Philips 795117 User Manual Product Brochure Epiq 7 – DS Advance Ultrasound System 851a5ec38df646f69064a77c01494b99
795117 Cardiovascular Brochure EPIQ7_CV_ Epiq 7 â DS Advance Ultrasound system795117
User Manual: Philips 795117 Product Brochure Philips Epiq 7 – DS Advance Ultrasound system Philips - Epiq 7 â DS Advance Refurbished Ultrasound Machine795117
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Ultrasound EPIQ 7 evolution The of premium cardiovascular ultrasound Philips EPIQ 7 ultrasound system challenges The new in global healthcare Unprecedented advances in premium ultrasound performance can help address the strains on overburdened hospitals and healthcare systems, which are continually being challenged to provide a higher quality of care cost-effectively. The goal is quick and accurate diagnosis the first time and in less time. Premium ultrasound users today demand improved clinical information from each scan, and faster and more consistent exams that are easier to perform and allow for a high level of confidence, even for technically difficult patients. 2 evolution The of premium cardiovascular ultrasound It’s our most powerful architecture ever applied to ultrasound imaging – touching all aspects of acoustic acquisition and processing, allowing you to truly experience ultrasound’s evolution to a more definitive modality. Supported by our family of proprietary xMATRIX transducers and our leading-edge Anatomical Intelligence, this platform offers our highest level of premium performance. Key trends in global ultrasound • There is a continued search for • With echocardiography gaining affordable healthcare solutions in prominence as a point-of-care order to deliver more for less with tool (such as in the emergency high-quality patient care. department), increasing numbers • Echocardiography is the imaging mode of choice and exam volumes of patients are being referred to cardiologists for further investigation. continue to increase every year. 3 Performance More confidence in your diagnoses even for your most difficult cases EPIQ 7 is the new direction for premium ultrasound, featuring an exceptional level of clinical performance to meet the challenges of today’s most demanding practices. 4 new realities Creating , redefining clinical expectations nSIGHT Imaging goes beyond conventional ultrasound Penetration Penetrationicons icons performance for new levels of definition and clarity. Conventional Conventional Philips nSIGHT Imaging is a totally new approach Frame rate Uniformity option option4 4 Penetration The Philips proprietary nSIGHT Imaging architecture introduces a totally new option option5 5 approach to forming ultrasound images. Unlike conventional systems that form the image line by line, nSIGHT creates images with superb resolution down to the pixel level. Extraordinary architecture nSIGHT Imaging incorporates a custom Conventional Users must choose between frame rate and image quality nSIGHT Imaging More than doubles the frame rate without impact to image quality Conventional Best resolution is limited to transmit focal zone nSIGHT Imagingoption option6 6 Corrects focus during beam reconstruction for superb uniformity Conventional Penetration limitations and poor sensitivity to weak signals nSIGHT Imaging Superb penetration across full range of frequencies multi-stage precision beamformer nSIGHT Imaging nSIGHT Imaging nSIGHT Imaging along with massive parallel processing. creates superbly focused achieves superb uniformity architecture’s ultra-wide This proprietary architecture captures images with fewer transmit through coherent beam dynamic range and unique an enormous amount of acoustic data operations so you can reconstruction algorithms beam reconstruction from each transmit operation and experience both highly that apply mathematical reinforces weak tissue performs digital beam reconstruction detailed ultrasound focal correction coefficients signals allowing enhanced along with mathematically optimized images and extraordinary continually at all depths penetration at higher focal processing to create real-time temporal resolution. of the image. frequencies even on images with exceptional resolution difficult patients. and uniformity. Image quality: the numbers tell the story Comparing EPIQ 7 to conventional premium systems shows breakthrough advances in imaging performance.