{"id":8890,"date":"2026-01-19T15:05:52","date_gmt":"2026-01-19T15:05:52","guid":{"rendered":"https:\/\/kmslaser.com\/when-purchasing-a-shockwave-therapy-machine-how-should-i-verify-if-the-cooling-system-meets-the-standards\/"},"modified":"2026-01-19T15:05:52","modified_gmt":"2026-01-19T15:05:52","slug":"beim-kauf-eines-stoswellentherapiegerats-wie-uberprufe-ich-ob-das-kuhlsystem-den-standards-entspricht","status":"publish","type":"post","link":"https:\/\/kmslaser.com\/de\/when-purchasing-a-shockwave-therapy-machine-how-should-i-verify-if-the-cooling-system-meets-the-standards\/","title":{"rendered":"Beim Kauf eines Sto\u00dfwellentherapieger\u00e4ts, wie kann ich \u00fcberpr\u00fcfen, ob das K\u00fchlsystem den Standards entspricht?"},"content":{"rendered":"<p style=\"float: right; margin-left: 15px; margin-bottom: 15px;\">\n  <img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2026\/01\/v2-article-1768834975681-1.jpg\" alt=\"Laser therapy device in clinical setting (ID#1)\" class=\"top-image-square\">\n<\/p>\n<p>Nothing frustrates a clinic owner more than equipment failure during a busy day. We build our systems to prevent [prevent burns](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539716\/) <sup id=\"ref-1\"><a href=\"#footnote-1\" class=\"footnote-ref\">1<\/a><\/sup> the embarrassing downtime that occurs when cheap cooling components overheat and shut down mid-treatment.<\/p>\n<p><strong>Verifying cooling standards requires checking for IEC 60601 thermal safety reports and confirming the presence of active monitoring sensors. You must ensure the device maintains surface temperatures below 40\u00b0C and features automatic cool-down protocols to protect internal components during heavy clinical workloads.<\/strong><\/p>\n<p>To ensure your investment lasts, you must understand the specific operational limits of the cooling architecture.<\/p>\n<h2>How long can the shockwave machine run continuously without overheating?<\/h2>\n<p>Our engineering team tests runtimes rigorously because we know that unexpected pauses destroy patient trust. If a machine overheats after just ten minutes, it disrupts your revenue flow and damages your professional reputation.<\/p>\n<p><strong>Professional shockwave machines should run continuously for at least 20 to 30 minutes, or roughly 6,000 pulses, without triggering a thermal shutdown. This duration covers most complex treatments, ensuring the device handles high-volume patient turnover without forcing clinicians to wait for cool-down cycles.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2026\/01\/v2-article-1768834977046-2.jpg\" alt=\"Person inspecting LED light therapy device (ID#2)\" title=\"LED device inspection\"><\/p>\n<h3>Understanding Duty Cycles in Clinical Settings<\/h3>\n<p>When we design the thermal management for a new model, we simulate a &quot;busy clinic&quot; scenario. In a real-world setting, a therapist might treat three distinct areas on a patient\u2014such as the shoulder, lower back, and knee\u2014in a single session. This often requires 6,000 to 8,000 shocks delivered in rapid succession. If the cooling system is under-engineered, the device will hit its thermal limit halfway through the second area.<\/p>\n<p>The &quot;Duty Cycle&quot; is the ratio of operating time to resting time. A high-quality professional unit usually boasts a duty cycle that allows for continuous operation at typical clinical frequencies (e.g., 10Hz to 15Hz). Lower-end units often require a &quot;1:1&quot; ratio, meaning if you run the machine for 10 minutes, you must let it rest for 10 minutes. This is unacceptable for a profitable practice.<\/p>\n<h3>The Role of Smart Sensors<\/h3>\n<p>Reliability comes from intelligence inside the machine. We integrate Negative Temperature Coefficient (NTC) thermistors directly into the handpiece coils <a href=\"https:\/\/www.tdk-electronics.tdk.com\/en\/ntc-thermistors\">Negative Temperature Coefficient (NTC) thermistors<\/a> <sup id=\"ref-2\"><a href=\"#footnote-2\" class=\"footnote-ref\">2<\/a><\/sup> and the main power supply. These sensors provide real-time data to the central processor.<\/p>\n<p>If the coil temperature exceeds a critical threshold\u2014typically around 80\u00b0C\u2014the firmware should automatically trigger a &quot;Safety State.