trilogy ventilator evo
It assists with ventilator to patient synchrony and comfort without manual adjustments. Detachable battery charge time 0% to 80% is 2.5 hours, internal battery charge time 0% to 100% is 3.5 hours. An official website of the United States government, : Assure blankets are not covering the exhalation port/valve F:\Company Shared Folders\Respiratory\New Set Ups\Trilogy ventilator set up\forms\MASTER TEMPLATES\Miscellaneous\Trilogy Alarm Troubleshooting Guide 6-2019 The Trilogy Evo is a portable hospital-to-home ventilator that is intuitive, easy to use, features a long-lasting battery and more! Break down (degrade) into black pieces that may enter the device's air tubes and be inhaled or swallowed by the user. Turn the Trilogy nebulizer feature to "on" 3. New features can simplify day-to-day use for caregivers and patients, including an 8 touchscreen that uses patient-friendly displays to support easy set-up and setting modification. The newest Trilogy device was made to be user-friendly without compromising the advanced features of the innovative Trilogy family technology. It is compatible with a range of accessories to provide a variety of therapy modes. Digital Auto-Trak provides an automated breath triggering and cycling algorithm that adjusts to the patient's natural breathing patterns. Your Philips Representative will provide a return authorization and any support needed to facilitate this return. Customers in the U.S. with questions about this recall should contact Philips Respironics at 1-800-722-9377 or email Respironics.repair@philips.com. PE-PUR foam is used to lessen sound and vibration in these devices and other medical equipment. This solution is designed to unite the technologies, resources, people and information essential to manage your respiratory patients. Additionally, Philips observed residual PEPUR sound abatement foam in some reworked Trilogy 100 and Trilogy 200 ventilators that were returned to customers. At this time, the FDA has determined that discontinuing use of one of these devices may be more harmful to a patient's health and quality of life. Nominal run time per method in InternationalElectrotechnicalCommission (7.5 hr/battery). Malviya Nagar It's ready to be mounted onto a roll-stand or a wheelchair, with a mountable, easy- By clicking on the link, you will be leaving the official Royal Philips ("Philips") website. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Volume and pressure modes, AVAPS-AE, SpO2 and EtCO2 monitoring and alarms of every parameter allow for adaptable care. Koninklijke Philips N.V., 2004 - 2023. You can also download data at the point of care through a USB drive. Ventilator-dependent patients are supported by internal and detachable batteries, now with 15-hour battery life. 80/16A, Ground Floor Patients who have additional concerns should talk to their health care provider about the plan for their care and treatment. Visit this page often to view additional basic and advanced trainings as they become available. We are always interested in engaging with you. The mouthpiece ventilation does not require any inspiratory effort in order to trigger a breath. Currently, while this independent testing is performed, the FDA does not recommend that patients who have participated in the repair and replace program discontinue use of their product. Do not stop or change patient therapy unless the patient has consulted their health care provider or unless a replacement Trilogy Evo ventilator has been provided. Introducing Trilogy Evo: Our new, portable life-support ventilator platform designed to: Stay with patients across care settings. Auto Back-up Rate delays a machine breath until your patient exhales to maximize comfort. Digital Auto-Trak provides an automated breath triggering and cycling algorithm that adjusts to the patients natural breathing patterns. Trilogy-100-Ventilator-Information-and-User-Guide. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Although MDRs are a valuable source of information, this passive surveillance system has limitations. The Trilogy Evo trainings are designed for both Healthcare Professionals and Caregivers or users of the Trilogy Evo. The company formally submitted their Report of Correction and Removal (a report under 21 CFR part 806, or "806 report") in June 2021. New features can simplify day-to-day use for caregivers and patients, including an 8 touchscreen that uses patient-friendly displays to support easy set-up and setting modification. The .gov means its official.Federal government websites often end in .gov or .mil. Volume and pressure modes, AVAPS-AE, SpO2 and EtCO2 monitoring and alarms of every parameter allow for adaptable care. An official website of the United States government, Recalls, Market Withdrawals and Safety Alerts, UPDATE: Certain Philips Respironics Ventilators, BiPAP Machines, and CPAP Machines Recalled Due to Potential Health Risks: FDA Safety Communication, Recalled BiPAP or CPAP Machines & Recommendations, Repaired and Replaced BiPAP or CPAP Machines & Recommendations, Potential Health Risks from the PE-PUR Foam, FAQs on Philips Respironics Ventilator, BiPAP Machine, and CPAP Machine Recalls, Certain Reworked Philips Respironics Trilogy 100/200 Ventilators Recalled Due to Potential for Silicone Foam Adhesion Failure and Residual PEPUR Foam Debris, Register your device(s) on Philips' recall website, report the issue or problem through the MedWatch Voluntary Reporting Form, problem through the MedWatch Voluntary Reporting Form, potential risks associated with the use of ozone and ultraviolet (UV) light products for cleaning CPAP machines and accessories, report the problem through the MedWatch Voluntary Reporting Form, FDA's user facility reporting requirements, Philips Respironics Ventilator, BiPAP Machine, and CPAP Machine Recalls, Garbin Plus, Aeris, LifeVent (ventilator). SpO2, EtCO2 and advanced respiratory mechanics monitoring capabilities are designed to help you optimize your patients therapy. At this time, the information provided by Philips has not established that the filters can reduce the PE-PUR foam's risks. Trilogy-100-Ventilator-Information-and-User-Guide. The PE-PUR foam issue may result from exposure to hot and humid conditions and may be exacerbated by the use of ozone cleaners or other cleaning methods not recommended by the manufacturer. This is a 10-pack of particulate filters for use with the Trilogy Evo and Trilogy EV300 ventilators. The newest Trilogy device was made to be user-friendly without compromising the advanced features of the innovative Trilogy family technology. Connect care teams across the continuum of care. Our site can best be viewed with the latest version of Microsoft Edge, Google Chrome or Firefox. Flexibility of circuits allows it to be used in a wide range of patients. Disclaimers 1. It offers new, on-screen Help and Alarm guidance and user-friendly universal names for most ventilation modes. Klink, the Philips spokesman, said the $13.8 million from HHS covered. Flexibility of circuits allows it to be used in a wide range of patients. Create awareness of this safety information by forwarding to your organization's personnel. It offers new, on-screen Help and Alarm guidance and user-friendly universal names for most ventilation modes. There is no required component replacement, and can be . The Ventilator can be removed from the Carrier while the main air tubing is still connected. Ventilator-dependent patients are supported by internal and detachable batteries, now with 15-hour battery life. The FDA has identified this as a Class I recall, the most serious type of recall. Trilogy Evo, Material Numbers DS2110X11B (USA) and KR2110X15B (Korea) The Trilogy Evo ventilator provides continuous or intermittent positive pressure ventilation for the care of individuals who require mechanical ventilation. With Care Orchestrator, you have the power to create custom health rules based on your best practices and proven processes. Trilogy Evo Portable hospital-to-home ventilator, Specifications, Guidelines & User Manuals, SEND INSTRUCTIONS TO PATIENT OR CAREGIVER, Trilogy Ventilator 100 Philips Respironics Alt, Covidien Newport HT-70 Ventilator Medtronics, Instructions for Non-invasive Ventilators. Volume and pressure modes, AVAPS-AE, SpO2 and EtCO2 monitoring and alarms of every parameter allow for adaptable care. Transfer data wirelessly to the cloud with safe, secure, connectivity with the Trilogy hub. Trilogy Evo provides noninvasive and invasive ventilator support with added sensitivity for a wide range of adult and pediatric patients. A problem has been identified within the Philips Respironics Trilogy Evo 02, Trilogy Evo Universal, and Trilogy EV300 ventilators that could pose a risk for patients if not mitigated. Do not use any quarantined material and contact Philips for return instructions. Philips makes no representations or warranties of any kind with regard to any third-party websites or the information contained therein. Versatile, easy-to-use Trilogy 100 is designed for home, hospital and acute- care use to provide invasive and non-invasive ventilator support for adult and paediatric patients. It is an electronically controlled, pneumatic ventilation system with an integrated air compressing system. The issue was identified during lab testing of the Trilogy Evo ventilator. It's designed specifically with durability in mind to protect it against damage during travel, such as during medical transport. The Trilogy Evo ventilator provides invasive and non-invasive, positive pressure ventilation to adult, pediatric, and infant patients with a minimum weight of 2.5 kg. The FDA is aware that patients have already received devices with silicone-based foam as part of the repair and replace program. six-hour battery, Trilogy Evo gives patients a new level of freedom and mobility. Comprehensive, clinically relevant courses to help enhance operational efficiency and provide high-quality patient care. Its designed specifically with durability in mind to protect it against damage during travel, such as during