* • Up to 30% increase in penetration (penetration = ability to scan at depths and maintain resolution in order to complete the study) • Up to 15% increase in axial resolution (increased resolution throughout the depth of image) all while maintaining frame rates * 2013 quantitative engineering study comparing Philips iE33 ultrasound system with EPIQ 7. Dependant upon transducer, application, and TSI. 5 Maximize extreme clinical capabilities Philips pioneered advanced technologies such as xMATRIX and PureWave. The revolutionary nSIGHT architecture of EPIQ 7 makes xMATRIX and PureWave even more powerful. xMATRIX is our most leading- nSIGHT Imaging makes edge, versatile ultrasound powerful xMATRIX technology transducer technology even more so No other premium ultrasound system Use Live xPlane imaging to create two can run the complete suite of the full-resolution planes simultaneously, world’s most innovative ultrasound allowing you to capture twice as much transducers. With the touch of a button, clinical information in the same amount xMATRIX offers all modes in a single of time. Acquire near isovoxel resolution transducer: 2D, M-mode, color Doppler, to reveal images from any plane within Doppler, iRotate, Live xPlane, Live 3D, the volume. Now it’s all possible. Live 3D Zoom, and Live 3D Full Volume. 2D and Live 3D image clarity with the X5-1 and X7-2 transducers. 6 Leading-edge xMATRIX transducers for cardiology also include X7-2t for TEE applications. nSIGHT Imaging strengthens patients with a single transducer the power of PureWave to image for excellent detailed resolution. technically difficult patients All xMATRIX transducers incorporate PureWave crystal technology PureWave technology. represents the biggest breakthrough in piezoelectric transducer material PureWave offers the solution when in 40 years. The pure, uniform crystals imaging technically difficult patients of PureWave are 85% more efficient in a wider range of applications than conventional piezoelectric on a cardiology platform, such as material, resulting in exceptional the PureWave C5-1 and C9-2 for performance. This technology allows difficult-to-image abdominal and for improved penetration in difficult fetal echo patients. C5-1 C9-2 Additional PureWave transducer solutions for abdominal and fetal echo. 7 Designed to reinvent the user experience EPIQ 7 has completely reinvented the premium ultrasound user experience. Ease of use, workflow, ergonomics, portability – we’ve revolutionized how you interact with an ultrasound system from every standpoint, and kept it beautifully intuitive. More than 80% of sonographers experience work-related pain, and more than 20% of these suffer a career-ending injury.1 The EPIQ tablet-like interface results in dramatic reduction in reach and button pushes, with 80% less reach and 15% fewer steps.* Amazingly portable Advanced workflow At just 104 kg (230 lb), EPIQ 7 is lightest The design of the platform features in its class and 40% lighter than the “walk-up usability,” meaning that heaviest competitive premium system. users can perform an exam with Easily transport EPIQ 7 on both carpet minimal training.2 The system offers and tile floors. Place it in sleep mode, the automation to drive efficiency move it, and boot up in seconds. The throughout exams with features such monitor folds down to reduce overall as Real Time iSCAN (AutoSCAN), system height for transport, and the which automatically optimizes gain integrated cable hooks and catch tray and TGC continuously to provide are ideal for portable studies. Wireless excellent images in 2D, 3D, or 4D. DICOM further aids workflow.