you proceed to Step 3 you should upload the BP
Study (refer to chapter 8). Once all the data is uploaded you may
return to this page and complete Step 3.
Fig.5-2
Three:
Insert the monitor into its pouch with the LCD showing
through top of pouch. Attach the pouch to either the
shoulder strap or the belt, (as shown in fig 5-2 and in fig 5-3)
depending on the patient’s preference.
Fig5-.3
Chapter 6 Installation of the software
n Demand of editor
n Installation of software(MRE V1.0)
n Connecting the monitor to the computer
6.1 Demand of editor
Processor: Pentium IV 1.8G or more

Operation System:XP
EMS memory: 256M and up
Hard Disk: 40G or more
Display: 17 inch or more
CD-ROM
Serial port
Resolution of printer: 600 DPI
6.2 Installation of software(MRE V1.0)

1 Place the CD-ROM in the CD-ROM compartment located on your computer.
-5-

2 If Auto Play for CDs is enabled, place CD in reader and follow instructions when
they appear on the screen; otherwise follow install instructions below:
1 Open Windows Explorer.

2 Click on the root CD-ROM directory.
3 Double click file SETUP.EXE.
4 Follow the instructions on the screen.
6.3 Connecting the monitor to the computer
Connect the cable to the bottom of the monitor as shown in

figure 6-1.
Fig. 6-1
Connect the PC Interface cable to the 9-pin serial port on the

back of the computer as shown in figure 6-2.
.
Fig. 6-2
Chapter 7 Introduction to functions
7.1 registered by User
Please click the software twice, a register dialogue box will enter as following:
-6-

Please input your name, click , there will be a dialog box which can
set the serial interface and the download path. Click , you can delete
a registered patient’s information, click , you can delete all the

registered patients’ information。
Figure 7.1.2 settings of configuration information
a. Port settings
Design the interface which is connected with monitor. E.g. If we choose COM1,
it represents the software transfers and downloads the data through interface1
and monitor.
b. Device option
It represents the model of our company’s Ambulatory Blood Pressure Monitor.
Default option is CMS-ABPM.
c. Patient File Path
Choose the downloading directory path of your case. As soon as the data are
downloaded from the monitor, the case archive will be saved in the directory you
have selected.
7.2 Primary Interface
When the settings of the user’s configuration information are finished, the main
interface is entered, as the following picture displays:
-7-

Figure 7.2 the main operating interface
1. Menu bar
The main operating menu of this software
2. Toolbar
Shortcut keys for functions of frequent usage
3 Status bar
Display the name, ID, and the data when collect date of the patient.
4. Displaying areas of the trending graph
After choosing the case which is edited, it is used for displaying date of the trending
graph.
7.3 Set the collecting scheme
In order to collect the particular blood pressure information of different patients, this
software offers the setting interface of the pressure collecting parameter. During the
operation, you can press the shortcut key , or press item of the
menu bar. Display of the page is as follows:
-8-

Figure 7.3.1 set the collecting parameter

As the above picture shows, doctors could set the parameter according to the
patient’s situation and the need of diagnosis. The monitor is able to finish the
collecting task as your settings. The detailed explanations of the related parameters
are as follows:
Patient Name
Patient ID: It can identify the patient, and it is unique.
Current Time: Current local time..
Study Start Time: Recording start time
It defaults in 5 minutes after the "Current Time" item.
Max Pressure: The maximal inflation pressure of the monitor
The range from 120mmHg to 280mmHg
Display: The monitor displays measured parameters or not.
Start key: Support manual collecting or not means if a measurement can be
done by pressing the button on the monitor(see chapter 1).
Time Periods: Among that, Awake means the patient is in un-sleeping situation, and
Asleep refers to the sleeping situation.
Special Start and Special End are optional items. You can set the fixed
time to collect the data. Interval setting refers to the intervals of the
collecting time. To reduce the impact of the patient’s sleep, settings of
-9-

the general collecting intervals are longer.

Take the above picture as an example: the range of un-sleeping time is
7:00-22:00, the range of sleeping time is 22:00-7:00, the intervals of the
un-sleeping time are 5 minutes, and the intervals of the sleeping time
are 30 minutes.
The range of sleeping time, the range of un-sleeping time and the range
of special testing time are displayed by the picture forms in the right
corner of the screen. Thus, it is convenient to design the parameter.
Deflate Mode: Small Step is a puffing method, which is designed for particular patients.
Normally it is a general puffing method.
After setting the parameter, press ,and upload the

scheme. Provided the parameter is set correctly, and the monitor and
computer are connected well, the data is started to uploaded. Uploading
progress
Figure 7.3.2 the bar of uploading progress
7.4 Download the data
Before downloading data, please make sure the monitor has been connected to
PC correctly. The downloaded patient data will be saved in your default computer
path. If you want to change the storage path, please click the
menu ,and then the dialogue box referred before will be showed
up, operators can change the path.
Click the shortcut key or the menu to start to download
data, the download progress showed as below:
Figure 7.4 downloading progress bar
- 10 -

