Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (2023)

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (1)

Cochlear Implants

by Cochlear Guest Author

October 15, 2020

By Allison M. Biever, AuD, CCC-A, Rocky Mountain Ear Center

Background

I have been involved in the cochlear implant field for 28 years. How fulfilling it is to be a part of someone’s hearing journey! I was initially drawn to the field of Speech and Language Pathology and enrolled in the master’s program at CU Boulder in 1989. After switching majors, it was natural that audiology would have a special place for me, since I was raised by a mother who was born with moderate-to-severe sensorineural hearing loss.

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (2)Why off-the-ear?

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (3)

During the COVID-19 pandemic, patients have frequently complained about how hard it is to keep their behind-the-ear processor on when they are also wearing a mask. One of my cochlear implant patients wears her Nucleus® 7 Sound Processor, the bow of her eyeglasses, a mask and an oxygen tube behind her ear. She told me, “There isn’t enough room for everything I have to wear behind my ear!”. Having an off-the-ear option for cochlear implant recipients is a big deal.

Patients who have had a sudden hearing loss and have never had to wear a hearing aid are often very uncomfortable with the feel of something behind the ear. Some patients have malformed pinnas or pinnas that are close to their heads, making a behind-the-ear sound processor a non-viable option. Cochlear implant recipients who have tried both a behind-the-ear processor and an off-the-ear option will frequently tell me that the off-the-ear option is considerably more comfortable.

Initial experience with Kanso® 2 Sound Processor

In mid-July, I was invited to participate in a controlled market release of the Kanso 2 Sound Processor. This amazing sound processor has already changed the lives of the recipients I have been seeing in our clinic. At activation, I have been fitting both the Nucleus® 7 Sound Processor and the Kanso 2 Sound Processor to our newly implanted recipients. Our activations are typically conducted a few weeks after surgery. Almost half of the patients returned for their follow-up visits two weeks later wearing the Kanso 2 Sound Processor. The patients reported it was more comfortable to wear and at two weeks device retention was not an issue.

The Kanso 2 Sound Processor is the diameter of a “Loonie”, which is the Canadian one-dollar coin. Unlike the first generation Kanso Sound Processor, Kanso 2 Sound Processor is rechargeable and can be controlled from a smartphone+ so that changes can be made to improve auditory performance if needed. The recipient can check battery life, change volume, master volume, bass, treble or sensitivity. Recipients can change programs or initiate streaming to an accessory simply by manipulating the app on their smartphone.+

Advanced connectivity and beyond

Additionally, recipients who have compatible Apple® or Android™ devices can stream directly to their Kanso 2 Sound Processor, creating an environment for easier phone conversations. Although the technology is similar between the Nucleus 7 Sound Processor and the Kanso 2 Sound Processor, more patients are finding ease of charging the device, ease of putting the device on and overall comfort to be superior with Kanso 2 Sound Processor. I have also fit several elderly adults with fine motor difficulties and vision deficits who have reported ease of use.

On average, the Kanso 2 Sound Processor requires less time for counseling because there are fewer parts to manipulate and discuss with the newly-activated recipient. The entire processor can be placed in a charging case each night for ease of charging.

Smart has never been so simple

One of my favorite features of the Kanso 2 Sound Processor is the “buttonless” design. Frequently, when patients are given multiple programs, they will inadvertently touch the button on their sound processor and change the program without being aware they have made a change. The simplicity of the Kanso 2 Sound Processor is spectacular! The recipient can just tap the processor three times to turn it off and twice to turn it on. I love that it has become so incredible easy for recipients to use. If I had to choose one processor to use for many of my patients, I would choose the Kanso 2 Sound Processor because of its simplicity.

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (4)To learn more about Cochlear’s latest innovations please view this webinar and read this interview.

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (5)

About the author: Dr. Allison Biever received her bachelor’s degree from the University of Alberta in 1989 and her master’s degree in Audiology at the University of Colorado in 1992, after which time she worked as a fellow in the first cochlear implant program in Colorado. In 2005 she received her Au.D. from Central Michigan University, completing a doctoral thesis that examined the impact of residual hearing on cochlear implantation in children.

