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E X P E R I E N C E

Company Ako med was founded in 2005, with medical devices distribution as its main
activity. In the end of 2013, the company broadens and surgical suture production
sector is opened.
The guiding idea of the company was to make surgical sutures of the highest quality,
with acceptable price range for our region.
Our mission is to produce high quality surgical sutures following the contemporary
technology and its achievements, as well as recommendations from the experts
who use them.
Our vision is to make ourselves recoginsed by the production quality and easy-
handling of the sutures, combined with its safety for the patient.
Our goal is to be the region leader in the domain of surgical suture production.

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TA B L E O F C O N T E N T S

T YPE S OF NEEDLE S C A T A L O G U E N U M B E R S

01 A B S O R B A B L E
Synthetic, absorbable, monofilament and
multifilament surgical sutures

N O N - A B S O R B A B L E 02
Natural and synthetic, non-absorbable, monofilament
and multifilament surgical sutures

03 B A R B E D
Absorbable monofilament surgical sutures with
barbs for knotless easy suturing

ANTIBAC T ERIA L 04
Synthetic, absorbable, monofilament and multi-
fi lament surgical sutures coated with antibacterial agent

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TYPES OF NEEDLES

Needle Needle Needle Needle


POINT BODY POINT BODY

TP BP
Taper Point Ball Point

TC SP
Taper Cutting Spatula

CC DI
Cutting Diamond

CR SC
Cutting Straight
Reverse Cutting

CP SK
Cutting Ski
Precision

BL SH
Blunt Hook

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Material Suture diameter Suture length Additional information
PGA TP 20 50 22 38 / B
Type of needle Needle length Needle curve
PGA TP 2050 2238 B
Material Type of needle Suture diameter Suture length Needle length Needle curve Additional info
description short description short description short description short description short description short description
PGQ PGA Quick TP Taper Point 1 20 USP 1 2/0 10 1 0 cm 040 4 mm 14 1 /4 circle 2 2 needles
PLQ PGLA Quick TC Taper Cutting 110 USP 1 1 /0 15 1 5 cm 045 4,5 mm 56 5/1 6 circle B black needle
PGA PGA CC Cutting 1 00 USP1 0/0 20 20 cm 050 5 mm 38 3/8 circle T1 #spec needle
PLA PGLA CR Cutting Reverse 90 USP 9/0 25 25 cm 055 5,5 mm 76 7/1 6 circle H #spec needle
PGC PGCL CP Cutting Precision 80 USP 8/0 30 30 cm 060 6 mm 12 1 /2 circle Y5 #spec needle
PDO PDO BL Blunt 70 USP 7/0 35 35 cm 063 6,3 mm 58 5/8 circle W #spec needle
BP Ball Point 60 USP 6/0 40 40 cm 065 6,5 mm 45 4/5 circle P #spec needle
SP Spatula 50 USP 5/0 45 45 cm 070 7 mm 99 Bi curved R4 #spec needle