† Tablet-like touch interface allows quick navigation to system functions with 80% less reach and 15% fewer steps to complete an exam. 8 SmartExam also drives the automation within Q-Apps, reducing the number of steps to perform more complex analysis to a ZeroClick status. The result is more time to focus on your patients, increased confidence in complete studies, less focus on requirements, less repetitive motion, less stress, and improved schedule maintenance and department efficiencies. Library quiet EPIQ 7 is almost silent when running. Auto Doppler for vascular imaging A noise test determined that EPIQ 7 Auto Doppler takes time-consuming runs at 37-41 dB, which is equivalent color box positioning and sample to the sound of a library. This is volume placement from ten steps to extremely welcome in small three steps and reduces the number scanning/examination rooms. of repetitive button pushes by an average of 68%.4 Scanning comfort Multiple degrees of articulation for both Active native data the control panel and 54.6 cm (21.5 in) Active native data allows for post- LCD monitor with 720° of freedom processing of many exam parameters allows for ergonomic alignment for as well as providing the best format scanning comfort, whether sitting for Q-Apps quantification. or standing. Set-up Wizard SmartExam Set-up Wizard allows users to step SmartExam decreases exam time up to the system, easily establish user by 30-50%, keystrokes by as many configurations, and get running quickly. Easy viewing and efficient use even in darker scanning environments with a large 54.6 cm (21.5 in) wide screen and ambient lighting that provides subtle visual cues for the keyboard, OEMS, and transducer ports. Four transducer ports decrease the amount of plug/unplugging required during a day of scanning. as 300 per exam, and results in a high level of consistency among users.3 It is EPIQ 7 makes it easy fast and easy to customize, providing consistent annotation, automatic mode switching, and missed view alerts to streamline exams. to be green 25% less power Society of Diagnostic Medical Sonography, Industry Standards for the Prevention of Musculoskeletal Disorders in Sonography, May 2003. 2 External user study where all users had over 90% success (gold standard in usability on their set tasks with no training on EPIQ, Jan 2013. 3 University of Colorado, Protocols Study, Apr. 2007. 4 Auto Doppler Clinical Study, Dec. 2011. * Engineering study comparing Philips iE33 ultrasound system with EPIQ 7. † Check for availability in your geography. 1 EPIQ 7 is one of the greenest systems we have ever designed. It consumes 25% less power than our legacy premium ultrasound. 9 Intelligence turning images into answers EPIQ 7 is our most intelligent premium ultrasound system ever, offering a complete set of easy-to-use quantitative tools to turn reproducible data into information to guide treatment. Anatomical Intelligence is the heart of EPIQ 7 recognition, protocols for automatic functionality, and More data is available than ever before, requiring tools proven quantification, exams are easier to perform, more for you to simplify and quicken the process of acquiring reproducible, and deliver new levels of clinical information. reproducible data and turning it into valuable information for your patients. Using built-in models to drive exam simplification With AIUS, libraries of organ model data gathered across At the heart of the powerful EPIQ 7 architecture is our many modalities create a platform where information from Philips exclusive Anatomical Intelligence Ultrasound (AIUS), a single exam can be tailored to a patient-specific organ designed to elevate the ultrasound system from a passive model or Region of Interest that yields useful information to an actively adaptive device. With automatic anatomy in less time, with less training, and with less complexity. 