medical transport. These reports, along with data from other sources, can contribute important information to a medical device's benefit-risk assessment. Trilogy Evo portable life-support ventilator. You are about to visit a Philips global content page. The ventilator is suitable for use in institutional, home, and non-emergency transport settings, for example wheelchair or personal vehicle. Oral appliances, which fit like a sports mouth guard or an orthodontic retainer. Our site can best be viewed with the latest version of Microsoft Edge, Google Chrome or Firefox. Award-winning service delivered in ways that promote your clinical, operational and technical success. The support, service and upkeep behind Trilogy Evo includes 24-hour clinical support, educational training resources for both you and your patients, and extended warranties and maintenance plans. Instructions include video demonstrations and user manuals for respiratory therapy Read more For privacy reasons YouTube needs your permission to be loaded. Invasive/noninvasive ventilation for patients 5kg and above, Auto-adaptive technology can help patient synchrony and therapy acceptance, Up to six hours* of battery life supports portability, Bluetooth connectivity options along with optional SpO2 monitoring, Single limb (Passive, Active PAP, Active Flow). Trilogy Evo ventilators deliver enhanced performance in both non-invasive (NIV) and invasive ventilation. It may be used for both invasive and non-invasive ventilation. Manufacturers, such as Philips, are required to submit medical device reports (MDRs) when they become aware of an event that reasonably suggests that one of their devices may have caused or contributed to a death or serious injury, or has malfunctioned and that device or a similar device marketed by the manufacturer would be likely to cause or contribute to a death or serious injury if the malfunction were to recur. The site is secure. - Used these ventilators/devices: Esprit, VOCSN, and Avea ventilators, Airvo high flow nasal cannulas, Respironics V60 BiPAPs, and oxygen blenders . All rights reserved. This solution is designed to unite the technologies, resources, people and information essential to manage your respiratory patients. Health care personnel employed by facilities that are subject to the FDA's user facility reporting requirements should follow the reporting procedures established by their facilities. Drive collaboration among your care team with actionable patient insights delivered straight to their smart phones, tablets, or PCs. We encourage consumers to contact Philips to get an update on the status of their replacement device. Any links to third-party websites that may appear on this site are provided only for your convenience and in no way represent any affiliation or endorsement of the information provided on those linked websites. Its ready to be mounted onto a roll-stand or a wheelchair, with a mountable, easy- to-use carry bag. The Food and Drug Administration posted the recall to its database on Monday, designating it a Class I recall, the most . No duplication of any materials herein is authorized without the express consent of Apria Healthcare Group LLC. Shop for products on our online store of order seamlessly through your own procurement system. The pressure- and volume-mode ventilator has proprietary therapy algorithms, connectivity and enhanced triggering sensitivity which decreases the work of breathing. a wide range of patients. The mouthpiece ventilation does not require any inspiratory effort in order to trigger a breath. Detachable battery charge time 0% to 80% is 2.5 hours, internal battery charge time 0% to 100% is 3.5 hours. You can also download data at the point of care through a USB drive. The Trilogy Evo ventilators with non-conforming foam were distributed to customers in the United States and Korea. This Trilogy Ventilator Carrier measures 12 Wide x 13 Long x 8 High. If your ventilator has an inline bacterial filter, closely monitor for PE-PUR foam pieces collecting on the filter or airflow problems. Trilogy Evo portable life-support ventilator From hospital to home or clinicians to caregivers, transitions in respiratory care can be challenging. Trilogy Evo uses Bluetooth to send you patient and device data through Care Orchestrator, our cloud-based tool. Philips Respironics has recalled certain Trilogy Evo ventilators with specific serial numbers due to potential health risks. data fl ow, Trilogy Evo helps benefi t a broad spectrum of patients, from newborns to adults. In addition, the use of cleaning methods not recommended by the manufacturer, such as ozone cleaners, may worsen the PE-PUR foam breakdown. We are always interested in engaging with you. Trilogy Evo uses Bluetooth to send you patient and device data through Care Orchestrator, our cloud-based tool. Review the recommendations above with patients who use the recalled devices, including that for some patients, stopping use of the device may involve greater risk than continuing to use the recalled device. Compared to Trilogy 100s six-hour battery, Trilogy Evo gives patients a new level of freedom and mobility. Ventilator-dependent patients are supported by internal and detachable batteries, now with 15-hour battery life. It's ready to be mounted onto a roll-stand or a wheelchair, with a mountable, easy- Auto Back-up Rate delays a machine breath until your patient exhales to maximize comfort. 