7.5 Choose the case to be edited
Before editing ， patient file should be selected first. Click the shortcut
key or the menu to open patient file interface which is
showed below:
Figure7.5 Patient file selection
In the interface, you are able to select the file folder for data storage, if there are files
in the folder, all the file information will be listed including: patient name, patient ID,
test count and file name. Choose the file you want to edit, and then click to
do below edition.
7.6 Delete the case
If you feel some patient data are not necessary, you can delete them.
Click to show patient data deletion interface which is similar to
patient data selection interface, showed as below:
- 11 -

Figure7.6 Patient data deletion

You are able to delete one single file or multiple files at the same time; to delete
multiple files at the same time, you could push “Ctrl”, and click the file you want to
delete at the same time. After selection, click ，it will show: Click YES
to complete the deletion operation. If you want to cancel, please click NO.
7.7 Copy the case
Sometimes, you may want to save one original copy before you edit a file, under
this situation, you should do patient data backup. MRE V1.0 provides this function.
Enter the main menu; select to open the data backup interface
showed as below:
Storage path. See followings:
- 12 -

When you choose the file, click , a dialog box appears which can set
the path of backup file; you can set the path of backup file. See following:
7.7.2 Backup path settings
As above, the backup path of the case history is: d:\mre protocol\new.Press
to finish operation.
- 13 -

7.8 Edit the blood pressure data
You can edit each data record. Press the shortcut key or choose the
menu , it will show the date edit list interface. Edit interface shows as
followings:
7.8 Data edit page

In this page, you can see details for each data intuitionist. In it,
*=6/21（28.6%）: 21 stands for data sum, 6 stands for the data amount deleted,28.6%
stands for data present deleted.
Number: stands for data collection serial number.
Time: stands for collection time.
Date: stands for collection date.
BP: number before ‘/’ stands for high blood pressure, number back ‘/’ stands for low
blood pressure.
HR: Heart rate.
MAP: Mean pressure.
PP: Pressure difference between high and low blood pressure.
TC:Code(see Chapter 9)
Comment: comment.
You can edit these data. ‘*’ stands for the data deletion (the trend does not show, and
not record in the data statistic). Press the mouse’s left button in ‘*’ area to delete or
add ‘*’. Doing the text comment for the data in the Comment Volume, and these
information will show in the trend map.
- 14 -

7.9 Edit the trend graph
When you choose the history case, the trend map will show on the screen
automatically. The trend map divides into two sorts: trend for color filler style and trend
for dotted line style. The trend shows as follows:
7.9.1 Trend for color filler style
7.9.2 Trend for dotted line style

Choose the button"Graph type" in the middle of the screen to change the two different
trend maps. When the cursor moves to the trend showing area, on the top of the
screen it will show the data information which the mouse points to, including the data
serial number, collection time and collection date, high/low blood pressure value,
heart rate, comment, etc. Press mouse’s left button to delete and add the data point to
be shown. If the distance between the two data points is too short and the cursor
cannot be moved to one of the points, move the cursor to the coordinate axis, press
- 15 -

the mouse’s left button, then the trend map’s stress will be shown by dragging the
cursor to the right, and the trend map’s shrinkage will be shown by dragging the
cursor to the left. When stress the trend map, if the trend map is beyond the trend
showing area, the trend map movement can be controlled by the scroll bar, until the
trend data to be observed shows.Also, move the cursor to the y-axis, press the
mouse's left button, then the trend map's stress will be shown by dragging the cursor
to the up,and the trend map's shrinkage will be shown by dragging the cursor to the
down.
7.9.3 Trend map shrinkage(x-axis)
7.9.4 Trend map stress(x-axis)
- 16 -

7.9.5 Trend map stress(y-axis)
7.9.6 Trend map shrinkage(y-axis)
7.10 Display the statistic information
Press the shortcut key , or choose menu , pop-up the dialog box
for data statistic information, as follows:
- 17 -

A statistics box(above) will give you all the information for that patient study in a
concise format. If you click on Okey you may view the statistics in graph form.
7.11 Edit the diagnostic information
Diagnose information including following items: patient information, Interpretation,

Current Medication and Physician information. click , the detailed
information is as follows:
Figure7.11.1 Edit patient’s information
Click , you can switch to Adjust current Medication interface,

in which you can adjust the medication for patient.
- 18 -

Figure 7.11.2 Adjust current Medication
Select ,you can switch to blood pressure parameter page.
Figure 7.11.3 Introduction of parameter edit
Click button , you can switch to the page of doctor’s advice.
- 19 -