&quot; However, a superior system uses &quot;Thermal Throttling&quot; before shutting down. It might slightly reduce the frequency to maintain operation while the fans ramp up to maximum speed. This ensures the treatment continues without a hard stop, which is much better for the patient experience.<\/p>\n<h3>Critical Temperature Thresholds<\/h3>\n<p>You should ask your supplier for the specific trigger points of their safety mechanisms. Here is the standard we aim for in production to ensure safety without frequent interruptions:<\/p>\n<table>\n<thead>\n<tr>\n<th align=\"left\">Component<\/th>\n<th align=\"left\">Normal Operating Range<\/th>\n<th align=\"left\">Warning Threshold<\/th>\n<th align=\"left\">Shutdown Threshold<\/th>\n<th align=\"left\">Consequence of Overheating<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td align=\"left\"><strong>Handpiece Coil<\/strong><\/td>\n<td align=\"left\">30\u00b0C \u2013 60\u00b0C<\/td>\n<td align=\"left\">75\u00b0C<\/td>\n<td align=\"left\">&gt; 80\u00b0C<\/td>\n<td align=\"left\">Pulse generation stops; risk of insulation melting.<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Air Compressor<\/strong><\/td>\n<td align=\"left\">40\u00b0C \u2013 65\u00b0C<\/td>\n<td align=\"left\">70\u00b0C<\/td>\n<td align=\"left\">&gt; 75\u00b0C<\/td>\n<td align=\"left\">Pressure loss; inconsistent shock energy.<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Power Board<\/strong><\/td>\n<td align=\"left\">35\u00b0C \u2013 55\u00b0C<\/td>\n<td align=\"left\">80\u00b0C<\/td>\n<td align=\"left\">&gt; 85\u00b0C<\/td>\n<td align=\"left\">Total system shutdown to prevent capacitor failure.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Is an air-cooled or water-cooled system better for professional shockwave devices?<\/h2>\n<p>When we source components for our production lines, we constantly weigh the trade-offs between complexity and performance. Choosing the wrong cooling type can lead to loud, distracting noise or messy fluid leaks that ruin your workspace.<\/p>\n<p><strong>Water-cooled systems are generally better for high-power, focused shockwave devices used in busy clinics due to superior heat dissipation. However, air-cooled systems remain the standard for radial shockwave therapy because they are lighter, portable, and require significantly less maintenance than liquid-based alternatives.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2026\/01\/v2-article-1768834977563-3.jpg\" alt=\"Close-up of laser treatment on leg (ID#3)\" title=\"Laser treatment close-up\"><\/p>\n<h3>The Mechanics of Heat Dissipation<\/h3>\n<p>The choice between air and water cooling largely depends on the technology generating the shockwave.<\/p>\n<p><strong>Radial Shockwave (Ballistic):<\/strong><br \/>Most radial systems, like the blue and white units commonly seen in clinics, use a projectile accelerated by compressed air or an electromagnetic field. These generate heat primarily through friction and coil resistance. Here, <strong>Air Cooling<\/strong> is standard. We utilize high-speed Pulse Width Modulation (PWM) fans that pull air <a href=\"https:\/\/www.analog.com\/en\/resources\/technical-articles\/how-to-control-fan-speed.html\">Pulse Width Modulation (PWM) fans<\/a> <sup id=\"ref-3\"><a href=\"#footnote-3\" class=\"footnote-ref\">3<\/a><\/sup> over an aluminum heat sink surrounding the barrel.<\/p>\n<ul>\n<li><em>Pros:<\/em> No liquid to change, lighter handpiece, lower cost.<\/li>\n<li><em>Cons:<\/em> The fans can be noisy (often &gt;60dB), and the handpiece can get warm to the touch after 4,000 shots.<\/li>\n<\/ul>\n<p><strong>Focused Shockwave (Electromagnetic\/Piezoelectric):<\/strong><br \/>Focused waves require significantly higher energy density. The coils in these applicators generate immense heat rapidly. <strong>Water Cooling<\/strong> is essential here. A closed-loop circuit circulates chilled water or a coolant mixture through the handpiece and back to a radiator in the main unit.<\/p>\n<ul>\n<li><em>Pros:<\/em> extremely efficient; keeps the handpiece cold even during high-energy treatments; quieter operation at the handpiece.<\/li>\n<li><em>Cons:<\/em> Heavy, expensive, and risky. If a seal fails during shipping or use, water can damage the electronics. It also requires annual maintenance to flush the system.<\/li>\n<\/ul>\n<h3>Which One Fits Your Business Model?