NCB Large Fragment System Surgical Technique
2016-04-01
: Pdf Ncb Large Fragment System Surgical Technique NCB_Large_Fragment_System_Surgical_Technique 4 2016 pdf
Open the PDF directly: View PDF
.
Page Count: 32
| Download | |
| Open PDF In Browser | View PDF |
NCB® Large Fragment System Surgical Technique 3 NCB® Large Fragment System – Surgical Technique Table of Contents Introduction 4 System Features 7 Indications and Contraindications 10 NCB Large Fragment Plate Positioning and Screw Fixation 10 NCB Screw Insertion 12 NCB Curved Femur Shaft Plate – Surgical Technique 14 NCB Straight Narrow Shaft Plate – Surgical Technique 19 Tips and Tricks for the NCB Large Fragment System 24 Post-Operative Treatment 25 Implant Removal 25 Product Information – Implants 26 Product Information – Instruments 29 Planning Aid 31 4 NCB® Large Fragment System – Surgical Technique Introduction The NCB (Non-Contact Bridging) Large Fragment System is a line of polyaxial locking plates for the treatment of femur, tibia and humerus shaft fractures. It consists of a Curved Femur Shaft plate and a Straight Narrow Shaft plate. The NCB Curved Femur Shaft plate is also included in the NCB Periprosthetic Femur Polyaxial Locking Plate System. NCB Curved Femur Shaft Plate NCB Straight Narrow Shaft Plate 5 NCB® Large Fragment System – Surgical Technique The NCB System Technology allows for polyaxial screw placement (30° cone) with screw locking achieved through the use of locking caps that are threaded into the plate holes. The locking construct allows for improved stability especially in osteopenic bone. Before locking, the screws can act as lag screws and be used for fracture reduction; a benefit which is not offered with standard locking systems. In the locked mode, the NCB Large Fragment Plate acts as an internal fixator without contact between the plate and the bone surface, which may reduce the risk of periosteal blood supply impairment. This Non-Contact Bridging concept can also be controlled specifically through the use of 1, 2, or 3mm spacers, which are threaded into the plate holes prior to plate insertion. 30° NCB 30° Cone Polyaxiality Non contact Angular stability with the NCB Locking Caps Locking cap ∅ 8mm Blind screw insert NCB Non-Contact Bridging Spacer 1 to 3 mm 6 NCB® Large Fragment System – Surgical Technique The surgical technique is based on wellknown standard plate osteosynthesis techniques, which give the surgeon tactile feedback regarding bone quality during drilling and tightening of the screws. In addition, with the use of locking caps the screws can be locked and made angularly stable. The NCB Large Fragment System allows for extensive flexibility in the treatment of simple shaft fractures including periprosthetic fractures in the shaft. The polyaxial NCB Plate technology, may allow for bicortical screw fixation around the stem of the implanted prosthesis. In this way, the surgeon can achieve better construct stability than with cables with less damage to the soft tissue. And because of the Non-Contact Bridging concept, the risk to the periosteal blood supply may be reduced. Bicortical screw anchorage (with or without IM device inside) with NCB Screws Additionally, fixation using cables and cable buttons is possible for those cases where bicortical screw fixation cannot be achieved. Both techniques (locking screws and cables) may also be combined. Blunt tip unicortical NCB Screws are also available, creating a system which offers comprehensive solutions for these difficult fractures. Fixation using uni- and bicortical screws, as well as cables and cable buttons 7 NCB® Large Fragment System – Surgical Technique System Features NCB Curved Femur Shaft Plate and NCB Straight Narrow Shaft Plate Symmetric Design One plate for left and right long bones due to symmetric design. The NCB Straight Narrow Shaft Plate can either be used for the tibia or humerus. Whereas the NCB Curved Femur Shaft Plate is specifically designed for the femur. Articulated Tension Device Hole Compression Slots Two compression slots allow 1mm of compression each. K-Wire Holes Compression Slots K-Wire Holes Two k-wire holes at each end of the plate allow easier preliminary plate fixation. Articulated Tension Device Holes (only NCB Curved Femur Shaft Plate) One hole at each end of the plate allows for connection of the Articulated Tension Device to achieve additional compression, if needed. Screw Options Broad Screw Options Three different NCB Screw types are offered with the NCB Large Fragment System, to allow both bicortical and unicortical fixation. Articulated Tension Device Hole Broad Screw Options ∅ mm Description 5 NCB Screws 5 NCB Unicortical Screws 4 NCB Screws 3.5 Cortical Screws 3.5mm cortical screws are included for additional fixation outside the NCB Plates. Specific Instruments for Periprosthetic Fractures Slightly oversized drill bits and drill guides are offered with the NCB Large Fragment System, to reduce the risk of cracks in the cement mantle when placing screws around a cemented prosthesis. NCB Instruments for overdrilling into cement 8 NCB® Large Fragment System – Surgical Technique NCB Bone Spacers (Optional) Use at least two bone spacers in the diaphyseal area of all NCB Plates, to avoid contact of the plate with the bone surface reducing the risk of periosteal blood supply impairment. Two NCB Bone Spacers used in the diaphyseal area of a NCB Plate, to avoid contact of the plate with the bone (Non Contact Bridging) The spacers may also be used if the fracture has been reduced using a cable, to avoid contact between the plate and the cable. The spacers are available in 1mm, 2mm and 3mm (REF 02.03150.311 to 313) sizes. Spacer 1 to 3 mm Note: Insert the bone spacers into the NCB Plate or Screw holes before plate insertion. The spacers are single use only, and they can be removed after locking the screws. NCB Blind Screw Inserts (Optional) To prevent bone ingrowth into empty NCB Screw holes, use the NCB Blind Screw inserts (REF 02.03150.310). NCB Blind Screws inserted in a NCB Plate to prevent bone ingrowth Note: Hand tighten only. Blind screw insert 9 NCB® Large Fragment System – Surgical Technique Cable Fixation Options The following products from the Zimmer® Cable-Ready® Cable Grip System are compatible with the NCB Large Fragment System: NCB Locking Plate Cable Button, 2.5mm, Hex Drive Hex Button, 3.5mm Cable Assembly Cerclage, 1.8mm • Sterile • Material: Ti-6Al-4V (Tivanium® Alloy) • Sterile • Material: C.P. Titanium • Sterile • Material: CoCr REF 00-2232-002-35 REF 00-2232-002-28 REF 00-2232-004-18 REF 47-2232-060-01 Application This Cable Button is threaded directly into the NCB Plate to provide a positioning point for the Cable Cable Fixation Options Application This Hex Button fits into the standard hex in the screw head (3.5mm hex). Therefore, it can be inserted into the NCB Screw head, or into the NCB Locking Cap Cable Fixation with Cable Button Cable Fixation with Hex Button 10 NCB® Large Fragment System – Surgical Technique Indications and Contraindications Indications The NCB Periprosthetic Femur Polyaxial Locking Plate System is indicated for temporary internal fixation and stabilization of fractures and osteotomies of long bones, including: • Periprosthetic fractures • Comminuted fractures • Supracondylar fractures • Fractures in osteopenic bone • Nonunions • Malunions Contraindications The NCB Straight Narrow Shaft Plate is indicated for temporary internal fixation and stabilization of humeral and tibial shaft fractures and osteotomies, including: • Periprosthetic fractures • Comminuted fractures • Fractures in osteopenic bone • Nonunions • Malunions • All concomitant diseases that may impair the fixation of the implant and/ or the success of the intervention • Lack of bone substance or poor bone quality which makes stable seating of the implant impossible • Acute or chronic, local or systemic infections • Allergy to the implanted materials • Severe muscular, neural or vascular diseases that endanger the extremities involved • Loose prosthesis, which requires immediate revision. NCB Large Fragment Plate Positioning and Screw Fixation Recommended Plate Positioning • Ensure that the length of the NCB Curved Femur Shaft Plate or NCB Straight Narrow Shaft Plate allows for screw placement proximal and distal of the fracture zone and if present around the existing prosthesis. 