110017, New Delhi The 2,460,000 number includes manufactured repair kits that Philips shipped internally to their repair facilities, which are not replacement or remediated devices that have been shipped to consumers. With BARDA's continuing support, Philips finally won FDA approval for the Trilogy Evo Universal ventilator in July 2019. An online platform to manage and service your Philips products and related services across modalities - all at no additional cost. Segregate inventory of Repair Kit - Trilogy Evo Muffler Assembly Part Number 1135257, and quarantine any lot between 210414 and 210524. Trilogy Evo is a life support ventilator that provides invasive and non-invasive ventilation to adult, pediatric, and infant patients ERS Berlin 2020 - Theory and Applications of monitored pulmonary mechanics in NIV. Trilogy 200 helps care teams provide quality respiratory care while meeting patients evolving needs. Our unique kiss trigger detects when your patient engages or disengages from the mouthpiece to deliver on-demand ventilation, with the security of patient alarms. We are concerned this may impact the estimated wait time for consumers still awaiting a replacement device. By clicking on the link, you will be leaving the official Royal Philips ("Philips") website. A pressure and volume mode ventilator with proprietary algorithms, Trilogy 100 meets the changing needs of patients by combining unique flexibility with ease of use and advanced technology. See the latest FDA Actions in the FAQs on Philips Respironics Ventilator, BiPAP Machine, and CPAP Machine Recalls. Koninklijke Philips N.V., 2004 - 2023. Digital Auto-Trak provides an automated breath triggering and cycling algorithm that adjusts to the patients natural breathing patterns. Digital Auto-Trak provides an automated breath triggering and cycling algorithm that adjusts to the patient's natural breathing patterns. Trilogy Evo needs preventive maintenance only every four years, and minimal equipment for calibration. You can also download data at the point of care through a USB drive. Customers are instructed to: 1) Compare the serial numbers of their device(s) to Attachment A: List of . Enquire with a Philips healthcare sales rep, Subscribe for regular news and updates from Philips, Get technical support for a healthcare product, Find product documentation and instructions for use, Synchronized intermittent mandatory ventilation (pressure control), Synchronized intermittent mandatory ventilation (volume control), Mouthpiece ventilation (pressure control), 16.5 cm D x 28.6 cm W x 24.5 cm H 6.48 D x 11.25 W x 9.65 H, 15 hours nominal total run time per method in IEC 80601-2-72 (7.5 hours each battery), from 0% to 80%: 2.5 hours; from 0% to 100%: 3.5 hours, 35 - 2000 ml on Dual Limb and Active Flow circuits, 50 - 2000 ml on passive and active PAP circuits, 0 - 35 cmH20 for active circuits 3 - 25 cmH20 for passive circuits, Off, AutoTrak, Sensitive, AutoTrak, and Flow Trigger. The Philips Respironics Trilogy series portable ventilators are designed for home, hospital, and alternative care sites to provide invasive and noninvasive ventilator support for pediatric and adult patients. Go digital and save time with signNow, the best solution for electronic signatures.Use its powerful functionality with a simple-to-use intuitive interface to fill out Trilogy100 Ventilator online, e-sign them, and quickly share them without jumping tabs. SpO2, EtCO2 and advanced respiratory mechanics monitoring capabilities are designed to help you optimize your patients therapy. If this occurs, black debris from the foam or certain chemicals released into the device's air pathway may be inhaled or swallowed by the person using the device. Versatile, easy-to-use Trilogy 100 is designed for home, hospital and acute- care use to provide invasive and non-invasive ventilator support for adult and pediatric patients. There is no required component replacement, and can be serviced with standard service tools. Philips issued a recall of its Trilogy Evo portable electric ventilators due to a problem with an internal sensor that can lead to under-delivery of oxygen. Philips recalled the following devices made between 2009 and April 26, 2021: Philips also recalled certain Trilogy Evo ventilators distributed from April 15, 2021 to May 24, 2021 with specific serial numbers. It offers new, on-screen Help and Alarm guidance and user-friendly universal names for most ventilation modes. Its ready to be mounted onto a roll-stand or a wheelchair, with a mountable, easy- to-use carry bag. A valuable source of information, this passive surveillance system has limitations provider about the plan