<\/h3>\n<p>If you are a mobile therapist traveling to patient homes, an air-cooled radial system is your only logical choice. The risk of water leaks during transport is too high with water-cooled units. However, for a stationary clinic treating chronic, deep-tissue conditions all day, a water-cooled focused unit offers the consistency needed for heavy workloads.<\/p>\n<h3>Comparative Analysis of Cooling Types<\/h3>\n<table>\n<thead>\n<tr>\n<th align=\"left\">Feature<\/th>\n<th align=\"left\">Air-Cooled System<\/th>\n<th align=\"left\">Water-Cooled System<\/th>\n<th align=\"left\">Hybrid \/ Oil-Cooled<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td align=\"left\"><strong>Best Application<\/strong><\/td>\n<td align=\"left\">Radial Shockwave (Physio\/Chiro)<\/td>\n<td align=\"left\">Focused Shockwave (Ortho\/Urology)<\/td>\n<td align=\"left\">High-End Radial<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Maintenance<\/strong><\/td>\n<td align=\"left\">Low (Clean dust filters monthly)<\/td>\n<td align=\"left\">High (Refill\/Flush coolant yearly)<\/td>\n<td align=\"left\">Medium (Sealed system)<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Noise Level<\/strong><\/td>\n<td align=\"left\">Moderate to High (Fan whir)<\/td>\n<td align=\"left\">Low (Pump hum)<\/td>\n<td align=\"left\">Low to Moderate<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Portability<\/strong><\/td>\n<td align=\"left\">Excellent<\/td>\n<td align=\"left\">Poor (Risk of leaks)<\/td>\n<td align=\"left\">Good<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Cost<\/strong><\/td>\n<td align=\"left\">$ &#8211; $$<\/td>\n<td align=\"left\">$$$ &#8211; $$$$<\/td>\n<td align=\"left\">$$ &#8211; $$$<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>What specific stress tests should I request to prove the cooling system&#39;s reliability?<\/h2>\n<p>We encourage buyers to look beyond the brochure and demand tangible proof of performance. Datasheets can be exaggerated, but a live stress test in the lab reveals the true capabilities of the machine immediately.<\/p>\n<p><strong>Request a maximum-energy stress test where the unit runs 2,000 to 3,000 pulses at top frequency. Demand real-time temperature readings of the applicator surface to prove it stays cool, and verify that the acoustic energy output remains consistent without fading due to heat stress.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2026\/01\/v2-article-1768834978054-4.jpg\" alt=\"Outdoor building with infographic icons overlay (ID#4)\" title=\"Infographic overlay\"><\/p>\n<h3>The &quot;8,000 Pulse&quot; Challenge<\/h3>\n<p>Do not settle for a 500-shot demo. When we perform quality assurance checks before shipping to the US, we run the &quot;8,000 Pulse Challenge.&quot; <a href=\"https:\/\/www.fda.gov\/medical-devices\/postmarket-requirements-devices\/quality-system-qs-regulationmedical-device-good-manufacturing-practices\">quality assurance checks<\/a> <sup id=\"ref-4\"><a href=\"#footnote-4\" class=\"footnote-ref\">4<\/a><\/sup> This simulates a very heavy treatment session.<\/p>\n<p>Ask your supplier to set the machine to:<\/p>\n<ul>\n<li><strong>Pressure\/Energy:<\/strong> Maximum (e.g., 5 Bar or 190mJ)<\/li>\n<li><strong>Frequency:<\/strong> High (e.g., 15 Hz or 20 Hz)<\/li>\n<li><strong>Duration:<\/strong> Continuous run until 8,000 shocks are delivered.<\/li>\n<\/ul>\n<p>During this test, observe the following:<\/p>\n<ol>\n<li><strong>Does the machine stop?<\/strong> It should not pause for cooling.<\/li>\n<li><strong>Does the sound change?<\/strong> A &quot;fading&quot; sound indicates the compressor or coil is losing power due to heat.<\/li>\n<li><strong>Is the handle holdable?<\/strong> The operator should not be shifting their grip due to heat.<\/li>\n<\/ol>\n<h3>Verifying Surface Temperature<\/h3>\n<p>The IEC 60601-1 standard dictates that parts applied to the patient <a href=\"https:\/\/www.iec.ch\/medical-equipment\/standards\">IEC 60601-1 standard dictates<\/a> <sup id=\"ref-5\"><a href=\"#footnote-5\" class=\"footnote-ref\">5<\/a><\/sup> (Applied Parts) must not exceed 43\u00b0C <a href=\"https:\/\/webstore.iec.ch\/publication\/2612\">IEC 60601-1 standard<\/a> <sup id=\"ref-6\"><a href=\"#footnote-6\" class=\"footnote-ref\">6<\/a><\/sup> (ideally &lt;40\u00b0C) to prevent burns.