11 NCB® Large Fragment System – Surgical Technique Recommended NCB Screw Fixation The NCB Large Fragment System offers three different types of polyaxial locking screws, two of them are designed for bicortical purchase, and one of them is designed for unicortical purchase. Recommended NCB Screw usage for NCB Curved Femur Shaft Plate: • Wherever possible, use 5.0mm bicortical NCB Screws. • In periprosthetic fractures use two bicortical 5.0mm NCB Screws close to the fracture on each side of the fracture. • For thin cortical bone near the prosthesis, the 4.0mm NCB Screws may be used. NCB Screws – Bicortical Screw Type Recommended NCB Screw usage for NCB Straight Narrow Shaft Plate: • Use 4.0mm bicortical NCB Screws wherever possible. Unicortical Cortical 5mm Cortical 4mm Cortical Blunt Tip Cortical 3.5mm 5mm 4mm 5mm 3.5mm Core ∅ 4.4mm 3.4mm 4.4mm 2.4mm Length 22–85mm 20–70mm 10–20mm 20–40mm 02.03150.0xx 02.02150.0xx 02.03155.0xx 02.02155.0xx 02.03151.0xx 02.02151.0xx 00-4935-0xx-01 47-4935-0xx-01 Close to the fracture area, in the shaft area, or in case of a periprosthetic fracture where there is no risk of hitting the prosthesis In tibia or humerus bone and in case of a periprosthetic fracture away from the fracture area to achieve bicortical fixation around the prosthesis For use when bicortical fixation cannot be achieved Fixation of additional bone fragments Warning If only unicortical screws are used, the use of cables is required Note: These screws can be placed only outside of the NCB Plates 4.3 / 4.5mm 3.3 / 3.5mm 4.3 / 4.5mm 2.5 / 3.5mm Drill Bit REF 02.00024.002 02.00024.330 02.00024.118 02.00024.325 02.00024.002 02.00024.330 00-4806-110-25 00-4806-110-35 Tap REF 02.00024.341 02.00024.340 02.00024.341 00-4811-110-35 Drill Guide REF 02.00024.011 02.00024.331 02.00024.111 02.00024.326 02.00024.011 02.00024.331 00-4808-035-01 Outer ∅ REF REF Sterile Application Drill Bit ∅ NCB Screw portfolio for the NCB Large Fragment System 12 NCB® Large Fragment System – Surgical Technique NCB Screw Insertion For All Types of NCB Screws and NCB Locking Caps • Take care to avoid collision of the screws by choosing the appropriate plate holes and screw lengths. • Press the NCB Drill Guide into the plate hole perpendicular to the plate and then tilt it in the preferred direction. The drill guide needs to be in constant contact with the bottom ring of the hole. The guide limits the angulation to 15° from the perpendicular axis of the plate or a cone of 30° for placing a locked NCB Screw. Always use the drill guide since it prevents selection of an excessive screw angle and failure of subsequent locking. • Screws may be inserted under power but should be final tightened by hand only. Note: Screws should not be locked until both sides of the fragment have been fixed. • Lock the construct, insert and tighten the NCB Locking Caps (REF 02.03150.300) by using the NCB Torque Limiting Screwdriver, 6Nm (REF 02.00024.021) until a click sound is heard. Make sure the screwdriver is not tilted during its usage. If the driver is tilted, it could damage the hex drive and might complicate the extraction of the implants. NCB Screw ∅ 5.0mm NCB Unicortical Screw ∅ 5.0mm 1. To insert a 5.0mm NCB Screw (REF 02.03150.xxx) use the 4.3mm NCB Drill Guide (REF 02.00024.011) and drill with the 4.3mm drill bit (REF 02.00024.002). 1. To insert a 5.0mm NCB Unicortical Screw (REF 02.03151.0xx) use the 4.3mm NCB Drill Guide (REF 02.00024.011) and drill with the 4.3mm drill bit (REF 02.00024.002). In case of hard cortical bone or the presence of a cement mantle, tap the cortex with the 5.0mm NCB Tap (REF 02.00024.341). Remove the 4.3mm NCB Drill Guide before using the NCB Tap. In case of hard cortical bone or the presence of cement mantle, tap the cortex with the 5.0mm NCB Tap (REF 02.00024.341). Remove the 4.3mm NCB Drill Guide before using the NCB Tap. Note: Inserting screws in the presence of a cement mantle can cause cracks, which may cause loosening of the prosthesis. Overdrilling by using a drill bit of a slightly larger diameter (0.2mm) may reduce cracking in the cement mantle during screw insertion. Instead of the 4.3mm drill bit, use the 4.5mm drill bit (REF 02.00024.330) and its corresponding drill guide (REF 02.00024.331).1 Note: Inserting screws in the presence of a cement mantle can cause cracks, which may cause loosening of the prosthesis. Overdrilling by using a drill bit of a slightly larger diameter (0.2mm) may reduce cracking in the cement mantle during screw insertion. Instead of the 4.3mm drill bit, use the 4.5mm drill bit (REF 02.00024.330) and its corresponding drill guide (REF 02.00024.331).1 2. Use the NCB Measuring Device (REF 02.00024.005) to determine the appropriate screw length and insert the NCB Screw using the NCB Hexagonal Screwdriver (REF 02.00024.023) or screwdriver shaft (REF 02.00024.024). 2. Use the NCB Measuring Device (REF 02.00024.005) to determine the appropriate screw length and insert the NCB Unicortical Screw using the NCB Hexagonal Screwdriver (REF 02.00024.023). 3. To lock the construct, insert the NCB Locking Caps (REF 02.03150.300) as described at the beginning of this section. Note: When using the NCB Measuring Device to measure the length of the NCB Unicortical Screw needed, the device will not hook the far cortex of the bone. Use the screw length measured. Do not use a longer screw. Note: If using the NCB Straight Narrow Shaft Plate for humerus shaft fractures the use of NCB Torque Limiting Screwdriver 4Nm (REF 02.00024.022) is also acceptable. • In case of periprosthetic fractures do not hit the prosthesis with the tip of the drill, tap or screw. 1 J. Kampshoff et al.: The treatment of periprosthetic fractures with locking plates: effect of drill and screw type on cement mantles: a biomechanical analysis, Archives of Orthopedic and Trauma Surgery, Springer, March 2009. 3. To lock the construct, insert the NCB Locking Caps (REF 02.03150.300) as described at the beginning of this section. NCB® Large Fragment System – Surgical Technique NCB Screw ∅ 4.0mm 1. To insert a 4.0mm NCB Screw (REF 02.03155.0xx) use the 3.3mm NCB Drill Guide (REF 02.00024.111) and drill with the 3.3mm drill bit (REF 02.00024.118). In case of hard cortical bone or the presence of the cement mantle, tap the cortex with the 4.0mm NCB Tap (REF 02.00024.340). Remove the 3.3mm NCB Drill Guide before using the NCB Tap. Note: Inserting screws in the presence of a cement mantle can cause cracks, which may cause loosening of the prosthesis. Overdrilling by using a drill bit of a slightly larger diameter (0.2mm) may reduce cracking in the cement mantle during screw insertion. Instead of the 3.3mm drill bit, use the 3.5mm drill bit (REF 02.00024.325) and its corresponding drill guide (REF 02.00024.326).1 2. Use the NCB Measuring Device (REF 02.00024.005) to determine the appropriate screw length and insert the NCB Screw using the NCB Hexagonal Screwdriver (REF 02.00024.023) or screwdriver shaft (REF 02.00024.024). 3. To lock the construct, insert the NCB Locking Caps (REF 02.03150.300) as described at the beginning of this section. 1 J. Kampshoff et al.: The treatment of periprosthetic fractures with locking plates: effect of drill and screw type on cement mantles: a biomechanical analysis, Archives of Orthopedic and Trauma Surgery, Springer, March 2009. 13 14 NCB® Large Fragment System – Surgical Technique NCB Curved Femur Shaft Plate – Surgical Technique Preoperative Planning and Patient Positioning Preoperative Planning Preoperative planning with adequate x-rays and x-ray templates for the NCB Curved Femur Shaft Plate (Lit 06.02026.000) is strongly recommended. Patient Positioning Lay the patient in the lateral position or the supine position on a radiolucent table. Support the knee, but allow the leg to move freely. Perform the reduction as necessary. This allows determination of the proper plate length, and the appropriate type and position of screws, particularly in the presence of prosthesis to prevent any interference with the stem. 35 cm 5 cm NCB Scre w Poly axiality 10 cm 30° 15 cm NCB Scre w 30 cm 14 hole s 5 mm 12 hole s 10 hole s 25 cm 20 cm Determine which prosthesis has been implanted by studying the x-rays, or using the previous surgeon’s operative notes to be prepared in case of revision, and assess the stability of the prosthesis. If the prosthesis is loose, the surgical plan may change to include revision. 