DI Diamond 40 USP 4/0 50 50 cm 075 7,5 mm 00 no curve C #spec needle
PPP POLYPROPILEN SC Straight Cutting 30 USP 3/0 55 55 cm 080 8 mm Z #spec needle
PVD PVDF SK Ski 20 USP 2/0 60 60 cm 085 8,5 mm X #spec needle
PTE ePTFE SH Hook 00 USP 0 65 65 cm 090 9 mm U #spec needle
PTF PTFE OO Without needle 01 USP 1 70 70 cm 093 9,3 mm IS #spec needle
PES POLYESTER 02 USP 2 75 75 cm 095 9,5 mm SG #spec needle
UPE UHMWPE 03 USP 3 80 80 cm 10 1 0 mm TH #spec needle
PAM POLYAMIDE 04 USP 4 85 85 cm 11 1 1 mm NI #spec needle
SIL SILK 05 USP 5 90 90 cm 12 1 2 mm L with loop
06 USP 6 95 95 cm 13 1 3 mm K2 2 pcs in pack
07 USP 7 1 00 1 00 cm 14 1 4 mm K3 3 pcs in pack
08 USP 8 110 1 1 0 cm 15 1 5 mm K4 4 pcs in pack
BDO PDO Barbed 09 USP 9 1 20 1 20 cm 16 1 6 mm K5 5 pcs in pack
3M TAPE 3mm 1 30 1 30 cm 17 1 7 mm K6 6 pcs in pack
4M TAPE 4mm 1 40 1 40 cm 18 1 8 mm K7 7 pcs in pack
5M TAPE 5mm 1 50 1 50 cm 19 1 9 mm K8 8 pcs in pack
AGA PGA antibacterial 6M TAPE 6mm 1 60 1 60 cm 20 20 mm K9 9 pcs in pack
ALA PGLA antibacterial 1 70 1 70 cm 21 21 mm K10 1 0 pcs in pack
AGC PGCL antibacterial 1 80 1 80 cm 22 22 mm K11 1 1 pcs in pack
ADO PDO antibacterial 1 90 1 90 cm 23 23 mm K12 1 2 pcs in pack
200 200 cm 24 24 mm K13 1 3 pcs in pack
21 0 21 0 cm 25 25 mm K14 1 4 pcs in pack
220 220 cm 26 26 mm K15 1 5 pcs in pack
230 230 cm 27 27 mm K16 1 6 pcs in pack
240 240 cm 28 28 mm SPOOL on spool
CL spec coating
250 250 cm 29 29 mm aprolactone
S spec coating
260 260 cm 30 30 mm silicone
V spec coating
270 270 cm 31 31 mm wax
spec coating
280 280 cm 32 32 mm T teflon
33 33 mm PGO ledget oval
34 34 mm PGT pledget
square
35 35 mm 35 3x5 mm
36 36 mm 36 3x6 mm
37 37 mm 37 3x7 mm
38 38 mm 10 1 ,0 mm
39 39 mm 15 1 ,5 mm
40 40 mm 16 1 ,6 mm
S3 absorption
43 43 mm profile
S5 absorption
45 45 mm profile
absorption
47 47 mm S7 profile
48 48 mm CV violet
50 50 mm CU undyed
53 53 mm CW white
55 55 mm CG green
60 60 mm CB blue
63 63 mm CK black
CRL control
65 65 mm release
vinyl
70 70 mm VTB tube
beads &
73 73 mm PST collars
75 75 mm BTN with button
80 80 mm
- combinations needle/ suture are possible in all variations according to this template
- it’s possible to make products in different non - standard sizes at the customer’s request
- needle lengths listed in the table are the most commonly used lengths
- needles from 3 to 1 0 mm are made in all sizes with an increment of 0.1 mm
*
- needles from 1 0 to 1 30 mm are made in all sizes with an increment of 1 mm
# - specific needles – code explanation is on page 5a
SPECIFIC NEEDLE S U T U R E S
In addition to standard needles, listed in the basic types of needles, there are a
line of specific needles with a specially designed body and the tip which are marked
with additional letters at the end of the basic product code after the slash.

