Medtronic 97745 97745 User Manual part 3 of 6
Medtronic, Inc. 97745 part 3 of 6
Contents
User Manual part 3 of 6
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| Document ID | 1824482 |
| Application ID | hwr3GUQjMKdSe8WGCkNA1A== |
| Document Description | User Manual part 3 of 6 |
| Short Term Confidential | No |
| Permanent Confidential | No |
| Supercede | No |
| Document Type | User Manual |
| Display Format | Adobe Acrobat PDF - pdf |
| Filesize | 295.32kB (3691462 bits) |
| Date Submitted | 2012-10-26 00:00:00 |
| Date Available | 2013-04-24 00:00:00 |
| Creation Date | 2012-08-14 12:02:13 |
| Producing Software | Adobe PDF Library 7.0 |
| Document Lastmod | 2012-08-14 12:57:40 |
| Document Title | User Manual part 3 of 6 |
| Document Author: | whalej1 |
Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 5 Adjusting your stimulation M948515A001 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Introduction Various features are available for adjusting your stimulation. Each type or model of neurostimulator provides a unique set of stimulation features. Stimulation features Adjusting your stimulation 5 Using the basic neurostimulation features, you can adjust the intensity, pulse width, and rate settings for your stimulation. For complete information, see "Changing parameter and stimulation settings" on page 101. 96 For information about Single and Group mode, refer to "Programming modes" on page 100. For information about AdaptiveStim, refer to "Using AdaptiveStim" on page 117. Adjusting stimulation settings As your activities vary throughout the day, your therapy needs may change. The controller allows you to turn stimulation on and off, switch from one programmed stimulation option to English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 another, and adjust the intensity, pulse width, and rate of the stimulation. Talk to your clinician about the settings that apply to your therapy. Your clinician programs the available functions and specifies the settings you can adjust with your controller. Discuss this with your clinician. There is often more than one way to change stimulation settings. These instructions describe the most common ways. To receive the most effective therapy, some days you may need to adjust your stimulation several times; other days you may not need to adjust it at all. Your clinician will provide complete guidelines about when you may want to adjust your stimulation. Table 5.1 provides general guidelines for adjusting your stimulation. For additional adjustment guidelines, refer to the sections on 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Note: When a stimulation setting is changed, you will see the change when accessing a Pain area through the Home screen. 97 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 the specific features associated with your neurostimulator. Table 5.1 General stimulation adjustment guidelines Situation Stimulation is too strong Action Decrease intensities or pulse width(s). Stimulation is not strong enough Increase intensities or pulse width(s). Stimulation covers too much area Decrease intensities or pulse width(s) or change to a different program or group. Adjusting your stimulation 5 Stimulation does not cover Increase intensities or pulse painful area width(s) or change to a different program or group. 98 The pulses (tapping sensations) feel too slow Increase rate. The pulses (tapping sensations) feel too fast Decrease rate. English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Table 5.1 General stimulation adjustment guidelines (continued) Situation You have unexpected changes in stimulation Action 1. Turn off the neurostimulator. 2. Decrease intensities, turn on the neurostimulator, adjust parameters, and slowly increase intensities to the desired level. or You have tried adjusting Contact your clinician. stimulation but are unable to find an effective setting. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Change to a different program or group and turn on the neurostimulator. 99 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Table 5.1 General stimulation adjustment guidelines (continued) Situation Action You will be passing through a theft detector or security device Before engaging in these activities, consult "Appendix You will be using A: Electromagnetic potentially dangerous interference (EMI)" on equipment page 225 for details. You will be having a medical procedure Adjusting your stimulation 5 Programming modes Your clinician will choose one of two programming modes, Single or Group mode in order to best meet your stimulation needs. • Single mode–This programming mode allows you to adjust stimulation settings for individual pain areas. • Group mode–This programming mode allows you to adjust stimulation settings for a group of pain areas. 100 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 The programming mode selected by your clinician determines what is displayed on the Home screen (Figure 5.1). Group mode Figure 5.1 Programming modes displayed on the Home screen. Changing parameter and stimulation settings The Home screen displays the Pain areas that your clinician has programmed for stimulation (Figure 5.2). You may be able to adjust certain parameters and stimulation settings set up by your clinician. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Single mode 101 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Pain area buttons Single mode Group mode Adjusting your stimulation 5 Figure 5.2 Pain area buttons on the Home screen. Note: If you have only 1 pain area and no additional parameter or stimulation settings, you may not be able to access pain area settings through the Home screen. After pressing a Pain area button on the Home screen, the Pain area will display the available settings (Figure 5.3). 102 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Exit button Settings Down button Figure 5.3 Pain area settings. Note: Some settings may not be available depending on what your clinician has programmed for your neurostimulator. Table 5.2 Parameter and stimulation settings Button Description Intensity—Controls the strength of the stimulation. Refer to "Increasing or decreasing a parameter (intensity, pulse width, or rate)" on page 106. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Refer to Table 5.2 for a description of parameter and stimulation settings and where to find information for those settings. 103 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Table 5.2 Parameter and stimulation settings (continued) Button Description Stimulation—On or off setting for stimulation. Refer to "Turning stimulation on or off for individual pain areas" on page 110. Rate—Sets the speed of the stimulation pulses. Refer to "Increasing or decreasing a parameter (intensity, pulse width, or rate)" on page 106. AdaptiveStim—Turns AdaptiveStim on or off. This feature is only available for the implanted neurostimulator. Adjusting your stimulation 5 Refer to "Turning AdaptiveStim on or off" on page 124. Pulse width—Sets the length of the stimulation pulse. It affects the strength and coverage area of the stimulation. Refer to "Increasing or decreasing a parameter (intensity, pulse width, or rate)" on page 106. 104 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Table 5.2 Parameter and stimulation settings (continued) Button Description Cycling—Turns stimulation on and off at preset times as programmed by your clinician. Refer to "Turning cycling on or off" on page 112. Note: If your neurostimulator is using Group mode, the Program setting is not available. Refer to "Viewing and changing a group" on page 115. Up/Down buttons— Press to view additional parameter and stimulation settings for a pain area. These buttons may not appear depending on how your clinician has programmed your neurostimulator. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Program—A custom combination of stimulation settings programmed by your clinician. Refer to "Changing a program for individual pain areas" on page 114. 105 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Increasing or decreasing a parameter (intensity, pulse width, or rate) Complete the following steps to adjust a parameter. Notes: • To increase a parameter, the neurostimulator must be on. • To decrease a parameter, the neurostimulator may be on or off. Adjusting your stimulation 5 1. Press the Pain area button on the Home screen for the pain area you want to adjust. 2. Select the parameter setting button that you want to change. If applicable, use the Up/Down buttons to view additional parameter settings. Buttons that may be available include: – Intensity ( ) – Pulse width ( ) – Rate ( ) 106 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Notes: – You may not see every parameter setting displayed on your controller. Only the parameter settings that were set up by your clinician will appear on the controller screen. – Adjusting the Rate for 1 pain area will affect the rate of all other pain areas. 3. Press the Increase/Decrease key to adjust parameter settings. – Press and release the Increase/ Decrease key to slowly increase or decrease parameter settings. key to quickly increase or decrease parameter settings. 4. Press the Exit ( ) button at the top right corner of the touchscreen to exit. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 – Press and hold the Increase/Decrease 107 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Adjusting intensity for all pain areas together If your clinician has enabled the option to adjust intensity for all pain areas together, then you can quickly increase or decrease intensity on the Home screen. Discuss this option with your clinician. Notes: • To increase intensity for all pain areas together, the neurostimulator must be on. • To decrease intensity for all pain areas Adjusting your stimulation 5 together, the neurostimulator may be on or off. 1. From the Home screen, press the Increase/Decrease key to adjust your stimulation intensity (Figure 5.4). 108 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 – All pain areas will change at the same time when you press the Increase/ Decrease key. – The names of the pain areas will be replaced with the intensity values when you press the Increase/Decrease key. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Figure 5.4 Pressing the Increase/Decrease key. 109 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 – Press and release the Increase/ Decrease key to slowly increase or decrease the intensity setting. – Press and hold the Increase/Decrease key to quickly increase or decrease the intensity setting. 