15 cm 10 cm 5 cm 10 hole s 12 hole s Magnific 1.15:1 ation NCB ® Lit. No. Curved Fem 26.000 060202 – Ed. 60001/ 5/2010 $10050 WL 1E10K 14 hole s 5 cm ur Shaf 06.020 +H844 t Plate 10 cm © 2010. All rights Zimme reserve r GmbH, Switzer CH-840 d. land 4 Wintert 15 cm hur, 0086 Patient in the lateral position If intra-op fluoro is to be used, ensure the fluoro machine is not blocked by radioopaque bars of the operating table. Patient in the supine position 15 NCB® Large Fragment System – Surgical Technique Incision and Intra-operative Planning Incision Incision Make the incision using the lateral subvastus approach or incorporate the existing incision, if applicable. Avoid excessive stripping of the soft tissues and keep the periosteum intact. Exessive stripping of the soft tissue avoided and periosteum kept intact Intra-operative Planning Take complete x-rays of the femur in the A/P and lateral view and if necessary, also in the contra-lateral view, or a CT if osteolysis is present to determine the length of the prosthesis, as well as the correct plate length to be implanted. If desired, the NCB Curved Femur Shaft Plate Provisional (REF 02.00024.358) can be used to determine the suitable implant length. Provisional is semi radiolucent and intended to be used in the open technique. Warning: Do not implant or bend the provisional. There is only one provisional which represents the 12 hole NCB Curved Femur Shaft Plate. To use the provisional for the next shorter implant size (10 hole plate), two square holes are included: – the proximal square hole indicates the most proximal NCB Plate hole of the next shorter implant size – the distal square hole indicates the most distal NCB Plate hole of the next shorter implant size. NCB Curved Femur Shaft Plate Provisional used for intra-operative planning (optional) 10 hole plate Provisional 12 hole plate Next shorter implant size Last NCB Plate hole Square holes are included to indicate the next shorter implant size Last NCB Plate hole 16 NCB® Large Fragment System – Surgical Technique Reduction and Preliminary Fixation Reduce the fracture prior to inserting the plate. Bone fragments may be secured with 2.0mm k-wires (REF 290.20.280) or clamps such as pointed reduction forceps. Make sure that preliminary fixation devices do not interfere with the future location of the plate and screws, or with the prosthesis. Insertion of the NCB Curved Femur Shaft Plate The following example shows a case without a prosthesis in-situ. NCB Curved Femur Shaft Plate centered over the fracture and temporarily fixed with two 2.0mm k-wires The NCB Curved Femur Shaft Plate is placed on the lateral femur centered over the fracture. Temporarily fix the plate with two 2.0mm k-wires (REF 290.20.280), one proximally and one distally. Compression guide placed so that the drill hole is at the end of the compression slots farthest from the fracture site. Note: The NCB Curved Femur Shaft Plate is anatomically shaped. If additional contouring is required, use the Bending Press Inserts (REF 02.00024.315/6) and the corresponding Bending Press (REF 100.06.010). Be aware that bending the plate may decrease its fatigue strength. Furthermore, the locking mechanism of the NCB Screw hole may be damaged and, therefore, may no longer function. Do not use a hole that has been altered by contouring for locking. Correct orientation of the concave Bending Press insert: with the word “TOP” etched on the top of the insert 17 NCB® Large Fragment System – Surgical Technique Insertion of the NCB Screws The NCB Curved Femur Shaft Plate has two compression slots to allow for axial adjustment while positioning the plate, as well as for axial compression. Note: It is possible to get 1 or 2mm of axial compression with the NCB Curved Femur Shaft Plate. For 2mm of compression, insert the NCB Screws into the compression holes first (like in the example shown in this surgical technique). For 1mm of compression, insert a NCB Screw into a NCB Plate hole, and then use the compression slot on the opposite side of the fracture. If more compression is needed, use the Articulated Tension Device (REF 00-4817-005-00) after only one side of the plate has been fixed. This instrument can be attached to the bone, using a 4.0mm NCB Screw. For screw selection and insertion, please refer to pages 12–13. Note: Screws should not be locked until both sides of the fragment have been fixed. 1. For 2.0mm of axial compression, drill the first hole in one of the two compression slots in the compression position using the NCB Compression Drill Guide for 5.0mm NCB Screws (REF 02.00024.335) and the 4.3mm drill bit (REF 02.00024.002). Place the compression guide so that the drill hole is at the end of the compression slots farthest from the fracture site. Partially insert a 5.0mm NCB Screw into the compression slot but do not tighten it. First 5.0mm NCB Screw partially inserted in one of the two compression slots without tightening it Second 5.0mm NCB Screw partially inserted in the other compression slot without tightening it, and k-wires removed 18 NCB® Large Fragment System – Surgical Technique 2. Partially insert a 5.0mm NCB Screw into the other compression slot, also in the compression position, but do not tighten it. K-wires removed and axial compression achieved by tightening the 5.0mm NCB Screws in the two compression slots 3. Remove the two 2.0mm k-wires. To achieve axial compression, tighten the NCB Screws in the two compression slots by using the NCB Hexagonal Screwdriver (REF 02.00024.023). 4. Insert additional 5.0mm NCB Screws as necessary, first near the fracture site and then proximal/distal to the fracture, ensuring purchase in a minimum of six cortices on each side of the fracture, spaced on the entire length of the plate. If desired, slightly loosen the 5.0mm NCB Screws in the two compression slots to avoid contact between the plate and the bone. Additional 5.0mm NCB Screws inserted as necessary first near the fracture site and then proximal/distal to the fracture, ensuring purchase in a minimum of six cortices with the screws on each side of the fracture spaced on the entire length of the plate 19 NCB® Large Fragment System – Surgical Technique NCB Straight Narrow Shaft Plate – Surgical Technique Preoperative Planning and Patient Positioning Preoperative Planning Preoperative planning with adequate x-rays and x-ray templates for the NCB Straight Narrow Shaft Plate (Lit 06.02263.000) is strongly recommended. Patient Positioning Tibia – Lay the patient in the supine position on a radiolucent table. Support the knee, but allow the leg to move freely. Perform the reduction as necessary. This allows determination of the proper plate length, and the appropriate type and position of screws, particularly in the presence of prosthesis to prevent any interference with the stem. In periprosthetic fractures determine which prosthesis has been implanted by studying the x-rays, or using the previous surgeon’s operative notes to be prepared in case of revision, and assess the stability of the prosthesis. If the prosthesis is loose, the surgical plan may change to include revision. Patient in the beachchair position Humerus – The patient is placed on the operating table in the beachchair position or supine position. After the patient is in the correct position, the C-arm must be adjusted so as to achieve the widest possible view of the humerus. If intra-op fluoro is to be used, ensure the fluoro machine is not blocked by radioopaque bars of the operating table. Patient in the supine position 20 NCB® Large Fragment System – Surgical Technique Incision and Intra-operative Planning Incision Tibia: The anterior approach is the standard approach to the tibia, located 1cm lateral to its anterior crest. Take care not to compromise the great saphenous vein and nerve. Humerus: Plating of humeral shaft fractures may be performed through the anterolateral approach. Intra-operative Planning Take complete x-rays of the tibia or the humerus respectively in the A/P and lateral view and if necessary, also in the contra-lateral view, or a CT if osteolysis is present to determine the length of the prosthesis, as well as the correct plate length to be implanted. If desired, the NCB Straight Narrow Shaft Plate Provisionals (REF 02.00024.401 / REF 02.00024.402) can be used to determine the suitable implant length. Provisionals are semi radiolucent and intended to be used in the open technique. Square holes are included to indicate the next shorter implant size. NCB Straight Narrow Shaft Plate Provisional used for intraoperative planning. Warning: Do not implant or bend the provisional. Each provisional represents the implant sizes it is labeled for, e.g. 10 or 16 holes. To use the provisional for the next shorter implant size (e.g. 8 or 14 hole plate), a square hole is included: – the square hole indicates the last NCB hole of the next shorter implant size. Last NCB Plate hole 8 holes 10 holes Provisional 10 holes 21 NCB® Large Fragment System – Surgical Technique Reduction and Preliminary Fixation Reduce the fracture prior to inserting the plate. Bone fragments can be