•Taper Point Plus T1 Surgical suture classification is based on various criteria, above all on the origin and the material type they
-This needle has an oval body that finishes with gentle two-sided sharpened are made from, on the morphological structure of the materials, on their resorption (degradation) in the body
taperpoint tip. Cross-section of the needle is slightly thinner than normal and on the coating agents.
and is commonly used in sizes from 18 to 32 mm.
•Taper Point (Taper Cutting) Heavy H Basic surgical sutures classification is natural vs. synthetic, depending on the origin of the material they are
-Needle circular cross-section with increased bending strength. made from. Natural materials are silk and linen, whereas synthetic sutures are made from various artificial
materials like: polyglycolic acid with different admixtures and in combination with other organic compounds,
•Taper Point CC Y5 as well as from polydioxanone, polypropylene, polyester, polyamide etc.
-This needle has sharped tip specially designed for easier penetration through
the calcified cardiovascular tissue with the squared oval cross-section of the body Contemporary classification of surgical sutures is absorbable vs. non-absorbable, depending in their
which gives increased flexural strength.
resorption (degradation) in the body. Absorbable surgical sutures with time go through the process of
•Taper Cutting Trocar W hydrolytic degradation and they are excreted from the body, whereas non-absorbable sutures depend of
-This needle is based on well-known Trocar point which is a powerful sharpened tip, area of application could permanently stay in organism or they have to be physically removed.
that turns into a round body. It is used for fibrous tissue.
•Prime Multiglide P Surgical sutures are also classified by the number of structural fibers to monofilament and multifilament.
-This needle has a squared oval body that provides increased flexural strength and
triangular tip with reduced angles of attack (ie. reduced cutting edges) for easier Monofilament sutures are made from one continuous fiber, which enables easy passage through the tissue,
passage through tissue. easy handling and knotting. Absorbable monofilament sutures are PDO, PGCL and PGCLA; non-absorbable
•Reverse Cutting Heavy R4 monofilament sutures are Polypropylene, Polyamide, PVDF, PTFE. All Barbed sutures are lso part of mono-
-Needle three-way cross-section with a third side facing outward and increased filament sutures family.
flexural strength. It is used in cases where it is necessary stronger needle,
for example, to pass through the fibrous tissue. Multifilament surgical sutures are made from braided fibers, which enable high tensile strength, excellent
•Micro Point Precision C knot security, and given the fact that they are usually coated, easy passage through the tissue. Absorbable
-Specially designed needles for plastic surgery with extremely sharp thin tip and multifilament sutures are PGA, PGA Quick, PGLA and PGLA Quick; non- absorbable multifilament sutures are
particularly pronounced easy passage through tissue. Polyester, UHMWPE, Silk and Linen.

•Premium Micro Point Spatula Z Antibacterial surgical sutures are absorbable sutures with addition of antibacterial coating, in our case
-Specially designed flat profile and sharp edges of the top of this spatular needle chlorhexidine (CHA) which has antibacterial characteristics and as such decreases tissue infection. Anti-
results in a very slight penetration through tissue sclera and cornea. bacterial surgical sutures are PGA ab, PGLA ab, PGCL ab and PDO ab.
•Advance Premium Spatula needle X
-This needle is characterized by a thin trapezoidal-square body that provides Barbed surgical sutures are monofilament sutures with unidirectional or bidirectional barbs, which enables
high resistance to bending and a very sharp tip. easy passage through the tissue and knotless wound closure.
•Ultimat SC Spatula U
-The needle with a completely new concept of the body in the form of a trapezium All of these surgical sutures are available in a wide range of diameters and lengths, combined with
with recessed sides and specially designed concave spatular tip that allows high-quality needles of various sizes, made of austenitic medical steel or a special hyper-elastic alloy (Nitinol).
significantly easier passage through the tissue of the cornea and sclera
and reduces postoperative tissue damage.
•Inverted spatula IS
-This needle has a specially designed trapezoidal tip with larger side facing outwards
•Super Glide SG
-Needle with a special surface treatment and double silicone coating.
•Thin needle TH
-Thin needle with very low needle body cross-section.
•Nitinol needle NI
-Hyper-elastic needle made of special Nitinol alloy.