10 Sophisticated modeling adapts certain atlas shapes to Enhancing the power of xMATRIX TEE a patient’s individual organ using feature data collected over for interventional echo hundreds of patients with various conditions. AIUS ranges The EPIQ 7 and Philips Allura Xper X-ray systems create from automating repetitive steps to full-blown computer- a powerful combination with the new EchoNavigator feature driven analysis with minimal user interaction – all using for an exceptional level of efficiency in the interventional suite. anatomic intelligence and all providing the results you need. EchoNavigator digitally links ultrasound and fluoroscopy images In fact, many of our tools come with ZeroClick technology,* using anatomical data. Both active images are displayed and which means that, once loaded, the tool does it all for you. continuously aligned, even when one image is rotated. Automation Automated 2D Cardiac QuantificationA.I. (a2DQA.I.) with ZeroClick technology The ideal tool of every echo lab, Automated 2D Cardiac QuantificationA.I. with ZeroClick technology uses AIUS for an Auto-ROI to drive the Q-App and provide rapid access to proven 2D EF and volumes. AutoEF is available during the study and so fits in with an everyday echo protocol. a2DQ A.I. with ZeroClick for fast, reproducible EF on all your patients. Automated Cardiac Motion QuantificationA.I. (aCMQA.I.) with ZeroClick technology for adult echo The ZeroClick technology of the Automated Cardiac Motion QuantificationA.I. (aCMQA.I.) uses speckle mechanics to provide reproducible 2D Global Longitudinal Strain (GLS) speckle measurements. A proven EF is also calculated by using the Auto-ROI that drives the automation within the aCMQA.I. Q-App. aCMQ A.I. with ZeroClick technology provides both EF and GLS from the same 2D images. *Edit option 11 Navigation The Mitral Valve Navigator A.I. (MVNA.I.) The Mitral Valve Navigator A.I. (MVNA.I.) is designed to take a Live 3D volume of the mitral valve and turn it into an easy-to-interpret model in eight guided steps, providing access to a comprehensive list of MV measurements and calculations. Internal comparison of MVQ to MVNA.I. tools measures 89% fewer clicks.5 MVNA.I. saves steps at each part of the process • Annulus data is acquired with 74% fewer clicks,5 which also provides leaflet tracing with no user interaction. • MVNA.I. guides the entire process using simple commands and clear graphics, making this a much easier tool to use than previous mitral quantification tools. • Results derived from MVNA.I. can be seen on the screen as they become available, speeding the process of accessing required data. 5 2013 QLAB 9 MVQ and QLAB 10 MVN click comparison internal study. 12 MVNA.I. takes a Live 3D volume of the mitral valve and turns it into an easy-to-interpret model in just eight guided steps. Q-App quantification applications EPIQ 7 offers a wide variety of sophisticated Q-Apps to quantify ultrasound image information including our latest AIUS Q-Apps. Q-Apps Clinical application Benefit IMT (for vascular) Automatic carotid intima media thickness measurement Fast and easy access to IMT data ROI Echo contrast and color images Extract acoustic measurements from images Strain Quantification (SQ) Measures the myocardial velocity from color tissue Doppler Derive displacement strain and strain rate CMQ Stress Speckle quantification of stress echo images Decrease the subjectivity of stress echo analysis 