secured with 2.0mm k-wires (REF 290.20.280) or clamps such as pointed reduction forceps. Make sure that preliminary fixation devices do not interfere with the future location of the plate and screws, or with the prosthesis. Insertion of the NCB Straight Narrow Shaft Plate NCB Straight Narrow Shaft Plate centered over the fracture and temporarily fixed with two 2.0mm k-wires The following example shows a tibia case without a prosthesis in-situ. All steps are also applicable for humerus shaft fractures. The NCB Straight Narrow Shaft Plate is placed on the medial tibia or lateral humerus centered over the fracture. Temporarily fix the plate with two 2.0mm k-wires (REF 290.20.280), one proximally and one distally. Note: If contouring is required, use the Bending Press Inserts (REF 02.00024.315/6) and the corresponding Bending Press (REF 100.06.010). Alternatively, the large bending iron (REF 02.00000.003) can be used as well. Be aware that bending the plate may decrease its fatigue strength. Furthermore, the locking mechanism of the NCB Screw hole may be damaged and, therefore, may no longer function. Do not use a hole that has been altered by contouring for locking. Compression guide placed so that the drill hole is at the end of the compression slots farthest from the fracture site. Correct orientation of the concave Bending Press insert: with the word “TOP” etched on the top of the insert 22 NCB® Large Fragment System – Surgical Technique Insertion of the NCB Screws The NCB Straight Narrow Shaft Plate has two compression slots to allow for axial adjustment while positioning the plate, as well as for axial compression. Note: If using the compression slots insertion of 4mm NCB Screws is required. Note: It is possible to get 1 or 2mm of axial compression with the NCB Straight Narrow Shaft Plate. For 2mm of compression, insert the NCB Screws into the compression holes first (like in the example shown in this surgical technique). For 1mm of compression, insert a NCB Screw into a NCB Plate hole, and then use the compression slot on the opposite side of the fracture. For screw selection and insertion, please refer to pages 12–13. Note: Screws should not be locked until both sides of the fragment have been fixed. 1. For 2.0mm of axial compression, drill the first hole in one of the two compression slots in the compression position using the NCB Compression Drill Guide for 4.0mm NCB Screws (REF 02.00024.336) and the 3.3mm drill bit (REF 02.00024.002). Place the compression guide so that the drill hole is at the end of the compression slots farthest from the fracture site. Partially insert a 4.0mm NCB Screw into the compression slot but do not tighten it. First 4.0mm NCB Screw partially inserted in one of the two compression slots without tightening it Second 4.0mm NCB Screw partially inserted in the other compression slot without tightening it, and k-wires removed 23 NCB® Large Fragment System – Surgical Technique 2. Partially insert a 4.0mm NCB Screw into the other compression slot, also in the compression position, but do not tighten it. 3. Remove the two 2.0mm k-wires. To achieve axial compression, tighten the NCB Screws in the two compression slots by using the NCB Hexagonal Screwdriver (REF 02.00024.023). K-wires removed and axial compression achieved by tightening the 4.0mm NCB Screws in the two compression slots 4. Insert additional 4.0mm NCB Screws as necessary, first near the fracture site and then proximal/distal to the fracture, ensuring purchase in a minimum of six cortices on each side of the fracture, spaced on the entire length of the plate. If desired, slightly loosen the 4.0mm NCB Screws in the two compression slots to avoid contact between the plate and the bone. Additional 4.0mm NCB Screws inserted as necessary first near the fracture site and then proximal/distal to the fracture, ensuring purchase in a minimum of six cortices with the screws on each side of the fracture spaced on the entire length of the plate 24 NCB® Large Fragment System – Surgical Technique Tips and Tricks for the NCB Large Fragment System used in periprosthetic fractures Drilling into Cement Mantle Drilling into Cortical Bone Metal Abrasion Wear In patients with cemented prostheses, the insertion of screws may occur in the presence of a cement mantle. This can cause cracks, which may cause loosening of the prosthesis. Be careful not to hit the prosthesis when tapping, drilling and inserting screws. In order to go around the stem of the prosthesis and achieve bicortical fixation, it may be necessary to drill completely into cortical bone, which can lead to heat necrosis of the bone. Metal abrasion wear due to contact between screws, plates, prostheses, cable buttons, and cables may occur. Tips, which may Mitigate this Risk • Use a lower speed for drilling into the cement mantle to prevent overheating and avoid cement melting • Use a higher feed rate (increased drill force) • Use only new sharp drill bits. Change drills frequently and do not use worn ones • Titanium nitride coated (gold) drill bits are available: • 3.5mm drill bit (REF 02.00024.325) • 4.5mm drill bit (REF 02.00024.330) • Use taps • Overdrilling by using drill bits of a slightly larger diameter (0.2mm) may reduce cracking in the cement mantle during screw insertion. In the NCB Large Fragment set a 3.5mm drill bit (REF 02.00024.325) can be used in place of the 3.3mm drill bit, and a 4.5mm drill bit (REF 02.00024.330) can be used in place of the 4.3mm drill bit. These drill bits are available together with their corresponding drill guides. Warning: Drilling and inserting screws into the outer edge of the cortical bone may also lead to cortical fracture. Tips, which may Mitigate these Risks • Use only new sharp drill bits. Change drills frequently and do not use worn ones • Pull the drill bit out often and clean its flutes • Use extensive irrigating fluid (i.e. saline water) directed at the point of penetration of the cortex • Use taps • In case of thin bone cortex, away from the fracture area, use NCB screws of a smaller diameter like the 4.0mm NCB Screws. Note: Overdrilling the cement mantle by 0.2mm does reduce pull out strength by about 20%. However, within the cement mantle pull out strength is still more than 2000 N.1 1 J. Kampshoff et al.: The treatment of periprosthetic fractures with locking plates: effect of drill and screw type on cement mantles: a biomechanical analysis, Archives of Orthopedic and Trauma Surgery, Springer, March 2009. Tip, which may Mitigate this Risk Use only Zimmer products compatible with the NCB Large Fragment System, which are described in this surgical technique. NCB® Large Fragment System – Surgical Technique Post-Operative Treatment Implant Removal Post-operative treatment with locking plates does not differ from conventional internal fixation procedures. If there is concern about stability, consider using additional external fixation devices and/ or a cast/brace. Early range of motion exercises of the involved joints may also be beneficial. However, it is the respon sibility of the surgeon to determine the most suitable post-operative care depending on each patient’s health condition. To remove the NCB Large Fragment Plates, first remove all locking caps (REF 02.03150.300). Then, loosen all the NCB Screws without completely removing them (this prevents rotation of the bone plate when removing the last screw). Finally, completely remove all NCB Screws. Note: Make sure that the tip of the NCB Hexagonal Screwdriver (REF 02.00024.023) is correctly placed in the hex drive of the locking caps and/ or NCB Screws. Failure to do so could damage the hex drive and complicate the extraction of the implant. Removal Tip In case of difficulties while loosening the NCB Screws, tighten the screws slightly before loosening them. 25 26 NCB® Large Fragment System – Surgical Technique Product Information – Implants Plates NCB Curved Femur Shaft Plates REF REF Sterile 02.03265.010 02.02265.010 02.03265.012 02.02265.012 02.03265.014 02.02265.014 Holes Length mm 10 12 14 210 249 289 NCB Straight Narrow Shaft Plate REF REF Sterile Holes Length mm 02.03267.008 02.03267.010 02.03267.012 02.03267.014 02.03267.016 02.03267.018 02.02267.008 02.02267.010 02.02267.012 02.02267.014 02.02267.016 02.02267.018 8 10 12 14 16 18 118 146 174 202 230 258 Materials NCB® Periprosthetic Plates and Screws are made of titanium alloy TiAlV, Protasul®-64, ISO 5832-3, ASTM F136 27 NCB® Large Fragment System – Surgical Technique Screws* NCB Locking Caps, Spacers, Blind Screw Inserts REF REF Sterile Description 02.03150.300 02.03150.310 02.03150.311 02.03150.312 02.03150.313 02.02150.300 