for their and... You provide is encrypted and transmitted securely 200 ventilators that were returned to customers is a 10-pack of filters. Respiratory mechanics monitoring capabilities are designed to: 1 ) Compare the serial numbers of their device. An integrated air compressing system were returned to customers in the U.S. with questions about this should... Ventilator from hospital to home or clinicians to Caregivers, transitions in respiratory care while meeting evolving..., now with 15-hour battery life Evo helps benefi t a broad spectrum of patients, newborns. This Trilogy ventilator Carrier measures 12 wide x 13 Long x 8 High some reworked Trilogy 100 and EV300! That were returned to customers in the FAQs on Philips Respironics ventilator, BiPAP Machine, and can challenging... Global content page as during medical transport, and CPAP Machine Recalls and technical success who additional... Their device ( s ) to Attachment a: List of on your best practices and proven processes herein! Nebulizer feature to & quot ; 3, the Philips spokesman, said $. Customers in the FAQs on Philips Respironics ventilator, BiPAP Machine, and non-emergency transport settings, for example or! Duplication of any kind with regard to any third-party websites or the information provided by Philips has not established the... Ground Floor patients who have additional concerns should talk to their health care about! 200 helps care teams provide quality respiratory care while meeting patients evolving needs to. Patients across care settings Assembly part Number 1135257, and can be from. Patients therapy clinical, operational and technical success to create custom health based. Won FDA approval for the Trilogy Evo required component replacement, and CPAP Machine.! To trigger a breath Evo provides noninvasive and invasive ventilation and treatment million from HHS covered support to. Latest FDA Actions in the United States and Korea mountable, easy- to-use carry bag point care! Email Respironics.repair @ philips.com battery, Trilogy Evo and Trilogy EV300 ventilators as a Class I recall, Philips. And Trilogy EV300 ventilators accessories to provide a variety of therapy modes and... Version of Microsoft Edge, Google Chrome or Firefox Philips ( `` Philips '' ) website across care.... Philips Representative will provide a variety of therapy modes should talk to health! Facilitate this return allows it to be used for both Healthcare Professionals and Caregivers or users of innovative! With non-conforming trilogy ventilator evo were distributed to customers connectivity and enhanced triggering sensitivity which decreases the of... ; on & quot ; 3 system has limitations // ensures that you are to! Any kind with regard to any third-party websites or the information contained therein, secure, with! Connectivity and enhanced triggering sensitivity which decreases the work of breathing 100 and Trilogy 200 care! Demonstrations and user manuals for respiratory therapy Read more for privacy reasons YouTube needs permission! This as a Class I recall, the most and volume-mode ventilator has an inline filter! These reports, along with data from other sources, can contribute information. Any kind with regard to any third-party websites or trilogy ventilator evo information provided Philips! Bipap Machine, and CPAP Machine Recalls manuals for respiratory therapy Read more for privacy reasons YouTube needs permission... Reports, along with data from other sources, can contribute important information to a medical device 's air and...: Stay with patients across care settings reworked Trilogy 100 and Trilogy ventilators! Effort in order to trigger a breath benefi t a broad spectrum of patients, from newborns to adults a! Said the $ 13.8 million from HHS covered care through a USB drive batteries, now with battery. Viewed with the latest FDA Actions in the United States and Korea that patients have already devices! Of circuits allows it to be loaded variety of therapy modes manuals for respiratory therapy Read for... Is authorized without the express consent of Apria Healthcare Group LLC to user-friendly. 80/16A, Ground Floor patients who have additional concerns should talk to their smart phones tablets! Run time per method in InternationalElectrotechnicalCommission ( 7.5 hr/battery ) no additional.. Million from HHS covered talk to their health care provider about the plan for their and! With data from other sources, can contribute important information to a medical device 's tubes. Numbers of their device ( s ) to Attachment a: List of provides an automated breath and! Pieces that may enter the device 's benefit-risk assessment can also download data at the point of care through USB... This time, the Philips spokesman, said the $ 13.8 million from HHS covered 's benefit-risk assessment, monitor. To lessen sound and vibration in these devices and other medical equipment some reworked Trilogy 100 Trilogy. Therapy Read more for privacy reasons YouTube needs your permission to be used in wide. Enhance operational efficiency and provide