<\/p>\n<p>During the video demo, ask the supplier to use an infrared thermometer gun. Measure the metal cap of the applicator before the test and immediately after the 2,000 or 8,000 pulse run.<\/p>\n<ul>\n<li><strong>Pass:<\/strong> Temperature rises from room temp (22\u00b0C) to roughly 35\u00b0C.<\/li>\n<li><strong>Fail:<\/strong> Temperature exceeds 45\u00b0C. This indicates the internal heat sink is saturated and cannot move heat away fast enough.<\/li>\n<\/ul>\n<h3>The Thermal Recovery Rate<\/h3>\n<p>Another critical metric is how fast the machine recovers. After a heavy session, does it need 10 minutes to cool down, or is it ready in 60 seconds?<\/p>\n<p><strong>Test Protocol for Buyers:<\/strong><\/p>\n<ol>\n<li>Run the machine until the fan speed hits maximum.<\/li>\n<li>Stop the pulses but leave the machine on (standby).<\/li>\n<li>Time how long it takes for the internal temperature reading (if displayed) to drop back to baseline.<\/li>\n<li>A high-quality cooling system with efficient airflow should recover 10\u00b0C within 2 minutes. Poor ventilation designs will trap heat, taking 10+ minutes to recover.<\/li>\n<\/ol>\n<h2>How does the cooling mechanism affect the overall lifespan of the handpiece and main unit?<\/h2>\n<p>We analyze returned units to understand why they failed, and heat is consistently the primary killer of electronics. Efficient cooling isn&#8217;t just about comfort; it preserves the internal seals and circuit boards, protecting your financial investment.<\/p>\n<p><strong>The cooling mechanism directly dictates the longevity of the handpiece projectile and internal seals. Superior heat dissipation prevents thermal expansion from warping the barrel, potentially doubling the bullet&#8217;s lifespan from one million to two million shocks and protecting the main unit&#8217;s power board.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2026\/01\/v2-article-1768834978557-5.jpg\" alt=\"Workers handling laser devices on conveyor (ID#5)\" title=\"Laser device handling\"><\/p>\n<h3>Thermal Expansion and Mechanical Wear<\/h3>\n<p>In radial shockwave devices, a projectile moves back and forth inside a tube (barrel) at high speeds. <a href=\"https:\/\/en.wikipedia.org\/wiki\/Extracorporeal_shockwave_therapy\">radial shockwave devices<\/a> <sup id=\"ref-7\"><a href=\"#footnote-7\" class=\"footnote-ref\">7<\/a><\/sup> This creates friction. If the heat is not removed, two things happen:<\/p>\n<ol>\n<li><strong>The Barrel Expands:<\/strong> Even a microscopic expansion changes the tolerance between the projectile and the tube. This leads to air leakage and a drop in impact energy.<\/li>\n<li><strong>The Projectile Swells:<\/strong> The bullet itself gets hot. If it expands too much, it starts to scrape against the barrel wall, creating metal dust. This dust mixes with lubricant to form an abrasive paste that destroys the handpiece from the inside.<\/li>\n<\/ol>\n<p>Effective air cooling keeps these metal components within a stable temperature range, maintaining tight tolerances. <a href=\"https:\/\/www.sciencedirect.com\/topics\/engineering\/metallic-component\">metal components<\/a> <sup id=\"ref-8\"><a href=\"#footnote-8\" class=\"footnote-ref\">8<\/a><\/sup> In our testing, a well-cooled handpiece can last for 2 million to 4 million shocks. A poorly cooled one often seizes up or loses power after just 1 million shocks.<\/p>\n<h3>Protecting the Electronics<\/h3>\n<p>The heat doesn&#39;t stay in the handpiece; it travels up the cable to the main unit. The capacitors on the power supply board have a rated lifespan that decreases drastically as temperature rises.<\/p>\n<p>For every 10\u00b0C rise in operating temperature, the life of an electrolytic <a href=\"https:\/\/www.nichicon.co.jp\/english\/products\/lifetime\/\">life of an electrolytic capacitor<\/a> <sup id=\"ref-9\"><a href=\"#footnote-9\" class=\"footnote-ref\">9<\/a><\/sup> capacitor is roughly halved. <a href=\"https:\/\/en.wikipedia.org\/wiki\/Electrolytic_capacitor\">electrolytic capacitor<\/a> <sup id=\"ref-10\"><a href=\"#footnote-10\" class=\"footnote-ref\">10<\/a><\/sup> A machine with a &quot;Smart Fan&quot; system that actively monitors and cools the motherboard will likely last 5\u20137 years. A cheap unit with passive cooling (no fans or poor vents) may suffer a power board failure in 12\u201318 months.