02.02150.310 02.02150.311 02.02150.312 02.02150.313 Locking cap Blind screw insert Spacer 1mm Spacer 2mm Spacer 3mm NCB Screws, ∅ 5.0mm ∅5 ∅ 4.4 ∅ 6.2 NCB Unicortical Screws, ∅ 5.0mm ∅ 4.4 ∅ 5 ∅ 6.2 1.75 L REF REF Sterile Length mm 02.03151.010 02.02151.010 10 02.03151.012 02.02151.012 12 02.03151.014 02.02151.014 14 02.03151.016 02.02151.016 16 02.03151.018 02.02151.018 18 02.03151.020 02.02151.020 20 1.75 L REF REF Sterile NCB Screws, ∅ 4.0mm Length mm 02.03150.022 02.02150.022 02.03150.024 02.02150.024 02.03150.026 02.02150.026 02.03150.028 02.02150.028 02.03150.030 02.02150.030 02.03150.032 02.02150.032 02.03150.034 02.02150.034 02.03150.036 02.02150.036 02.03150.038 02.02150.038 02.03150.040 02.02150.040 02.03150.042 02.02150.042 02.03150.044 02.02150.044 02.03150.046 02.02150.046 02.03150.048 02.02150.048 02.03150.050 02.02150.050 02.03150.055 02.02150.055 02.03150.060 02.02150.060 02.03150.065 02.02150.065 02.03150.070 02.02150.070 02.03150.075 02.02150.075 02.03150.080 02.02150.080 02.03150.085 02.02150.085 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 55 60 65 70 75 80 85 ∅ 3.4 ∅4 1.75 L REF *C ompatible screw scope, may vary from screw scope in existing NCB Instrument sets. REF Sterile Length mm 02.03155.020 02.02155.020 02.03155.022 02.02155.022 02.03155.024 02.02155.024 02.03155.026 02.02155.026 02.03155.028 02.02155.028 02.03155.030 02.02155.030 02.03155.032 02.02155.032 02.03155.034 02.02155.034 02.03155.036 02.02155.036 02.03155.038 02.02155.038 02.03155.040 02.02155.040 02.03155.042 02.02155.042 02.03155.044 02.02155.044 02.03155.046 02.02155.046 02.03155.048 02.02155.048 02.03155.050 02.02155.050 02.03155.055 02.02155.055 02.03155.060 02.02155.060 02.03155.065 02.02155.065 02.03155.070 02.02155.070 Materials NCB® Periprosthetic Plates and Screws are made of titanium alloy TiAlV, Protasul®-64, ISO 5832-3, ASTM F136 ∅ 6.2 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 55 60 65 70 28 NCB® Large Fragment System – Surgical Technique Cortical Screws, ∅ 3.5mm ∅ 2.4 ∅ 3.5 Cortical Screws, ∅ 3.5mm (EMEA only) ∅ 5.9 ∅ 2.4 1.25 ∅ 3.5 ∅ 5.9 1.25 L REF L REF Sterile Length mm 00-4935-020-01 47-4935-020-01 00-4935-022-01 47-4935-022-01 00-4935-024-01 47-4935-024-01 00-4935-026-01 47-4935-026-01 00-4935-028-01 47-4935-028-01 00-4935-030-01 47-4935-030-01 00-4935-032-01 47-4935-032-01 00-4935-034-01 47-4935-034-01 00-4935-036-01 47-4935-036-01 00-4935-038-01 47-4935-038-01 00-4935-040-01 47-4935-040-01 20 22 24 26 28 30 32 34 36 38 40 REF REF Sterile 02.03131.020 – 02.03131.022 – 02.03131.024 – 02.03131.026 – 02.03131.028 – 02.03131.030 – 02.03131.032 – 02.03131.034 – 02.03131.036 – 02.03131.038 – 02.03131.040 – Length mm 20 22 24 26 28 30 32 34 36 38 40 Compatible Zimmer Products with the NCB Large Fragment System REF sterile Description 47-2232-060-01 00-2232-002-35 00-2232-002-28 00-2232-004-18 NCB Polyaxial Locking Plate Cable Button, 2.5mm Hex Drive, Material: Ti-6Al-4V (Tivanium® Alloy) Hex Buttons, 3.5mm Hex, Material: C.P. Titanium Cable-Ready Cable Assembly Cerclage, ∅ 1.8mm, L. 914mm, Material: CoCr Cable-Ready Cable Assembly Cerclage, ∅ 1.8mm, L. 635mm, Material: CoCr 29 NCB® Large Fragment System – Surgical Technique Product Information – Instruments The NCB Straight Narrow Shaft plate and the NCB Curved Femur Shaft plate can be implanted using the following existing instrument sets. NCB Straight Narrow Shaft Plate Anatomical Location Systems Available Humeral NCB Curved Femur Shaft Plate Tibial Femoral • NCB Proximal Humerus System • NCB Proximal Tibial System • NCB Distal Femur System • NCB Periprosthetic Femur Plate System • NCB Periprosthetic Femur Plate System • NCB Periprosthetic Femur Plate System If using non-sterile plates the NCB Shaft Plate Add-On Set needs to be provided as well. Outside lag screw instrumentation can also be found in the NCB Shaft Plate Add-On Set if needed. Screw availability in NCB Instrument Sets NCB Proximal Humerus System NCB Proximal Tibia System NCB Distal Femur System NCB Periprosthetic Femur System NCB Shaft Plate Add-On Set ∅ 4.0mm NCB Screws, 14–65mm length ∅ 4.0mm NCB Screws, 14–90mm length ∅ 5.0mm NCB Screws, 14–85mm length ∅ 4.0mm NCB Screws, 20–65mm length ∅ 3.5mm Cortical (for lagging outside plate only, 50–85mm length) ∅ 5.0mm NCB Screws, 22–100mm length ∅ 3.5mm Cortical (for lagging outside plate only, 20–40mm length) ∅ 5.0mm unicortical NCB Screws, 10–20mm length NCB Shaft Plate Add-On Set REF sterile Description 00-4806-110-25 00-4806-110-35 00-4808-035-01 00-4809-035-00 00-4810-002-01 00-4811-110-35 00-4812-000-00 00-4812-035-00 00-2360-165-25 00-4812-035-05 02.00024.336 02.00024.360 02.00024.361 Drill Bit, Q/C, 2.5mm Dia, 110mm Drill Bit, Q/C, 3.5mm Dia, 110mm 3.5mm/2.5mm Double Drill Sleeve Countersink, Q/C, for 3.5mm and 4.0mm screws Small Depth Gauge 3.5mm Tap (2.5 Core Diameter) Self-holding screw forceps Small Hex Screwdriver, 2.5mm Hex Small Hex Screwdriver Shaft, with Q/C, 2.5mm Hex, 140mm Small Holding Sleeve for Small Hex Screwdriver NCB Compression Drill Guide 4.0mm Screws NCB Drill Bit ∅ 4.0mm, with quick coupling, L. 245mm NCB Drill Guide ∅ 4.0mm, long Optional Instruments NCB Provisionals REF Description 02.00024.358 02.00024.401 02.00024.402 NCB Curved Femur Shaft Plate Provisional, 10/12/14 hole plates NCB Straight Narrow Shaft Plate Provisional, 8/10/12 hole plates NCB Straight Narrow Shaft Plate Provisional, 14/16/18 hole plates 30 NCB® Large Fragment System – Surgical Technique Additional Instruments NCB Long Instruments REF Description 02.00024.340 02.00024.341 02.00024.344 02.00024.345 02.00024.346 02.00024.347 NCB Tap ∅ 4.0mm, with quick coupling, L. 250mm NCB Tap ∅ 5.0mm, with quick coupling, L. 250mm NCB Drill Bit ∅ 3.3mm, with quick coupling, L. 245mm NCB Drill Guide ∅ 3.3mm, long NCB Drill Bit ∅ 4.3mm, with quick coupling, L. 245mm NCB Drill Guide ∅ 4.3mm, long NCB Instruments for Overdrilling into Cement for NCB Screws ∅ 4.0mm and 5.0mm REF Description 02.00024.325 02.00024.326 02.00024.330 02.00024.331 NCB Drill Bit ∅ 3.5mm, with quick coupling, L. 195mm NCB Drill Guide ∅ 3.5mm NCB Drill Bit ∅ 4.5mm, with quick coupling, L. 195mm NCB Drill Guide ∅ 4.5mm NCB Compression Drill Guides REF Description 02.00024.335 NCB Compression Drill Guide for ∅ 5.0mm screws Sterile Instruments REF Description 02.02024.344 NCB Drill Bit ∅ 3.3mm, with quick coupling, L=245mm 02.02024.346 NCB Drill Bit ∅ 4.3mm, with quick coupling, L=245mm 02.02024.360 NCB Drill Bit ∅ 4.0mm, with quick coupling, L=245mm Graphic Cases for the NCB Shaft Plate Add-On Set REF Description 00-5900-099-00 02.00024.930 02.00024.931 02.00024.932 02.00024.933 02.00024.934 Generic Stackable Lid Assembly NCB Shaft Plate Add-On Set NCB Shaft Plate Add-On Set – Base NCB Shaft Plate Add-On Set – Screw Caddy NCB Shaft Plate Add-On Set – Top Tray NCB Shaft Plate Add-On Set – Bottom Tray 31 NCB® Large Fragment System – Surgical Technique Planning Aid NCB Curved Femur Shaft Plate X-ray Template Lit.No. 06.02026.000 Lit.No. 97-2370-050-03 (US only) NCB Straight Narrow Shaft Plate X-ray Template Lit.No. 06.02263.000 Lit.No. 97-2370-007-00 (US only) This documentation is intended exclusively for physicians and is not intended for laypersons. Information on the products and procedures contained in this document is of a general nature and does not represent and does not constitute medical advice or recommendations. Because this information does not purport to constitute any diagnostic or therapeutic statement with regard to any individual medical case, each patient must be examined and advised individually, and this document does not replace the need for such examination and/or advice in whole or in part. Please refer to the package inserts for important product information, including, but not limited to, contraindications, warnings, precautions, and adverse effects. Contact your Zimmer representative or visit us at www.zimmer.com Lit.No. 06.02256.012 – Ed. 2012-10 ZHUB Copyright 2012 by Zimmer GmbH Printed in Switzerland Subject to change without notice Disclaimer