Figure 7.11.4 doctor’s advice edit
7.12 Set the sleeping time
Setup of sleep period includes: Awake time and asleep time. Because when
collecting patient parameter, patient doesn't always fall asleep and awake
according to collection data protocol strictly, this setup is necessary. After setup
of sleep period, the software will calculate the data automatically, and updated
trend graph recalculate the statistic data.
Figure 7.12 setup of asleep period
- 20 -

7.13 Set the warning point of the blood pressure
You can set the alarm limit of blood pressure, after this setup, trend graph will be
updated, and the statistic data will be recalculated. Click Menu , you can
set up the alarm limit of blood pressure as follows:
Figure 7.13 Setup of blood pressure alarm
Under awake condition, the default alarm limit of blood pressure is as follows: Systolic:
140mmHg、Diastolic: 90mmHg; under asleep condition, the default alarm limit of blood
pressure is as follows: Systolic: 120mmHg、Diastolic: 80mmHg.
7.14 Print the report
The default paper size is: A4, click Menu , you can select appointed
printer. Click button , you can preview the page you selected. For
example: the preview of a histogram is as follows:
- 21 -

Graph 7.14.2 Proportion Histogram
Click shortcut key or in menu when printing is needed.
- 22 -

Chapter 8 Appendix
8.1 Help
Files for reference will come out when is clicked, which gives brief instruction
to process function. Meanwhile, you will find in operation interface;
click this button and the instruction files will occur, which can help familiarize this unit.
Chapter 9 Troubleshooting guide
Code Description in MRE V1.0 Solution

1 Weak or no oscillometric signal Check position of cuff, tighten cuff
Artefact/Erratic oscillometric
2 Remain still during BP reading
signal
4 Exceeded Measurement time Check air hose connections and
Limit (120 seconds) make certain cuff is tight
85 Check air hose connections and
Reading Aborted (blocked
make certain air tubing is not
valves or pneumatics)
crimped.
86 Reading Aborted Push START/STOP button to start
reading.
87 Reading Aborted (inflate Check air hose and cuff
time-out or air leak)
88 Reading Aborted (safety Retry reading, push START/STOP
time-out) button. If problem persists return
monitor for servicing.
89 Reading Aborted (cuff over- Check for blocked or kinked air
pressure) hose.
90 Service Required (power supply Replace batteries. If problem
out-of-range or other hardware persists return for servicing.
problem)
- 23 -

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TRBP-06 Blood Pressure Monitor User Manual

All information contained in this publication is believed to be correct. Our company

Content of this manual is subject to changes without prior notice.

Responsibility on the manufacturer party

PDF created with pdfFactory Pro trial version www.pdffactory.com

Workmanship & Materials

Safety, Reliability and Performance

PDF created with pdfFactory Pro trial version www.pdffactory.com

Responsibility of the operator:

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PDF created with pdfFactory Pro trial version www.pdffactory.com

Possible explosion hazard if used in the presence of flammable anesthetics or

1.1 General Information

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1.2 Button Fuctions and Interfaces

systolic blood diastolic blood mean blood pulse rate

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Chapter 2 Installation to the Monitor

n Open the Package and Check

2.1 Open the Package and Check

For information on correct connection, refer to chapter 5.

Chapter3 Safety and effectiveness considerations

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The preventative maintenance should include the inspection of cables and

Chapter 5 Cuff wearing

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Chapter 6 Installation of the software

6.1 Demand of editor

Processor: Pentium IV 1.8G or more

6.2 Installation of software(MRE V1.0)

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1 Open Windows Explorer.

6.3 Connecting the monitor to the computer

Connect the cable to the bottom of the monitor as shown in

Connect the PC Interface cable to the 9-pin serial port on the

Chapter 7 Introduction to functions

7.1 registered by User

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a registered patient’s information, click , you can delete all the

Figure 7.1.2 settings of configuration information

7.2 Primary Interface

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Figure 7.2 the main operating interface

7.3 Set the collecting scheme

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Figure 7.3.1 set the collecting parameter

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the general collecting intervals are longer.

After setting the parameter, press ,and upload the

Figure 7.3.2 the bar of uploading progress

7.4 Download the data

Click the shortcut key or the menu to start to download

data, the download progress showed as below:

Figure 7.4 downloading progress bar

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7.5 Choose the case to be edited

key or the menu to open patient file interface which is

Figure7.5 Patient file selection

7.6 Delete the case

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Figure7.6 Patient data deletion

7.7 Copy the case

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7.7.2 Backup path settings