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ABSORBABLE

PGA quick PGLA quick


(Polyglycolic Acid Quick) (Poly(glycolide-co-L-lactide) Quick)
Surgical suture, fast absorbable, Surgical suture, fast absorbable,
multifilament multifilament

-soft tissue approximation -soft tissue approximation


-ophthalmic surgery -ophthalmic surgery

PGA quick Taper Point PGLA Quick Taper Point


polyglycolic acid quick, poly (glycolide-co-L-lactide quick),
absorbable, multifilament absorbable, multifilament
USP USP
26mm 26mm
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name PGA Quick PGLA Quick

Material polyglycolic acid poly (glycolide-co-L-lactide)


(90/10)

Structure multifilament multifilament

poly(glycolide-co-L-lactide) poly (glycolide-co-L-lactide)


Coated
& calcium stearate & calcium stearate

Color undyed / violet undyed / violet

USP 6/0 - 2 6/0 - 2


Suture thickness
EP 0.7 - 5 0.7 - 5

short: 7-10 days short: 7-10 days

Complete absorption 40 - 45 days 40 - 45 days

Method of absorption hydrolysis hydrolysis

Sterilization EO EO

excellent tensile strength, fast absorption


Characteristics minimal tissue reaction, excellent knot security
easy passage easy to handle
through the tissue

Quantity in package 12 12

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ABSORBABLE

PGA PGLA
(Polyglycolic Acid) (Poly(glycolide-co-L-lactide))

Surgical suture, absorbable, Surgical suture, absorbable,


multifilament multifilament

-general tissue approximation -general soft tissue approximation


-ophthalmic surgery -ophthalmic surgery

PGA Taper Point PGLA Taper Point


polyglycolic acid poly(glycolide-co-L-lactide)
absorbable, multifilament absorbable, multifilament
USP USP
26mm 26mm
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name PGA PGLA

poly (glycolide-co-L-lactide)
Material polyglycolic acid
(90/10)

Structure multifilament multifilament

poly(glycolide-co-L-lactide) poly (glycolide-co-L-lactide)


Coated (or polycaprolactone)
& calcium stearate & calcium stearate

Color undyed / violet undyed / violet

USP 8/0 - 6 8/0 - 2


Suture thickness
EP 0.4 - 8 0.4 - 5

medium: 30 days medium: 30 days

Complete absorption 60 - 90 days 56 - 70 days

Method of absorption hydrolysis hydrolysis

Sterilization EO EO

excellent tensile strength, excellent tensile strength


Characteristics excellent knot security, excellent knot security
easy to handle easy to handle

Quantity in package 12 12

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ABSORBABLE

PGCL PDO
(Poly(glycolic-co-ε-caprolactone)) (Polydioxanone)
Surgical suture, absorbable, Surgical suture, absorbable,
monofilament monofilament

-general soft tissue approximation


-general soft tissue approximation -pediatric cardiovascular surgery
-ophthalmic surgery

PGCL Taper Point PDO Taper Point


poly(glycolide-co-ε-caprolactone) polydioxanone
L-lactide) absorbable, monofilament absorbable, monofilament
USP USP USP
26mm 26mm
3/0
(EP 2)
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name PGCL PDO

Material poly polydioxanone


(glycolic-co-ε-caprolactone)

Structure monofilament monofilament

Coated / /

Color violet / undyed violet / undyed

USP 6/0 - 2 7/0 - 3


Suture thickness
EP 0.7 - 5 0.5 - 6

short / medium: 21 days long: 60 days

Complete absorption 90 - 120 days 180 - 210 days

Method of absorption hydrolysis hydrolysis

Sterilization EO EO

ideally smooth monofilament, minimal tissue reaction,


Characteristics high strength, easy passagethrough the tissue,
easy to handle and knot long wound support

Quantity in package 12 12

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NON- ABSORBABLE

Po lypro pilen PV DF ePT F E


(Po lypro pyle n) ( Po lyvi nylide nf luor i de ) (exp and ed Polytetraf luo re thyle n)

Surgical suture, non- absorbable, Surgical suture, non- absorbable, Surgical suture, non- absorbable,
monofilament monofilament monofilament

-general soft tissue approximation -general soft tissue approximation -general soft tissue approximation
-cardiovascular surgery -cardiovascular surgery -cardiovascular surgery
-neurosurgery -neurosurgery -neurosurgery
-ophthalmic surgery -ophthalmic surgery