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.5 Linearized : Yes Create Date : 2012:10:04 10:47:26+02:00 Creator : Adobe InDesign CS5.5 (7.5.1) Modify Date : 2015:10:15 11:35:23-04:00 XMP Toolkit : Adobe XMP Core 5.4-c005 78.147326, 2012/08/23-13:03:03 Instance ID : uuid:f3a60c81-9962-f142-8da1-f12d17a78c09 Document ID : xmp.did:8575AB37832068118083B986869C20EE Original Document ID : adobe:docid:indd:2af752fc-632b-11df-94c1-8f285fc7b0c4 Rendition Class : proof:pdf Derived From Instance ID : xmp.iid:F7839831832068118083B986869C20EE Derived From Document ID : xmp.did:E33F3074072068118C14CB924A9B2B29 Derived From Original Document ID: adobe:docid:indd:2af752fc-632b-11df-94c1-8f285fc7b0c4 Derived From Rendition Class : default History Action : saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved, saved History Instance ID : xmp.iid:70FA2474072068118C14D33A540B27AE, xmp.iid:71FA2474072068118C14D33A540B27AE, xmp.iid:F333545D092068118C14D33A540B27AE, xmp.iid:B8BEB16B092068118C14D33A540B27AE, xmp.iid:C7539AA9092068118C14D33A540B27AE, xmp.iid:F17485BC092068118C14D33A540B27AE, xmp.iid:147522310B2068118C14D33A540B27AE, xmp.iid:291C28FA0B2068118C14D33A540B27AE, xmp.iid:C063E6060C2068118C14D33A540B27AE, xmp.iid:C163E6060C2068118C14D33A540B27AE, xmp.iid:C263E6060C2068118C14D33A540B27AE, xmp.iid:5CCC5AB70C2068118C14D33A540B27AE, xmp.iid:FA0C92010E2068118C14D33A540B27AE, xmp.iid:B88D03020F2068118C14D33A540B27AE, xmp.iid:1350D61E0F2068118C14D33A540B27AE, xmp.iid:1450D61E0F2068118C14D33A540B27AE, xmp.iid:55EE2FEB162068118C14D33A540B27AE, xmp.iid:BB7779B7172068118C14D33A540B27AE, xmp.iid:BC7779B7172068118C14D33A540B27AE, xmp.iid:83615FA5182068118C14D33A540B27AE, xmp.iid:292F7BA2262068118C14D33A540B27AE, xmp.iid:21B6831B272068118C14D33A540B27AE, xmp.iid:E28BEA31272068118C14D33A540B27AE, xmp.iid:E38BEA31272068118C14D33A540B27AE, xmp.iid:F440C139282068118C14D33A540B27AE, xmp.iid:A4FCCF60282068118C14D33A540B27AE, xmp.iid:11B779CB282068118C14D33A540B27AE, xmp.iid:E544E9EB282068118C14D33A540B27AE, xmp.iid:0BAEFC6E292068118C14D33A540B27AE, xmp.iid:0CAEFC6E292068118C14D33A540B27AE, xmp.iid:865FD4AF292068118C14D33A540B27AE, xmp.iid:5C253EE9292068118C14D33A540B27AE, xmp.iid:6AC9C0892A2068118C14D33A540B27AE, xmp.iid:2BB0AEAC2A2068118C14D33A540B27AE, xmp.iid:412DF9F42A2068118C14D33A540B27AE, xmp.iid:F13F1D072B2068118C14D33A540B27AE, xmp.iid:F23F1D072B2068118C14D33A540B27AE, xmp.iid:DEE0D2302B2068118C14D33A540B27AE, xmp.iid:DFE0D2302B2068118C14D33A540B27AE, xmp.iid:257DC5AD2C2068118C14D33A540B27AE, xmp.iid:12BB7E69422068118C14D33A540B27AE, xmp.iid:1C3C5C72422068118C14D33A540B27AE, xmp.iid:753748FD432068118C14D33A540B27AE, xmp.iid:5C2EEB20442068118C14D33A540B27AE, xmp.iid:D11FCF35172068118A6DE9D2A1D62E60, xmp.iid:787FEA7B172068118A6DE9D2A1D62E60, xmp.iid:A3E62E21182068118A6DE9D2A1D62E60, xmp.iid:C6D7C95C182068118A6DE9D2A1D62E60, xmp.iid:C7D7C95C182068118A6DE9D2A1D62E60, xmp.iid:C4D5A471222068118A6DE9D2A1D62E60, xmp.iid:C5D5A471222068118A6DE9D2A1D62E60, xmp.iid:C6D5A471222068118A6DE9D2A1D62E60, xmp.iid:C7D5A471222068118A6DE9D2A1D62E60, xmp.iid:EECDEBEB222068118A6DE9D2A1D62E60, xmp.iid:31F31ED5242068118A6DE9D2A1D62E60, xmp.iid:33A691A4492068118A6DE9D2A1D62E60, xmp.iid:FE8CAAC9492068118A6DE9D2A1D62E60, xmp.iid:FF8CAAC9492068118A6DE9D2A1D62E60, xmp.iid:008DAAC9492068118A6DE9D2A1D62E60, xmp.iid:C12407774A2068118A6DE9D2A1D62E60, xmp.iid:C22407774A2068118A6DE9D2A1D62E60, xmp.iid:160D6DA1412068118C14CE71EFEC6DAF, xmp.iid:05914EBF412068118C14CE71EFEC6DAF, xmp.iid:643EF84C432068118C14CE71EFEC6DAF, xmp.iid:C453B125192168118C14A8FCE2EF42C0, xmp.iid:C553B125192168118C14A8FCE2EF42C0, xmp.iid:C653B125192168118C14A8FCE2EF42C0, xmp.iid:71930A7E302168118C14A8FCE2EF42C0, xmp.iid:B7A5D435172068118083E76D6043A8A0, xmp.iid:B8A5D435172068118083E76D6043A8A0, xmp.iid:8D099E4B172068118083E76D6043A8A0, xmp.iid:DB71B5D74B2068118C14B8DF2BD0AEC1, xmp.iid:8F01E8900E2068118083997C04784AF7, xmp.iid:7E96714C172068118083997C04784AF7, xmp.iid:AF84C445192068118083997C04784AF7, xmp.iid:5973DC821A2068118083997C04784AF7, xmp.iid:35611ABA1B2068118083997C04784AF7, xmp.iid:6562D46F1D2068118083997C04784AF7, xmp.iid:0F1F9BB61E2068118083997C04784AF7, xmp.iid:290342541F2068118083997C04784AF7, xmp.iid:738F6501202068118083997C04784AF7, xmp.iid:74B47576202068118083997C04784AF7, xmp.iid:4D1DEA6A322068118083997C04784AF7, xmp.iid:4E87431A342068118083997C04784AF7, xmp.iid:C81DF4B3342068118083997C04784AF7, xmp.iid:77D351270B2068118C14E2AF96483F16, xmp.iid:2C27FA6D102068118C14E2AF96483F16, xmp.iid:66EA01CE1420681188C6C0F848EE1220, xmp.iid:77DD02E21420681188C6C0F848EE1220, xmp.iid:FD0584AD0A2068118083F47B890F03B8, xmp.iid:8EBAC4D10A2068118083F47B890F03B8, xmp.iid:5A93A7040B2068118083F47B890F03B8, xmp.iid:37C8382F0B2068118083F47B890F03B8, xmp.iid:38C8382F0B2068118083F47B890F03B8, xmp.iid:5E8F628C0B2068118083F47B890F03B8, xmp.iid:36EBD7A80B2068118083F47B890F03B8, xmp.iid:14E1BF280C2068118083F47B890F03B8, xmp.iid:DA6C96410C2068118083F47B890F03B8, xmp.iid:52CDD9840C2068118083F47B890F03B8, xmp.iid:F8D69AAF0C2068118083F47B890F03B8, xmp.iid:8161F7CB0C2068118083F47B890F03B8, xmp.iid:8261F7CB0C2068118083F47B890F03B8, xmp.iid:510F67750D2068118083F47B890F03B8, xmp.iid:1356319D0E2068118083F47B890F03B8, xmp.iid:5CE467E40E2068118083F47B890F03B8, xmp.iid:A2EB091B0F2068118083F47B890F03B8, xmp.iid:292BC8350F2068118083F47B890F03B8, xmp.iid:2EBEF2D00F2068118083F47B890F03B8, xmp.iid:AAFD1674072068118083B9D53F899C24, xmp.iid:30AD3D81072068118083B9D53F899C24, xmp.iid:31AD3D81072068118083B9D53F899C24, xmp.iid:E8CFB1FA072068118083B9D53F899C24, xmp.iid:F68B260F082068118083B9D53F899C24, xmp.iid:4C932669082068118083B9D53F899C24, xmp.iid:3BE80090082068118083B9D53F899C24, xmp.iid:825DA2D6082068118083B9D53F899C24, xmp.iid:AD7F4EF50A2068118083B9D53F899C24, xmp.iid:121661670B2068118083B9D53F899C24, xmp.iid:A33780E90B2068118083B9D53F899C24, xmp.iid:C2CD43460C2068118083B9D53F899C24, xmp.iid:20AD1D660C2068118083B9D53F899C24, xmp.iid:B61042AB0C2068118083B9D53F899C24, xmp.iid:5EC5797E0D2068118083B9D53F899C24, xmp.iid:D5C8D0EB0D2068118083B9D53F899C24, xmp.iid:D6C8D0EB0D2068118083B9D53F899C24, xmp.iid:A4705D290E2068118083B9D53F899C24, xmp.iid:A5705D290E2068118083B9D53F899C24, xmp.iid:067FE2550E2068118083B9D53F899C24, xmp.iid:C7FE1A870E2068118083B9D53F899C24, xmp.iid:00B9AAB80E2068118083B9D53F899C24, xmp.iid:0A089E9C0F2068118083B9D53F899C24, xmp.iid:0B6A1C74072068118C14BC8083D5A605, xmp.iid:3022CA451E2068118083E1744D803804, xmp.iid:5E202F821E2068118083E1744D803804, xmp.iid:5F202F821E2068118083E1744D803804, xmp.iid:8541A6231F2068118083E1744D803804, xmp.iid:F2E01F4D1F2068118083E1744D803804, xmp.iid:5EA879611F2068118083E1744D803804, xmp.iid:A71B587B1F2068118083E1744D803804, xmp.iid:2AADCAB0232068118083E1744D803804, xmp.iid:09D87EB8232068118083E1744D803804, xmp.iid:0AD87EB8232068118083E1744D803804, xmp.iid:7646F157242068118083E1744D803804, xmp.iid:C6EFC05D242068118083E1744D803804, xmp.iid:C7EFC05D242068118083E1744D803804, xmp.iid:E6FD67CA242068118083E1744D803804, xmp.iid:DC8B352C252068118083E1744D803804, xmp.iid:FCD41A61252068118083E1744D803804, xmp.iid:527928FC1D206811808383B8FB55647F, xmp.iid:F4BC69871E206811808383B8FB55647F, xmp.iid:F5BC69871E206811808383B8FB55647F, xmp.iid:AF82F0BA1E206811808383B8FB55647F, xmp.iid:3917ED8D1F206811808383B8FB55647F, xmp.iid:3A17ED8D1F206811808383B8FB55647F, xmp.iid:2D4326DF1F206811808383B8FB55647F, xmp.iid:89E3341020206811808383B8FB55647F, xmp.iid:29D4132320206811808383B8FB55647F, xmp.iid:FFADC80321206811808383B8FB55647F, xmp.iid:2C861D7407206811808382F0BE6C7A52, xmp.iid:227C807C07206811808382F0BE6C7A52, xmp.iid:237C807C07206811808382F0BE6C7A52, xmp.iid:CB518AFB07206811808382F0BE6C7A52, xmp.iid:CC48F895142068118083C24CF78DD145, xmp.iid:2266FCB1142068118083C24CF78DD145, xmp.iid:690B5443152068118083C24CF78DD145, xmp.iid:0C18418B152068118083C24CF78DD145, xmp.iid:A835F7E3172068118083C24CF78DD145, xmp.iid:EAB63F0E182068118083C24CF78DD145, xmp.iid:46369626182068118083C24CF78DD145, xmp.iid:EB19DBE7182068118083C24CF78DD145, xmp.iid:72401F14192068118083C24CF78DD145, xmp.iid:AC7BF940192068118083C24CF78DD145, xmp.iid:DDC7DB7C192068118083C24CF78DD145, xmp.iid:EA037AAE192068118083C24CF78DD145, xmp.iid:B24760061A2068118083C24CF78DD145, xmp.iid:714A4C531A2068118083C24CF78DD145, xmp.iid:F3D3CA8B1A2068118083C24CF78DD145, xmp.iid:504927841B2068118083C24CF78DD145, xmp.iid:FE4B5EC81B2068118083C24CF78DD145, xmp.iid:376B34441C2068118083C24CF78DD145, xmp.iid:C3081D541C2068118083C24CF78DD145, xmp.iid:1847CD651C2068118083C24CF78DD145, xmp.iid:527C07A21C2068118083C24CF78DD145, xmp.iid:537C07A21C2068118083C24CF78DD145, xmp.iid:5C9194191D2068118083C24CF78DD145, xmp.iid:67361C74072068118083D5E6D522B810, xmp.iid:16C1F9C0072068118083D5E6D522B810, xmp.iid:722B12A0092068118083A5B6501BB06B, xmp.iid:E4C65BB1092068118083A5B6501BB06B, xmp.iid:4F9E3FEA092068118083A5B6501BB06B, xmp.iid:509E3FEA092068118083A5B6501BB06B, xmp.iid:3A4717150A2068118083A5B6501BB06B, xmp.iid:3B4717150A2068118083A5B6501BB06B, xmp.iid:EFA1CF760A2068118083A5B6501BB06B, xmp.iid:DE0A68AE0A2068118083A5B6501BB06B, xmp.iid:DF0A68AE0A2068118083A5B6501BB06B, xmp.iid:873D88590B2068118083A5B6501BB06B, xmp.iid:8E684B6E0B2068118083A5B6501BB06B, xmp.iid:8F684B6E0B2068118083A5B6501BB06B, xmp.iid:90684B6E0B2068118083A5B6501BB06B, xmp.iid:87E758940B2068118083A5B6501BB06B, xmp.iid:741291BB