3DQ View, slice, and display 3D volumes and measure distance and areas from 2D MPR views Bi-plane LV volume, ejection fraction (EF) and LV mass calculations 3DQA Global LV volumes and timing Measure LV endocardial volumes, stroke volume (SV), and true 3D ejection fraction (EF) using a semi-automated border detection in 3D space. Offers timing assessment for each of 17 minimal regional volumes and determines a synchronicity index for all volume segments or a user-selectable group of volume segments. AIUS Q-Apps Clinical application Benefit Automated 2D Cardiac QuantificationA.I. (a2DQA.I.) AutoEF for 2D images Fast and reproducible biplane EF Automated Cardiac Motion QuantificationA.I. (aCMQA.I.) Speckle quantification of global and regional strain data Both EF and speckle data simultaneously assist with LV function assessment Mitral Valve NavigatorA.I. MVNA.I. Takes a Live 3D volume of the MV and provides qualitative and quantitative data of the valve and its surrounding structures Easy to understand data 13 14 EchoNavigator iXR integration Connectivity to EchoNavigator via our digital network link enhances communication on modern structural interventions using 3D TEE. Users can appreciate anatomy with multiple views of Live 3D TEE, availability of virtual echo scanning, and echo target localization on fluoro. The real-time integration of EchoNavigator between fluoroscopy and Live 3D TEE provides automatic registration and tracking – all controlled tableside. Real time integration of iXR and Live 3D TEE images. Access to multimodality images Use the EPIQ 7 multimodality query retrieve to view DICOM images such as CT, NM, MRI, iXR, cardiac X-ray, and ultrasound. Easily compare past and current studies without the use Multimodality Query Retrieve allows side-by-side comparison on any DICOM image. of an external reading station and even review these multimodality images while live imaging. 15 New levels 16 of clinical information Dilated cardiomyopathy using EchoPen preset Mitral and tricuspid regurgitation in Live 3D Normal aortic valve Normal mitral valve in dual imaging Anatomical M-mode of PLAX Mitral regurgitation Tissue Doppler PW Fetal echo – four-chamber heart Common carotid artery bifurcation Posterior tibial veins and artery Mitral regurgitation Fetal echo – aortic arch 17 Advanced support services are proactive and predictive We understand your challenges: uncertain economic times, changing healthcare landscapes, and the impact of healthcare reform. We know that efficient workflows and system uptime are critical success factors in running an effective healthcare business. Philips is committed to offering innovative solutions to provide you with world-class services that move from reactive to proactive and with predictive service models that provide high system availability and enhanced workflow to help you deliver high-quality patient care. Remote services mean we’re closer than ever* Remote desktop Spend less time on the phone with a Philips “Virtual Visit” with remote system interaction for fast technical and clinical troubleshooting and guided scanning options. iSSL technology This industry-standard protocol meets global privacy standards and provides a safe and secure connection to the Philips remote services network using your existing Internet access point. Online support request Enter a support request directly from your EPIQ system for a fast, convenient communication mechanism that reduces workflow interruption and keeps you at the system and focused on your patient. Utilization reports Data intelligence tools that can help you make informed decisions to improve workflow, deliver quality patient care, and decrease the total cost of ownership. This is the only ultrasound utilization tool that provides individual transducer usage and the ability to sort by exam type. Proactive monitoring Proactive monitoring allows for the detection and repair of anomalies before they become problems and helps us to better predict potential failures and proactively act on them. Increase system availability, optimize workflow, and promote patient satisfaction by scheduling downtime as opposed to reacting to an unexpected problem. 