Polypropilen Taper Point PVDF Taper Point ePTFE Taper Point


(Polypropylen, monofilament) (Polyvinylidenfluoride, (expanded Polytetra-
monofilament) fluorethylen monofilament)
USP USP USP
26mm 26mm 26mm
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name POLYPROPILEN PVDF ePTFE

Material polypropylene polyvinylidenfluoride expanded polytetrafluorethylen

Structure monofilament monofilament monofilament

Coated / / /

Color blue / undyed blue white

USP 10/0 - 8 10/0 - 2 PSS 5/0 - PSS 1


Suture thickness
EP 0.2 - 10 0.2 - 5 Not USP or EP size

constant constant constant

Complete absorption / / /

Method of absorption / / /

Sterilization EO EO EO

high tensile strength, high tensile strength, high tensile strength,


Characteristics excellent knot security, excellent knot security, excellent knot security,
easy to handle suitable for infected tissues minimal tissue reaction

Quantity in package 12 12 12

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NON- ABSORBABLE

UHMWPE
PTF E Po lye ste r (U ltra Hig h M olecula r We i g h t
(Po lyte traf luo rethyle n) ( Po lyester) Polyethylene a nd P o ly e s t e r)

Surgical suture, non- absorbable, Surgical suture, non- absorbable, Surgical suture, non- absorbable,
monofilament multifilament multifilament

-general soft tissue approximation -general soft tissue approximation -general soft tissue approximation
-cardiovascular surgery -cardiovascular surgery
-neurosurgery -neurosurgery
-ophthalmic surgery

PTFE Taper Point Polyester Taper Point Taper Point


(Polytetrafluorethylen, (Polyester, monofilament) (Ultra High Molecular Weight
monofilament) Polyethylene and Polyester)
USP USP USP
26mm 26mm 26mm
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name PTFE POLYESTER UHMWPE

Material polyethylene terephthalate ultra high molecular weight


polytetrafluorethylen
(polyester) polyethylene and polyester

Structure monofilament multifilament multifilament/cobraided

Coated / wax / silicone / teflon silicone wax

Color blue green / undyed blue / green / violet / undyed

USP 7/0 - 2/0 7/0 - 8 2/0 - 7


Suture thickness
EP 0.5 - 3 0.5 - 10 3-9

constant constant constant

Complete absorption / / /

Method of absorption / / /

Sterilization EO EO EO

high tensile strength, high tensile strength, high tensile strength,


Characteristics excellent knot security, excellent knot security, excellent knot security,
minimal tissue reaction easy passage through tissue minimal tissue reaction

Quantity in package 12 12 12

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NON- ABSORBABLE

Po lyam ide Silk


( Po lyam i de) (Silk)
Surgical suture, non- absorbable, Surgical suture, non- absorbable,
monofilament multifilament

-general soft tissue approximation -general soft tissue approximation


-cardiovascular surgery -cardiovascular surgery
-neurosurgery -neurosurgery
-ophthalmic surgery -ophthalmic surgery

Polyamide Taper Point Silk Taper Point


(Polyamide, monofilament) (Silk, multifilament)

USP USP
26mm 26mm
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name POLYAMIDE SILK

Material polyamide natural silk

Structure monofilament multifilament

Coated / wax / silicon

Color blue / black / undyed blue / black / undyed

USP 10/0 - 6 10/0 - 9


Suture thickness
EP 0.2 - 8 0.2 - 11

constant /

Complete absorption / /

Method of absorption / /

Sterilization EO EO

high tensile strength, excellent tensile strength,


Characteristics excellent knot security, excellent knot security,
easy passage through tissue easy to use

Quantity in package 12 12

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B A R B E D

PD O B arbe d
( Po lydioxano ne B arbe d)