0B2068118083A5B6501BB06B, xmp.iid:751291BB0B2068118083A5B6501BB06B, xmp.iid:1C0C06E20B2068118083A5B6501BB06B, xmp.iid:1D0C06E20B2068118083A5B6501BB06B, xmp.iid:F308A4DA072068118C14C6B0901B7EC5, xmp.iid:F508A4DA072068118C14C6B0901B7EC5, xmp.iid:4D71819F092168118A6DE88B49BC7227, xmp.iid:4E71819F092168118A6DE88B49BC7227, xmp.iid:4F71819F092168118A6DE88B49BC7227, xmp.iid:5071819F092168118A6DE88B49BC7227, xmp.iid:83892474072068118C14EE32D02FBA9C, xmp.iid:ED9B1419082068118C14EE32D02FBA9C, xmp.iid:EE9B1419082068118C14EE32D02FBA9C, xmp.iid:488A95190A2068118C14EE32D02FBA9C, xmp.iid:498A95190A2068118C14EE32D02FBA9C, xmp.iid:D10BB20F0DD4E011AFCF9DE802E2A2F5, xmp.iid:0785AF2082D4E01199B2C00A56FA368F, xmp.iid:6B0F22C18A2068118C14D82560AFFD24, xmp.iid:E47C5CF08A2068118C14D82560AFFD24, xmp.iid:54A627FB8A2068118C14D82560AFFD24, xmp.iid:C0DF70708B2068118C14D82560AFFD24, xmp.iid:C1DF70708B2068118C14D82560AFFD24, xmp.iid:C2DF70708B2068118C14D82560AFFD24, xmp.iid:BE3181EF8B2068118C14D82560AFFD24, xmp.iid:0D00F30F8C2068118C14D82560AFFD24, xmp.iid:0E00F30F8C2068118C14D82560AFFD24, xmp.iid:BE51B74E8D2068118C14D82560AFFD24, xmp.iid:8DD71B6D8D2068118C14D82560AFFD24, xmp.iid:4FC5C61E242068118C14858AD0F495E4, xmp.iid:C05DABE4242068118C14858AD0F495E4, xmp.iid:C15DABE4242068118C14858AD0F495E4, xmp.iid:138BB7EF252068118C14858AD0F495E4, xmp.iid:160602632B2068118C14858AD0F495E4, xmp.iid:EA6A01B82B2068118C14858AD0F495E4, xmp.iid:FDB7E7A42F2068118C14858AD0F495E4, xmp.iid:DE443EEA2F2068118C14858AD0F495E4, xmp.iid:CA6F56043E2068118C14858AD0F495E4, xmp.iid:4690753A3E2068118C14858AD0F495E4, xmp.iid:8F817AF1952168118C14858AD0F495E4, xmp.iid:9257D5FE952168118C14858AD0F495E4, xmp.iid:F560A5D2112068118C14AEE5598031FE, xmp.iid:E300F19E122068118C14AEE5598031FE, xmp.iid:E400F19E122068118C14AEE5598031FE, xmp.iid:36012DE4122068118C14AEE5598031FE, xmp.iid:37012DE4122068118C14AEE5598031FE, xmp.iid:38012DE4122068118C14AEE5598031FE, xmp.iid:FB42ED28132068118C14AEE5598031FE, xmp.iid:FE8EDD84132068118C14AEE5598031FE, xmp.iid:D45098FD142068118C14AEE5598031FE, xmp.iid:A5959B2B152068118C14AEE5598031FE, xmp.iid:C051687E152068118C14AEE5598031FE, xmp.iid:B3D34B86152068118C14AEE5598031FE, xmp.iid:3C757587162068118C14AEE5598031FE, xmp.iid:87E01B74072068118083DAA0F4DE2D2E, xmp.iid:D42BABDD082068118083DAA0F4DE2D2E, xmp.iid:EB2F4259092068118083DAA0F4DE2D2E, xmp.iid:AA25819D092068118083DAA0F4DE2D2E, xmp.iid:D17623B1092068118083DAA0F4DE2D2E, xmp.iid:7A7B95E7092068118083DAA0F4DE2D2E, xmp.iid:7B7B95E7092068118083DAA0F4DE2D2E, xmp.iid:CA5108C60C2068118083DAA0F4DE2D2E, xmp.iid:D10E4DAE0D2068118083DAA0F4DE2D2E, xmp.iid:2878C1E80D2068118083DAA0F4DE2D2E, xmp.iid:2E4FDA290E2068118083DAA0F4DE2D2E, xmp.iid:C3B69F5E0E2068118083DAA0F4DE2D2E, xmp.iid:AB6E229C0F2068118C14BB74AD216CA7, xmp.iid:AC6E229C0F2068118C14BB74AD216CA7, xmp.iid:01FEFD78192068118C14BB74AD216CA7, xmp.iid:AE50952D1A2068118C14BB74AD216CA7, xmp.iid:1713B47A1A2068118C14BB74AD216CA7, xmp.iid:E8A251BE1A2068118C14BB74AD216CA7, xmp.iid:09097FEC1A2068118C14BB74AD216CA7, xmp.iid:2A85BA4B1B2068118C14BB74AD216CA7, xmp.iid:9A4322C41B2068118C14BB74AD216CA7, xmp.iid:15453DD81B2068118C14BB74AD216CA7, xmp.iid:16453DD81B2068118C14BB74AD216CA7, xmp.iid:C5F71B740720681180838986570EB01A, xmp.iid:653A9EDD0A2068118083B6B5E2478A8B, xmp.iid:4AD170EA0A2068118083B6B5E2478A8B, xmp.iid:43B61EF60A2068118083B6B5E2478A8B, xmp.iid:AA4D03A50B2068118083B6B5E2478A8B, xmp.iid:C32782B60B2068118083B6B5E2478A8B, xmp.iid:D47C50EC0B2068118083B6B5E2478A8B, xmp.iid:8A0650250C2068118083B6B5E2478A8B, xmp.iid:8B0650250C2068118083B6B5E2478A8B, xmp.iid:589D261BD02068118C148BB5AFF1EFFA, xmp.iid:305CD859D22068118C148BB5AFF1EFFA, xmp.iid:315CD859D22068118C148BB5AFF1EFFA, xmp.iid:A1B8AAEBD52068118C148BB5AFF1EFFA, xmp.iid:434825AB3F2068118C14937C3CE3CA83, xmp.iid:444825AB3F2068118C14937C3CE3CA83, xmp.iid:454825AB3F2068118C14937C3CE3CA83, xmp.iid:DAFAAE3D412068118C14937C3CE3CA83, xmp.iid:668E296E412068118C14937C3CE3CA83, xmp.iid:1A27BF83412068118C14937C3CE3CA83, xmp.iid:482624A3412068118C14937C3CE3CA83, xmp.iid:88A4582A422068118C14937C3CE3CA83, xmp.iid:5003633C422068118C14937C3CE3CA83, xmp.iid:18779B63422068118C14937C3CE3CA83, xmp.iid:08DE2795142068118C14A3F9D0D6C1BA, xmp.iid:A76131C4142068118C14A3F9D0D6C1BA, xmp.iid:4DA4D94C162068118C14A3F9D0D6C1BA, xmp.iid:21DD22A3162068118C14A3F9D0D6C1BA, xmp.iid:5942A7821C2068118C14A3F9D0D6C1BA, xmp.iid:6B731F401E2068118C14A3F9D0D6C1BA, xmp.iid:D5C06CA20B2068118083A71C2D12E26E, xmp.iid:2D0681BB0B2068118083A71C2D12E26E, xmp.iid:2E0681BB0B2068118083A71C2D12E26E, xmp.iid:2F0681BB0B2068118083A71C2D12E26E, xmp.iid:972E54310C2068118083A71C2D12E26E, xmp.iid:847518490C2068118083A71C2D12E26E, xmp.iid:5844A66F0C2068118083A71C2D12E26E, xmp.iid:24F7CCBC0C2068118083A71C2D12E26E, xmp.iid:8CD7B4CF0C2068118083A71C2D12E26E, xmp.iid:8E5F84E10C2068118083A71C2D12E26E, xmp.iid:84D059060D2068118083A71C2D12E26E, xmp.iid:432ECA240D2068118083A71C2D12E26E, xmp.iid:493E263C0D2068118083A71C2D12E26E, xmp.iid:9554CD660D2068118083A71C2D12E26E, xmp.iid:77F816020E2068118083A71C2D12E26E, xmp.iid:19028C290E2068118083A71C2D12E26E, xmp.iid:F77F1174072068118083831ABE9F0E90, xmp.iid:2B393074072068118083831ABE9F0E90, xmp.iid:EBBD7D24082068118083831ABE9F0E90, xmp.iid:2B631B58082068118083831ABE9F0E90, xmp.iid:5BD875081C2068118083C6B940705068, xmp.iid:8B0C32121C2068118083C6B940705068, xmp.iid:8EF3CA6C1C2068118083C6B940705068, xmp.iid:34C3F2B30A2068118C14F700E393BD71, xmp.iid:98A554170B2068118C14F700E393BD71, xmp.iid:3C6964950B2068118083E1C7ED7ACE16, xmp.iid:5AC8DA990B2068118083E1C7ED7ACE16, xmp.iid:9CD518E60B2068118083E1C7ED7ACE16, xmp.iid:F77F1174072068118083823F75431DAC, xmp.iid:21973B74072068118083823F75431DAC, xmp.iid:22973B74072068118083823F75431DAC, xmp.iid:8EE61D45CB2368118C148BB36D86C473, xmp.iid:02189AB1CB2368118C148BB36D86C473, xmp.iid:1814CD020D2068118C148A6BFFB7084E, xmp.iid:D40700BEC02068118C148A6BFFB7084E, xmp.iid:50AB9131C12068118C148A6BFFB7084E, xmp.iid:01801174072068118C14CB924A9B2B29, xmp.iid:E33F3074072068118C14CB924A9B2B29, xmp.iid:11CA2C2C162168118083F2118C7C4476, xmp.iid:12CA2C2C162168118083F2118C7C4476, xmp.iid:13CA2C2C162168118083F2118C7C4476, xmp.iid:14CA2C2C162168118083F2118C7C4476, xmp.iid:D867CA6B172168118083F2118C7C4476, xmp.iid:1DEF702A182168118083F2118C7C4476, xmp.iid:1EEF702A182168118083F2118C7C4476, xmp.iid:30C655031B2168118083F2118C7C4476, xmp.iid:31C655031B2168118083F2118C7C4476, xmp.iid:1526A0A81B2168118083F2118C7C4476, xmp.iid:213239B81B2168118083F2118C7C4476, xmp.iid:6CE63CD41B2168118083F2118C7C4476, xmp.iid:8A38CC2D0A20681180838444630461C6, xmp.iid:F33E6EEC812068118083B986869C20EE, xmp.iid:42F2A8F6822068118083B986869C20EE, xmp.iid:F6839831832068118083B986869C20EE, xmp.iid:F7839831832068118083B986869C20EE, xmp.iid:8575AB37832068118083B986869C20EE, xmp.iid:2C329A53842068118083B986869C20EE, xmp.iid:2D329A53842068118083B986869C20EE History When : 2011:02:14 09:37:12+01:00, 2011:02:14 09:37:12+01:00, 2011:02:14 09:50:52+01:00, 2011:02:14 09:51:16+01:00, 2011:02:14 09:53+01:00, 2011:02:14 09:53:32+01:00, 2011:02:14 10:03:57+01:00, 2011:02:14 10:09:34+01:00, 2011:02:14 10:09:56+01:00, 2011:02:14 10:11:57+01:00, 2011:02:14 10:12:32+01:00, 2011:02:14 10:14:52+01:00, 2011:02:14 10:24:06+01:00, 2011:02:14 10:31:16+01:00, 2011:02:14 10:32:05+01:00, 2011:02:14 11:22:44+01:00, 2011:02:14 11:27:54+01:00, 2011:02:14 11:33:37+01:00, 2011:02:14 11:39:39+01:00, 2011:02:14 11:40:16+01:00, 2011:02:14 13:20:24+01:00, 2011:02:14 13:23:47+01:00, 2011:02:14 13:24:25+01:00, 2011:02:14 13:30:50+01:00, 2011:02:14 13:31:47+01:00, 2011:02:14 13:32:53+01:00, 2011:02:14 13:35:52+01:00, 2011:02:14 13:36:46+01:00, 2011:02:14 13:40:26+01:00, 2011:02:14 13:41:33+01:00, 2011:02:14 13:42:15+01:00, 2011:02:14 13:43:51+01:00, 2011:02:14 13:48:20+01:00, 2011:02:14 13:49:19+01:00, 2011:02:14 13:51:20+01:00, 2011:02:14 13:51:51+01:00, 2011:02:14 13:52:27+01:00, 2011:02:14 13:53:01+01:00, 2011:02:14 13:54:19+01:00, 2011:02:14 14:03:40+01:00, 2011:02:14 16:39:14+01:00, 2011:02:14 16:39:29+01:00, 2011:02:14 16:50:32+01:00, 2011:02:14 16:51:32+01:00, 2011:03:21 11:50:38+01:00, 2011:03:21 11:52:36+01:00, 2011:03:21 11:57:13+01:00, 2011:03:21 11:58:53+01:00, 2011:03:21 12:05:47+01:00, 2011:03:21 13:11:03+01:00, 2011:03:21 13:11:09+01:00, 2011:03:21 13:11:16+01:00, 2011:03:21 13:12:58+01:00, 2011:03:21 13:14:28+01:00, 2011:03:21 13:28:09+01:00, 2011:03:21 17:51:39+01:00, 2011:03:21 17:52:41+01:00, 2011:03:21 17:54:04+01:00, 2011:03:21 17:57:32+01:00, 2011:03:21 17:57:32+01:00, 2011:03:21 17:58:28+01:00, 2011:04:07 19:26:41+02:00, 2011:04:07 19:27:31+02:00, 2011:04:07 19:38:38+02:00, 2011:05:12 11:35:51+02:00, 2011:05:12 11:38:58+02:00, 2011:05:12 11:41:43+02:00, 2011:05:12 14:22:58+02:00, 2011:06:20 