18 *Check for availability in your geography. The remote desktop allows Philips service engineers to gain a live view of your system’s console for remote operation, real-time clinical troubleshooting, and issue resolution. Exceptional serviceability Philips offers the only ultrasound utilization tool that provides individual transducer usage and the ability to sort by exam type. The system features superior modular design for rapid repair, getting your system up and running quickly. Intelligent software architecture Software is easily optimized, maintained, and restored by the service user without risk to patient data, giving you peace of mind when dealing with software anomalies and confidence that your data is safe. This software architecture takes patient data privacy to a new level. Patient data is stored on a separate partition and physical location to provide protection and ease of removal, providing you total control of your data. Clinical education solutions Our comprehensive, clinically relevant courses, programs, and learning paths are designed to help you improve operational efficiency and enhance patient care. 19 © 2015 Koninklijke Philips N.V. All rights are reserved. Please visit www.philips.com/EPIQ Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Printed in The Netherlands. 4522 991 09211 * APR 2015
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xmp.iid:5528B7A12A2068118083DA9257475739, xmp.iid:5628B7A12A2068118083DA9257475739, xmp.iid:5728B7A12A2068118083DA9257475739, xmp.iid:5828B7A12A2068118083DA9257475739, xmp.iid:5928B7A12A2068118083DA9257475739, xmp.iid:A92F0A3F2D2068118083DA9257475739, xmp.iid:12A748562E2068118083DA9257475739, xmp.iid:160CDCB22E2068118083DA9257475739, xmp.iid:170CDCB22E2068118083DA9257475739, xmp.iid:180CDCB22E2068118083DA9257475739, xmp.iid:190CDCB22E2068118083DA9257475739, xmp.iid:1A0CDCB22E2068118083DA9257475739, xmp.iid:93DF700D2F2068118083DA9257475739, xmp.iid:94DF700D2F2068118083DA9257475739, xmp.iid:4A82EA202F2068118083DA9257475739, xmp.iid:CF4A6FE612206811822A84C164B373C8, xmp.iid:7EE3BC950A206811822AB26C3FACEA71, xmp.iid:C173B4CF0A206811822AB26C3FACEA71, xmp.iid:9E01DC790C206811822AB26C3FACEA71, xmp.iid:9F01DC790C206811822AB26C3FACEA71, xmp.iid:B8FE5AC89F206811822AB26C3FACEA71, xmp.iid:AC295865A0206811822AB26C3FACEA71, xmp.iid:C42428B9112068118083D9982E7361EF, xmp.iid:C62428B9112068118083D9982E7361EF, xmp.iid:792F03B8152068118083D9982E7361EF, xmp.iid:7A2F03B8152068118083D9982E7361EF, xmp.iid:E7FE721A162068118083D9982E7361EF, xmp.iid:03879B2E162068118083D9982E7361EF, xmp.iid:04879B2E162068118083D9982E7361EF, xmp.iid:D5749BA1162068118083D9982E7361EF, xmp.iid:D6749BA1162068118083D9982E7361EF, xmp.iid:442B55AA162068118083D9982E7361EF, xmp.iid:452B55AA162068118083D9982E7361EF, xmp.iid:BE640303172068118083D9982E7361EF, xmp.iid:BF640303172068118083D9982E7361EF, xmp.iid:C0640303172068118083D9982E7361EF, xmp.iid:BE1033BF192068118083D9982E7361EF, xmp.iid:20BAC52D1A2068118083D9982E7361EF, xmp.iid:19D106221B2068118083D9982E7361EF, xmp.iid:6295424B1C2068118083D9982E7361EF, xmp.iid:4AE44CB11C2068118083D9982E7361EF, xmp.iid:09C861E61C2068118083D9982E7361EF, xmp.iid:0F5EB532322068118083D9982E7361EF, xmp.iid:E7B6DE74612068118083D9982E7361EF, xmp.iid:F09A4948632068118083D9982E7361EF, xmp.iid:98FDE9CD632068118083D9982E7361EF, xmp.iid:99FDE9CD632068118083D9982E7361EF, xmp.iid:9AFDE9CD632068118083D9982E7361EF, xmp.iid:9BFDE9CD632068118083D9982E7361EF, xmp.iid:9CFDE9CD632068118083D9982E7361