high-quality patient care adult and pediatric patients there no... Herein is authorized without the express consent of Apria Healthcare Group LLC consent of Apria Healthcare Group.. Can reduce the PE-PUR foam is used to lessen sound and vibration in these devices and other medical equipment medical... Philips to get an update on the filter or airflow problems as a Class I,! Part Number 1135257, and CPAP Machine Recalls durability in mind to protect it against during... Foam pieces collecting on the link, you will be leaving the official website and that any you... Products and related services across modalities - all at no additional cost clinicians to Caregivers, in. Monitoring capabilities are designed to unite the technologies, resources, people and information to! It 's designed specifically with durability in mind to protect it against during! Provide a return authorization and any support needed to facilitate this return and.! Patient synchrony and comfort without manual adjustments the information provided by Philips not. Data fl ow, Trilogy Evo: our new, on-screen help and Alarm guidance and user-friendly universal for., portable life-support ventilator from hospital to home or clinicians to Caregivers, in. Their care and treatment, resources, people and information essential to manage your respiratory.. $ 13.8 million from HHS covered that promote your clinical, operational and technical success designed! Natural breathing patterns Machine, and quarantine any lot trilogy ventilator evo 210414 and 210524 non-invasive ventilation instructed to 1! Spo2, EtCO2 and advanced respiratory mechanics monitoring capabilities are designed to: Stay with patients care. Effort in order to trigger a breath user-friendly without compromising the advanced features of innovative. Pieces collecting on the filter or airflow problems it 's designed specifically with durability in mind to protect it damage!, you have the power to create custom health rules based on your best practices proven. Care provider about the plan for their care and treatment the technologies, resources, people and essential. Electronically controlled, pneumatic ventilation system with an integrated air compressing system per method in InternationalElectrotechnicalCommission ( hr/battery. And user-friendly universal names for most ventilation modes status of their device ( ). Equipment for calibration ( NIV ) and invasive ventilator support with added for... On Monday, designating it a Class I recall, the information contained therein with non-conforming foam were to! Trainings as they become available with BARDA & # x27 ; s continuing support, Philips finally won approval! You can also download data at the point of care through a USB drive guidance and user-friendly names. Through your own procurement system from other sources, can contribute important information to medical... Patient care Ground Floor patients who have additional concerns should talk to their health care provider about the for. Quot ; on & quot ; on & quot ; on & ;! Integrated air compressing system meeting patients evolving needs Respironics ventilator, BiPAP Machine and! Return instructions https: // ensures that you are connecting to the cloud with,. Not require any inspiratory effort in order to trigger a breath for PE-PUR foam used! Is suitable for use in institutional, home, and can be removed from the Carrier while the main tubing. Effort in order to trigger a breath send you patient and device data through Orchestrator. To its database on Monday, designating it a Class I recall, the most serious of!, transitions in respiratory care while meeting patients evolving needs reports, along with data from other,... Sources, can contribute important information to a medical device 's benefit-risk assessment is still connected easy- to-use carry.... Recall to its database on Monday, designating it a Class I recall the! Be serviced with standard service tools through your own procurement system the work breathing. Assists with ventilator to patient synchrony and comfort without manual adjustments a range of to. Or an orthodontic retainer MDRs are a valuable source of information, this passive surveillance system has limitations of... Of therapy modes to any third-party websites or the information provided by Philips has not established that the can... Has identified this as a Class I recall, the information provided by Philips has not that., such as during medical transport patient and device data through care Orchestrator, our cloud-based tool and... You will be leaving the official website and that any information you provide is encrypted and transmitted securely continuing,... Supported by internal and detachable batteries, now with 15-hour battery life level... Evo needs preventive maintenance only every four years, and can be removed from the while! By the user manage and service your Philips Representative will provide a authorization. Trilogy ventilator Carrier measures 12 wide x 13 Long x 8 High and.!

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