16:28:46+02:00, 2011:06:20 16:29:23+02:00, 2011:06:20 16:29:23+02:00, 2011:06:20 17:56:16+02:00, 2011:07:08 10:37:17+02:00, 2011:07:08 10:37:18+02:00, 2011:07:08 10:51:26+02:00, 2011:07:08 11:00:18+02:00, 2011:07:08 11:09+02:00, 2011:07:08 11:21:14+02:00, 2011:07:08 11:30:22+02:00, 2011:07:08 11:34:47+02:00, 2011:07:08 11:39:37+02:00, 2011:07:08 11:42:54+02:00, 2011:07:08 13:51:25+02:00, 2011:07:08 14:03:29+02:00, 2011:07:08 14:07:47+02:00, 2011:07:21 14:16:05+02:00, 2011:07:21 14:16:05+02:00, 2011:07:21 15:01:33+02:00, 2011:07:21 15:02:07+02:00, 2011:07:22 16:13:37+02:00, 2011:07:22 16:14:38+02:00, 2011:07:22 16:16:03+02:00, 2011:07:22 16:17:15+02:00, 2011:07:22 16:17:37+02:00, 2011:07:22 16:19:51+02:00, 2011:07:22 16:20:39+02:00, 2011:07:22 16:24:13+02:00, 2011:07:22 16:24:55+02:00, 2011:07:22 16:26:48+02:00, 2011:07:22 16:28+02:00, 2011:07:22 16:28:47+02:00, 2011:07:22 16:30:03+02:00, 2011:07:22 16:33:31+02:00, 2011:07:22 16:41:48+02:00, 2011:07:22 16:43:47+02:00, 2011:07:22 16:45:19+02:00, 2011:07:22 16:46:04+02:00, 2011:07:22 16:50:24+02:00, 2011:07:22 17:07:23+02:00, 2011:07:22 17:07:45+02:00, 2011:07:22 17:08:12+02:00, 2011:07:22 17:11:09+02:00, 2011:07:22 17:11:43+02:00, 2011:07:22 17:14:14+02:00, 2011:07:22 17:15:19+02:00, 2011:07:22 17:17:18+02:00, 2011:07:22 17:32:28+02:00, 2011:07:22 17:35:40+02:00, 2011:07:22 17:39:18+02:00, 2011:07:22 17:41:54+02:00, 2011:07:22 17:42:47+02:00, 2011:07:22 17:44:43+02:00, 2011:07:22 17:50:38+02:00, 2011:07:22 17:53:41+02:00, 2011:07:22 17:55:01+02:00, 2011:07:22 17:55:24+02:00, 2011:07:22 17:56:10+02:00, 2011:07:22 17:56:39+02:00, 2011:07:22 17:58:02+02:00, 2011:07:22 17:59:25+02:00, 2011:07:22 18:05:47+02:00, 2011:07:25 13:03:25+02:00, 2011:07:27 14:01:24+02:00, 2011:07:27 14:03:06+02:00, 2011:07:27 14:03:51+02:00, 2011:07:27 14:07:37+02:00, 2011:07:27 14:08:46+02:00, 2011:07:27 14:09:20+02:00, 2011:07:27 14:10:04+02:00, 2011:07:27 14:40:11+02:00, 2011:07:27 14:40:24+02:00, 2011:07:27 14:43:39+02:00, 2011:07:27 14:44:52+02:00, 2011:07:27 14:45:02+02:00, 2011:07:27 14:47:13+02:00, 2011:07:27 14:48:04+02:00, 2011:07:27 14:50:48+02:00, 2011:07:27 14:52:17+02:00, 2011:08:12 11:21:25+02:00, 2011:08:12 11:25:19+02:00, 2011:08:12 11:26:40+02:00, 2011:08:12 11:26:45+02:00, 2011:08:12 11:32:39+02:00, 2011:08:12 11:32:48+02:00, 2011:08:12 11:34:56+02:00, 2011:08:12 11:36:18+02:00, 2011:08:12 11:36:50+02:00, 2011:08:12 11:43:07+02:00, 2011:08:12 11:55:50+02:00, 2011:08:12 11:56:04+02:00, 2011:08:12 11:56:43+02:00, 2011:08:12 11:59:37+02:00, 2011:08:17 11:13:08+02:00, 2011:08:17 11:13:55+02:00, 2011:08:17 11:17:59+02:00, 2011:08:17 11:20+02:00, 2011:08:17 11:36:48+02:00, 2011:08:17 11:37:59+02:00, 2011:08:17 11:38:40+02:00, 2011:08:17 11:44:04+02:00, 2011:08:17 11:45:18+02:00, 2011:08:17 11:46:33+02:00, 2011:08:17 11:48:14+02:00, 2011:08:17 11:49:37+02:00, 2011:08:17 11:52:05+02:00, 2011:08:17 11:54:14+02:00, 2011:08:17 11:55:48+02:00, 2011:08:17 12:02:45+02:00, 2011:08:17 12:04:40+02:00, 2011:08:17 12:08:07+02:00, 2011:08:17 12:08:34+02:00, 2011:08:17 12:09:04+02:00, 2011:08:17 12:10:45+02:00, 2011:08:17 12:11:21+02:00, 2011:08:17 12:14:05+02:00, 2011:08:17 12:34:06+02:00, 2011:08:17 12:36:15+02:00, 2011:08:19 16:07:14+02:00, 2011:08:19 16:07:43+02:00, 2011:08:19 16:09:18+02:00, 2011:08:19 16:09:48+02:00, 2011:08:19 16:10:30+02:00, 2011:08:19 16:12:55+02:00, 2011:08:19 16:13:14+02:00, 2011:08:19 16:14:47+02:00, 2011:08:19 16:17:52+02:00, 2011:08:19 16:19:35+02:00, 2011:08:19 16:20:09+02:00, 2011:08:19 16:20:20+02:00, 2011:08:19 16:20:46+02:00, 2011:08:19 16:21:13+02:00, 2011:08:19 16:22:19+02:00, 2011:08:19 16:23:05+02:00, 2011:08:19 16:23:24+02:00, 2011:08:19 16:23:35+02:00, 2011:08:19 16:27:48+02:00, 2011:08:19 16:30:59+02:00, 2011:08:30 17:49:15+02:00, 2011:08:30 17:49:15+02:00, 2011:08:30 17:49:35+02:00, 2011:08:30 17:49:35+02:00, 2011:08:31 17:53:10+02:00, 2011:08:31 17:57:47+02:00, 2011:08:31 18:11:24+02:00, 2011:08:31 18:12:06+02:00, 2011:08:31 18:13:14+02:00, 2011:08:31 22:08:58+02:00, 2011:09:01 12:06:58+02:00, 2011:09:13 13:21:20+02:00, 2011:09:13 13:22:39+02:00, 2011:09:13 13:22:57+02:00, 2011:09:13 13:26:14+02:00, 2011:09:13 13:27:30+02:00, 2011:09:13 13:28:24+02:00, 2011:09:13 13:29:47+02:00, 2011:09:13 13:30:41+02:00, 2011:09:13 13:37:13+02:00, 2011:09:13 13:39:36+02:00, 2011:09:13 13:40:27+02:00, 2011:10:04 14:33:42+02:00, 2011:10:04 14:39:14+02:00, 2011:10:04 14:45:30+02:00, 2011:10:04 14:46:42+02:00, 2011:10:04 15:25:43+02:00, 2011:10:04 15:28:05+02:00, 2011:10:04 15:56:11+02:00, 2011:10:04 15:58:08+02:00, 2011:10:04 17:39:04+02:00, 2011:10:04 17:40:35+02:00, 2011:10:06 10:40:56+02:00, 2011:10:06 10:41:18+02:00, 2011:11:09 15:02:05+01:00, 2011:11:09 15:07:48+01:00, 2011:11:09 15:08:14+01:00, 2011:11:09 15:09:44+01:00, 2011:11:09 15:09:50+01:00, 2011:11:09 15:11:05+01:00, 2011:11:09 15:11:39+01:00, 2011:11:09 15:14:13+01:00, 2011:11:09 15:24:46+01:00, 2011:11:09 15:26:03+01:00, 2011:11:09 15:28:22+01:00, 2011:11:09 15:28:35+01:00, 2011:11:09 15:35:46+01:00, 2011:11:09 15:37:43+01:00, 2011:11:09 15:47:50+01:00, 2011:11:09 15:51:17+01:00, 2011:11:09 15:53:12+01:00, 2011:11:09 15:53:45+01:00, 2011:11:09 15:55:16+01:00, 2011:11:09 16:00:50+01:00, 2011:11:09 16:15:48+01:00, 2011:11:09 16:22:18+01:00, 2011:11:09 16:23:56+01:00, 2011:11:09 16:25:45+01:00, 2011:11:09 16:27:14+01:00, 2011:11:17 12:00:53+01:00, 2011:11:17 12:01:06+01:00, 2011:11:17 13:11:29+01:00, 2011:11:17 13:16:32+01:00, 2011:11:17 13:18:41+01:00, 2011:11:17 13:20:35+01:00, 2011:11:17 13:21:52+01:00, 2011:11:17 13:24:32+01:00, 2011:11:17 13:27:54+01:00, 2011:11:17 13:28:28+01:00, 2011:11:17 13:28:46+01:00, 2011:11:17 13:38:38+01:00, 2011:11:17 17:53:33+01:00, 2011:11:17 17:53:55+01:00, 2011:11:17 17:54:14+01:00, 2011:11:17 17:59:08+01:00, 2011:11:17 17:59:37+01:00, 2011:11:17 18:01:07+01:00, 2011:11:17 18:02:43+01:00, 2011:11:17 18:03:50+01:00, 2011:11:23 11:30:53+01:00, 2011:11:23 11:46:57+01:00, 2011:11:23 12:08:21+01:00, 2011:11:23 12:12:31+01:00, 2011:11:23 12:52:49+01:00, 2011:11:23 12:53:14+01:00, 2011:11:23 12:55:37+01:00, 2011:11:23 13:04:04+01:00, 2011:11:23 13:05:25+01:00, 2011:11:23 13:06:02+01:00, 2011:11:23 13:06:54+01:00, 2011:11:23 13:10:41+01:00, 2011:11:23 13:11:11+01:00, 2011:11:23 13:12:17+01:00, 2011:11:23 14:55:45+01:00, 2011:11:23 14:57:04+01:00, 2011:11:23 15:08:03+01:00, 2011:11:23 15:10:28+01:00, 2011:11:23 15:52:30+01:00, 2011:11:23 16:04:58+01:00, 2011:12:15 10:31:48+01:00, 2011:12:15 10:32:30+01:00, 2011:12:15 10:32:35+01:00, 2011:12:15 10:34:55+01:00, 2011:12:15 10:35:48+01:00, 2011:12:15 10:36:28+01:00, 2011:12:15 10:37:32+01:00, 2011:12:15 10:39:42+01:00, 2011:12:15 10:40:14+01:00, 2011:12:15 10:40:43+01:00, 2011:12:15 10:41:45+01:00, 2011:12:15 10:42:36+01:00, 2011:12:15 10:43:15+01:00, 2011:12:15 10:44:27+01:00, 2011:12:15 10:48:48+01:00, 2011:12:15 10:49:54+01:00, 2012:01:26 09:48:39+01:00, 2012:01:26 09:48:39+01:00, 2012:01:26 09:53:35+01:00, 2012:01:26 09:55:01+01:00, 2012:02:03 13:24:16+01:00, 2012:02:03 13:24:33+01:00, 2012:02:03 13:27:05+01:00, 2012:02:22 12:03:08+01:00, 2012:02:22 12:05:55+01:00, 2012:02:22 18:11:22+01:00, 2012:02:22 18:11:29+01:00, 2012:02:22 18:13:37+01:00, 2012:03:16 09:10:19+01:00, 2012:03:16 09:10:19+01:00, 2012:03:16 09:14:01+01:00, 2012:03:20 11:18:58+01:00, 2012:03:20 11:22+01:00, 2012:03:28 12:11:41+02:00, 2012:03:28 12:11:42+02:00, 2012:03:28 12:14:56+02:00, 2012:08:27 17:21:54+02:00, 2012:08:27 17:21:54+02:00, 2012:08:27 21:33:27+02:00, 2012:08:27 21:33:27+02:00, 2012:08:27 21:36:15+02:00, 2012:08:27 21:40:56+02:00, 2012:08:27 21:42:24+02:00, 2012:08:27 21:47:44+02:00, 2012:08:27 21:49:20+02:00, 2012:08:27 22:08:06+02:00, 2012:08:27 22:10:52+02:00, 2012:08:27 22:12:44+02:00, 2012:08:27 22:13:10+02:00, 2012:08:27 22:13:57+02:00, 2012:08:29 06:55:15+02:00, 2012:10:04 09:29:10+02:00, 2012:10:04 09:36:37+02:00, 2012:10:04 09:38:15+02:00, 2012:10:04 09:38:26+02:00, 2012:10:04 09:38:26+02:00, 2012:10:04 09:46:22+02:00, 2012:10:04 09:51:06+02:00 History Software Agent : Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5, Adobe InDesign 7.5 History Changed : /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /metadata, /, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata Metadata Date : 2015:10:15 11:35:23-04:00 Creator Tool : Adobe InDesign CS5.5 (7.5.1) Page Image Page Number : 1, 2 Page Image Format : JPEG, JPEG Page Image Width : 256, 256 Page Image Height : 256, 256 Page Image : (Binary data 7706 bytes, use -b option to extract), (Binary data 3314 bytes, use -b option to extract) Doc Change Count : 9957 Format : application/pdf Producer : Adobe PDF Library 9.9 Trapped : False Page Count : 32EXIF Metadata provided by EXIF.tools