2. When you are finished adjusting intensity, press the Lock ( ) button to lock the controller. Turning stimulation on or off for individual pain areas Adjusting your stimulation 5 You can turn stimulation on or off at any time. Follow these steps to turn your stimulation on or off for individual pain areas. To turn stimulation on or off for all pain areas, refer to "Turning your stimulation on or off" on page 70. 1. If you are using Single mode, press the Pain area stimulation on/off button on the Home screen (Figure 5.5). 110 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Battery status button Lock button Menu button Pain area stimulation on/off buttons Pain area buttons Figure 5.5 Pain area stimulation on/off button on the Home screen. 3. Press the Pain area button on the Home screen for the pain area you want to adjust. 4. Press the Stimulation ( ) button. The Stimulation screen is shown (Figure 5.6). 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 2. Or, refer to steps 3–5. 111 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Figure 5.6 Stimulation screen. Adjusting your stimulation 5 5. Press the On or Off button to turn stimulation on or off for the selected pain area. 6. Press the Exit ( ) button at the top right corner of the touchscreen to exit. Turning cycling on or off 1. Press the Pain area button on the Home screen for the pain area you want to adjust. 2. If applicable, use the Up/Down buttons to view additional stimulation settings. 112 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 3. Press the Cycling ( ) button. The Cycling screen is shown (Figure 5.7). Figure 5.7 Cycling screen. Note: When you turn off cycling for one pain area, it will be off for all pain areas. 5. Press the Exit ( ) button at the top right corner of the touchscreen to exit. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 4. Press the On or Off button to turn cycling on or off. 113 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Changing a program for individual pain areas 1. Press the Pain area button on the Home screen for the pain area you want to adjust. 2. If applicable, use the Up/Down buttons to view additional stimulation settings. Adjusting your stimulation 5 3. Press the Program ( ) button. The Program screen is shown (Figure 5.8). Figure 5.8 Program screen. 4. Press the 1, 2, or 3 button for the program you want to select. 114 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 5. Press the Exit ( ) button at the top right corner of the touchscreen to exit. Viewing and changing a group If your clinician has programmed your neurostimulator to use Group mode, you may be able to adjust your stimulation settings by selecting a different group from the Home screen. Up to 3 different groups may be available. Groups are viewed by the letters: A, B, and C. Complete the following steps to change to a new group. To turn stimulation on or off for a group, refer to "Turning your stimulation on or off" on page 70. 1. Press the Group button on the Home screen (Figure 5.9). 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Your clinician will explain how your groups are set up to deliver stimulation and when you may want to change groups. 115 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Group button Figure 5.9 Home screen (group A shown). Adjusting your stimulation 5 2. Using the touchscreen or the Increase/ Decrease key, select the circle next to the desired group. (Figure 5.10). Figure 5.10 Which group? screen. 116 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 3. Press the OK button. The Home screen will display showing the selected group (Figure 5.11). Figure 5.11 Home screen (group B shown). If your clinician has programmed the AdaptiveStim feature, and AdaptiveStim is turned on, the implanted neurostimulator can automatically sense your body position and adjust the intensity of the stimulation based on your body position. Your clinician may program a maximum intensity setting based on your stimulation needs. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Using AdaptiveStim 117 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Note: AdaptiveStim must be turned on to view or change AdaptiveStim settings. Refer to "Turning AdaptiveStim on or off" on page 124 to confirm that AdaptiveStim is turned on. When you are adjusting your settings for a specific position, you may need to make sure that your body is in the desired position before you make the adjustments. Discuss AdaptiveStim adjustment settings with your clinician. • As you make adjustments to the intensity setting, the new setting is recorded for that position. Adjusting your stimulation 5 • You may need to stay in this position for up to 5 minutes before the new intensity is recorded. Your clinician can adjust this length of time, confirm the length of time with your clinician. • The next time you return to this position, the stimulation intensity automatically changes to the recorded setting. For example, if you want to decrease the intensity of your stimulation when you are lying 118 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Note: When the AdaptiveStim setting is turned on, the intensity of the stimulation may not change immediately when you change positions. This delay is intentional and keeps the neurostimulator from making unnecessary adjustments based on temporary changes in your position. Your clinician can adjust the length of this delay. AdaptiveStim groups and positions Your clinician can program specific intensities for each of 7 positions or your clinician can program AdaptiveStim to adapt the intensity settings based on the adjustments you make to your stimulation while in one of the positions. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 down on your back and your clinician has programmed AdaptiveStim settings so that you must be in the desired position before making adjustments, first turn off stimulation. Then get into the position, use the controller to adjust intensity to 0.0. Next, turn on stimulation and then slowly increase intensity to the desired setting for that position. Be sure to discuss your AdaptiveStim settings with your clinician. 119 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Refer to Table 5.3 for an overview of the 7 different positions recognized by AdaptiveStim. Table 5.3 Positions recognized by AdaptiveStim Position graphic Description Lying Back Lying Front Lying Left Lying Right Adjusting your stimulation 5 Standing Mobile 120 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Table 5.3 Positions recognized by AdaptiveStim (continued) Position graphic Description Reclining Unrecognized position Checking your body position 1. Press the Menu ( screen. ) button on the Home 2. Select the Check Position button. The Check Position screen is shown and will display your current position and program intensities (Figure 5.12). 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 If you want to check to make sure that the neurostimulator recognizes your body position, use the Check Position feature. 121 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Figure 5.12 Check Position screen (lying back position shown). Adjusting your stimulation 5 Note: If the Check Position button is not available, check to make sure AdaptiveStim is turned on. Refer to "Turning AdaptiveStim on or off" on page 124. 3. To check a different position, move your body into the next position. 4. Press the Recheck button. The Check Position screen is shown and will display your new position and program intensities (Figure 5.13). 122 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Note: If your new position is not displayed, press the Recheck button again. It may require up to 1 minute to recognize a Mobile position. If you are still having problems with this feature, contact your clinician. 5. Press the OK button to return to the Menu screen. 6. Press the Exit ( ) button to return to the Home screen. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 Figure 5.13 Check Position screen (standing position shown). 123 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Turning AdaptiveStim on or off 1. Press the Pain area button on the Home screen for the pain area you want to adjust. 2. If applicable, use the Up/Down buttons to view additional stimulation settings. Adjusting your stimulation 5 3. Press the AdaptiveStim ( ) button. The AdaptiveStim screen is shown (Figure 5.14). Figure 5.14 AdaptiveStim screen. 4. Press the On or Off button to turn AdaptiveStim on or off. 124 English M948515A001 97745 2013-04 Rev X 2013-04 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Note: When you turn off AdaptiveStim for one pain area, it will be off for all pain areas. 5. Press the Exit ( ) button at the top right corner of the touchscreen to exit. Making adjustments to AdaptiveStim Even with AdaptiveStim enabled, you may need to make adjustments to your stimulation. Table 5.4 provides general guidelines for adjusting your stimulation when using AdaptiveStim. 97745 M948515A001 Rev X 2013-04 2013-04 English Adjusting your stimulation 5 If you make an adjustment to your stimulation and want to have that adjustment remembered for your current position, you may have to stay in your current position for up to 5 minutes. Your clinician can adjust this length of time, confirm the length of time with your clinician. 125 Filename Date Time UC200xxxxxx EN 4.625″ x 6.0″ inches (117 mm x 152 mm) Medtronic Confidential PPManual.xsl - PatientProgrammerTemplate.fm Version: 05-01-2012 Adjusting your stimulation 5 Table 5.4 AdaptiveStim adjustment guidelines Situation AdaptiveStim stimulation for a specific position is uncomfortable. Action While in the applicable position, decrease intensities and remain in that position for the duration programmed by your clinician. You are unable to adjust AdaptiveStim stimulation while in a specific position. Make the desired stimulation adjustment, then get in the desired position within the time programmed by your clinician and stay there for the duration programmed by your clinician. Stimulation becomes Turn AdaptiveStim off. uncomfortable while riding in a car or another type of transportation. Stimulation becomes Turn AdaptiveStim off. uncomfortable while moving in an elevator, escalator, etc. You want AdaptiveStim to Adjust your intensity to 0.0 turn your therapy off when in to turn your therapy off a certain position. instead of turning the neurostimulator off. 126 English M948515A001 97745 2013-04 Rev X 2013-04
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