<\/p>\n<h3>Cost Analysis: Cooling vs. Spares<\/h3>\n<p>Investing in a machine with a superior cooling system saves money on consumables.<\/p>\n<table>\n<thead>\n<tr>\n<th align=\"left\">Component Affected<\/th>\n<th align=\"left\">Lifespan with Poor Cooling<\/th>\n<th align=\"left\">Lifespan with Good Cooling<\/th>\n<th align=\"left\">Estimated Replacement Cost<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td align=\"left\"><strong>Projectile\/Bullet<\/strong><\/td>\n<td align=\"left\">1 Million Shocks<\/td>\n<td align=\"left\">2+ Million Shocks<\/td>\n<td align=\"left\">$50 &#8211; $150 (Kit)<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Applicator Barrel<\/strong><\/td>\n<td align=\"left\">1 Million Shocks<\/td>\n<td align=\"left\">3+ Million Shocks<\/td>\n<td align=\"left\">$200 &#8211; $400<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>O-Rings\/Seals<\/strong><\/td>\n<td align=\"left\">2-3 Months<\/td>\n<td align=\"left\">6-12 Months<\/td>\n<td align=\"left\">$20 (Maintenance)<\/td>\n<\/tr>\n<tr>\n<td align=\"left\"><strong>Handpiece Total<\/strong><\/td>\n<td align=\"left\">Replace every year<\/td>\n<td align=\"left\">Replace every 2-3 years<\/td>\n<td align=\"left\">$800 &#8211; $1,500<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>By ensuring the cooling system meets high standards, you are essentially pre-paying for longevity and reducing the frequency of buying expensive replacement kits.<\/p>\n<h2>Conclusion<\/h2>\n<p>Verifying the cooling system is the single most effective way to predict the reliability of a shockwave machine. By demanding stress test data and checking for active thermal sensors, you ensure your clinic avoids costly downtime.<\/p>\n<h2>Footnotes<\/h2>\n<p><span id=\"footnote-1\"><br \/>\n1. Medical reference on skin temperature thresholds and thermal injury prevention. <a href=\"#ref-1\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-2\"><br \/>\n2. Technical details on the specific sensors used for thermal monitoring. <a href=\"#ref-2\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-3\"><br \/>\n3. Explains the technical mechanism for controlling fan speed and noise. <a href=\"#ref-3\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-4\"><br \/>\n4. Official FDA regulations for quality assurance in medical device manufacturing. <a href=\"#ref-4\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-5\"><br \/>\n5. Official international standard for medical electrical equipment safety. <a href=\"#ref-5\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-6\"><br \/>\n6. Official international standard for the safety and performance of medical electrical equipment. <a href=\"#ref-6\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-7\"><br \/>\n7. General background on the mechanics and types of shockwave therapy devices. <a href=\"#ref-7\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-8\"><br \/>\n8. Research on the thermal stability of metal components in mechanical systems. <a href=\"#ref-8\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-9\"><br \/>\n9. Manufacturer data confirming the impact of temperature on capacitor lifespan. <a href=\"#ref-9\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n<p><span id=\"footnote-10\"><br \/>\n10. Information on the construction and thermal sensitivity of electrolytic capacitors. <a href=\"#ref-10\" class=\"footnote-backref\">\u21a9\ufe0e<\/a><br \/>\n<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nothing frustrates a clinic owner more than equipment failure during a busy day. We build our systems to prevent [prevent burns](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539716\/) 1 the embarrassing downtime that occurs when cheap cooling components overheat and shut down mid-treatment. Verifying cooling standards requires checking for IEC 60601 thermal safety reports and confirming the presence of active monitoring sensors. 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We build our systems to prevent [prevent burns](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539716\/) 1 the embarrassing downtime that occurs when cheap cooling components overheat and shut down mid-treatment. Verifying cooling standards requires checking for IEC 60601 thermal safety reports and confirming the presence of active monitoring sensors. 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