Surgical suture with barbs,


absorbable, monofilament

-general soft tissue approximation

PDO Barbed Taper Point


Polydioxanone,
absorbable, monofilament
USP
26mm
3/0
(EP 2)
75cm 3/8

Product name PDO Barbed

Material polydioxanone

Structure monofilament with barbs

Coated /

Color violet / undyed

USP 5/0-3
Suture thickness
EP 1-4

long: 60 days

Complete absorption 180 - 210 days

Method of absorption hydrolysis

Sterilization EO

with unidirectional or
bidirectional barbs, a loop
Characteristics or two needles for easy
suturing without knotting

Quantity in package 12

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ANTIBACTERIAL

PGA ab PGLA ab
(Polyglucolic Acid Antibacterial) (Poly(glucolide-co-L-lactide)
Antibacterial)
Surgical suture, absorbable, Surgical suture, absorbable,
multifilament,antibacterial multifilament,antibacterial

-general tissue approximation -general soft tissue approximation


-ophthalmic surgery -ophthalmic surgery

PGA ab Taper Point PGLA ab Taper Point


(polyglicolic acid antibacterial, (Poly(glycolide-co-l-lactide) (90/10)
multifilament) Antibacterial, multifilament)
USP USP
26mm 26mm
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name PGA antibacte ri al PG LA antibacte ri al

poly(glyco lide-co-L-lacti de )
Material polygli colic aci d
(90/10)

Structure m ultif ilament m ultif ilament

Coated poly (gli colide-co-L-lacti de) poly (glicolide-co-L- lacti de)


& calci um stearate (30/70) & calcium stearate (30/70)

Antibacterial agent
chlorhaexidi ne diacetate chlorhaexidine diace tate

Color violet / undyed violet / undyed

USP 5/0 - 2 5/0 - 2


Suture thickness
EP 1 - 5 1 - 5

medium: 30 days medium: 30 days

Complete absorption 60 - 90 days 56 - 70 days

Method of absorption hydrolysis hydrolysis

Sterilization EO EO

ideally smooth monofilament, ideally smooth monofilament,


Characteristics high strength, high strength,
easy to handle and knot easy to handle and knot

Quantity in package 12 12

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PGCL ab PDO ab
(Poly(glycolic-co-ε-caprolactone) (Polydioxanone Antibacterial)
Antibacterial)
Surgical suture, absorbable, Surgical suture, absorbable,
monofilament,antibacterial monofilament,antibacterial

-general soft tissue approximation -general soft tissue approximation


-pediatric cardiovascular surgery
-ophthalmic surgery

PGCL ab Taper Point PDO ab Taper Point


(Poly(glycolic-co-ε-caprolactone) (Polydioxanone Antibacteria,
Antibacterial, monofilament) monofilament)
USP USP
26mm 26mm
3/0
(EP 2)
75cm 3/8 3/0
(EP 2)
75cm 3/8

Product name PGCL anti bacte rial PDO anti bacte ri al

Poly(glyco li c- co-ε-
Material polydioxanone
capro lactone) (75/25)

Structure monof ilament monof ilament

Coated / /

Antibacterial agent
chlor haexidine di acetate chlorhaexid ine di acetate

Color violet / undyed violet / undyed

USP 5/0 - 2 5/0 - 2


Suture thickness
EP 1 - 5 1 - 5

short/ medium: 21 days long: 60 days

Complete absorption 90 - 120 days 180 - 210 days

Method of absorption hydrolysis hydrolysis

Sterilization EO EO

ideally smooth monofilament, minimal tissue reaction,


Characteristics high strength, easy passagethrough the tissue,
easy to handle and knot long wound support

Quantity in package 12 12

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H ead Off i ce P ro du ct io n

A K O ME D d . o . o . A K O ME D d . o . o .
Zd r a v k a Če l ar a 1 2 Slo v e n s ki p u t b b
1 1 0 00 Be lg r ad e 3 5 00 0 J a g o d i n a
Se r b ia Se r b ia

т е l : + 3 81 1 1 6 97 30 30
fa x: + 381 1 1 697 3 2 22

s u tu r e s @ a k o m e d . c o m
w w w. j o s t s ur g i c a l . c o m

2 0 2 0. R E V 9

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