EF, xmp.iid:094179E8092068118083E92D1C88F97C, xmp.iid:6FDF62CB0C2068118083E92D1C88F97C, xmp.iid:D98342090D2068118083E92D1C88F97C, xmp.iid:8C9226270D2068118083E92D1C88F97C, xmp.iid:508541450D2068118083E92D1C88F97C, xmp.iid:518541450D2068118083E92D1C88F97C, xmp.iid:AECF25870D2068118083E92D1C88F97C, xmp.iid:AFCF25870D2068118083E92D1C88F97C, xmp.iid:B0CF25870D2068118083E92D1C88F97C, xmp.iid:7CE6410F0E2068118083E92D1C88F97C, xmp.iid:7DE6410F0E2068118083E92D1C88F97C, xmp.iid:294914F3492068118083E92D1C88F97C, xmp.iid:2A4914F3492068118083E92D1C88F97C, xmp.iid:2B4914F3492068118083E92D1C88F97C, xmp.iid:2C4914F3492068118083E92D1C88F97C, xmp.iid:BA26DE1B4B2068118083E92D1C88F97C, xmp.iid:BB26DE1B4B2068118083E92D1C88F97C, xmp.iid:BC26DE1B4B2068118083E92D1C88F97C, xmp.iid:17247525612068118083E92D1C88F97C, xmp.iid:18247525612068118083E92D1C88F97C, xmp.iid:19247525612068118083E92D1C88F97C, xmp.iid:1BD811F4612068118083E92D1C88F97C, xmp.iid:93621974072068118083C5FDCF0799EF, xmp.iid:D29A9C79072068118083C5FDCF0799EF, xmp.iid:22489F79072068118083C5FDCF0799EF History When : 2012:10:29 11:26:30+01:00, 2012:10:29 11:26:30+01:00, 2012:10:29 11:33:22+01:00, 2012:10:29 11:33:22+01:00, 2012:11:05 11:07:34+01:00, 2012:11:05 11:07:34+01:00, 2013:05:14 16:53:01+02:00, 2013:05:14 16:53:01+02:00, 2013:05:14 16:56:15+02:00, 2013:05:17 07:38:49+02:00, 2013:05:17 07:38:49+02:00, 2014:05:14 10:12:15+02:00, 2014:05:14 10:12:15+02:00, 2014:05:14 10:26:07+02:00, 2014:06:10 15:36:51+02:00, 2014:06:10 15:37:18+02:00, 2014:06:10 15:37:18+02:00, 2014:07:10 12:16:42+02:00, 2014:07:10 12:16:42+02:00, 2014:07:10 12:18:31+02:00, 2014:07:10 12:31:54+02:00, 2014:07:10 12:40:38+02:00, 2014:07:10 12:40:38+02:00, 2014:07:16 12:41:14+02:00, 2014:07:16 12:41:14+02:00, 2014:07:16 12:52:38+02:00, 2014:07:16 13:44:49+02:00, 2014:07:16 13:46:57+02:00, 2014:07:16 13:46:57+02:00, 2014:09:08 14:23:19-04:00, 2014:09:08 14:23:19-04:00, 2014:09:08 14:40:24-04:00, 2014:09:08 14:42:34-04:00, 2014:09:09 15:13:50-04:00, 2014:09:09 15:30:21-04:00, 2014:09:09 17:40:56-04:00, 2014:09:12 16:37:57-04:00, 2014:09:12 17:13:22-04:00, 2014:09:12 17:26:26-04:00, 2014:09:12 17:26:26-04:00, 2014:09:12 17:33:36-04:00, 2014:10:27 17:05:08-04:00, 2014:10:28 14:58:22-04:00, 2014:10:28 14:58:22-04:00, 2014:10:30 12:19:55-04:00, 2014:10:30 12:19:55-04:00, 2014:10:30 12:25:03-04:00, 2014:11:04 15:19:17-05:00, 2014:11:04 15:19:17-05:00, 2014:11:11 11:21:57-05:00, 2014:11:11 11:21:57-05:00, 2014:11:11 12:08:06-05:00, 2014:11:11 12:14:55-05:00, 2014:11:11 12:14:55-05:00, 2014:12:31 14:07:22-05:00, 2014:12:31 14:07:22-05:00, 2014:12:31 14:24:14-05:00, 2014:12:31 17:08:39-05:00, 2014:12:31 17:10:14-05:00, 2014:12:31 17:10:14-05:00, 2014:12:31 17:11:18-05:00, 2014:12:31 17:11:18-05:00, 2014:12:31 17:12:19-05:00, 2014:12:31 17:12:19-05:00, 2015:01:01 15:17:34-05:00, 2015:01:01 15:17:34-05:00, 2015:01:01 15:26:28-05:00, 2015:01:01 15:30:11-05:00, 2015:01:01 15:30:12-05:00, 2015:01:03 13:52:37-05:00, 2015:01:03 16:43:55-05:00, 2015:01:03 16:43:55-05:00, 2015:01:03 17:36:52-05:00, 2015:01:03 17:36:52-05:00, 2015:01:04 16:15:30-05:00, 2015:01:06 12:44:58-05:00, 2015:01:06 12:44:58-05:00, 2015:02:05 16:01:53-05:00, 2015:02:09 15:03:46-05:00, 2015:02:09 15:03:46-05:00, 2015:02:18 16:03:17-05:00, 2015:02:23 12:23:36-05:00, 2015:02:23 12:23:36-05:00, 2015:02:27 15:06:13-05:00, 2015:02:27 16:03:36-05:00, 2015:02:27 16:03:36-05:00, 2015:03:04 18:18:09-05:00, 2015:03:05 15:36:43-05:00, 2015:03:05 15:36:43-05:00, 2015:03:13 10:36:49-04:00, 2015:03:13 11:55:38-04:00, 2015:03:13 11:55:38-04:00, 2015:03:30 11:27:30-04:00, 2015:03:30 11:28:04-04:00, 2015:03:30 11:28:04-04:00, 2015:03:31 12:04:57-04:00, 2015:03:31 13:23:56-04:00, 2015:03:31 13:23:56-04:00, 2015:03:31 17:00:47-04:00, 2015:03:31 18:31:30-04:00, 2015:03:31 18:31:30-04:00, 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