Her focus at the Rocky Mountain Ear Center has been helping people regain their hearing through the miraculous technology of cochlear implants. She was awarded the LaFawn Biddle Award and the Hands & Voices Families First Award for her outstanding service to the deaf and hard of hearing community. In addition to her work in the clinic, she is also a prominent researcher in the field of cochlear implants, an instructor for Institute for Cochlear Implant Training (ICIT) and is on the board for the Listen Foundation. Allison enjoys hiking and spending time with her husband and three daughters. She is also an avid runner and Boston Marathon participant.

+The Cochlear Kanso 2 Sound Processor, Nucleus 7 Sound Processor and Nucleus Smart App are compatible with Apple and Android devices, for compatibility information visit www.cochlear.com/compatibility

Apple is a service mark of Apple Inc., registered in the U.S. and other countries.

(Video) How the Kanso 2® Sound Processor revolutionizes hearing: Interview with a cochlear implant recipient

Android and Google Play are registered trademarks of Google Inc.The Android robot is reproduced or modified from work created and shared by Google and used according to terms described in the Creative Commons 3.0 Attribution License.

cochlear implantsconnectivityKanso 2off-the-earsound processor

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (6)

Author

Cochlear Guest Author

In an effort to keep our content fresh and reflective of a diverse industry, Cochlear Americas features a mix of employees and professional partners to contribute to Cochlear ProNews as Guest Authors.

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Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (7)

Preventing listening fatigue this holiday season with tips from Dr. Sarah Hughes

December 20, 2021

(Video) How to place the Nucleus® Kanso® 2 Sound Processor correctly

By Sarah E. Hughes B.Sc., M.H.Sc.,Ph.D., Research Fellow, Centre for Patient Reported Outcome Research, University of Birmingham, United Kingdom

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (8)

Here are some tips to making sure your patients can be a part of the conversations and moments that they care about the most:

Tips from an expert to manage listening effort during the holidays

As cochlear implant recipients, your patients may find that they are extremely tired by the end of the day. Interestingly, recipients often fail to connect their fatigue with listening and the increased effort needed to ensure listening success.

Listening effort is a term used to describe the exertion of brain power used to pay attention and understand spoken language.

It’s important for recipients to appreciate that listening effort is a part of what it means to listen with a hearing loss. Hearing is something that happens without us being aware of it taking place. Listening, however, is active. It is something we ‘do.’ When listening conditions are favorable this happens easily and we are not aware of the effort involved.

However, when conditions are challenging, such as listening with a hearing loss, a listener is required to do additional mental work to enable them to understand speech, music or identify sounds in the environment.

If recipients expect to listen in the same way as hearing family and friends, they may be putting a lot of added pressure onto themselves. The extra pressure is stressful and can actually be counter-productive. Listening well may be possible in short periods, but over longer periods can become exhausting and can quickly lead to fatigue.

The good news is that recipients tell us when they make the effort to listen with their cochlear implant (s) that they feel a greater sense of social connectedness – the feeling of being in close personal contact with the world around them.

Cochlear™ CoPilot helps with strategies for the holidays

There are a number of strategies that can help manage your recipients’ energy levels for listening. Cochlear CoPilot is a mobile app that features information and insights from experts plus advice from other recipients.

Here are some tips for your patients from Cochlear CoPilot to get started:

  1. Recognize that listening with hearing loss requires effort.
  2. Schedule breaks in advance for times when you know that listening will be intensive or challenging.
  3. Allow yourself downtime to give your brain a listening break. Spend some time doing activities that don’t require you to listen very much – read, exercise, or meditate.
  4. Plan your day so that challenging tasks and activities are scheduled when you have the energy.
  5. Remember that good nutrition and adequate sleep play an important role in managing your energy.
  6. Take a short break when you find yourself straining to listen. This could happen at work, during meetings, social events or even when you are simply tired.
  7. Step away and tune out to reduce stimulation and help to de-stress and refresh.
  8. Prioritize activities that are most important to you during the holiday season such as family get togethers or social events. This will help ensure that you have enough energy for those listening-based activities that are special.

While it might not always be possible to fully schedule the day around upcoming listening demands, having an awareness that listening effort can impact energy level means they will be more likely to take a break from listening when applicable. Planning in advance enables your recipients to be at their best when listening really matters.

To find out more about listening effort, preventing listening fatigue at the holidays and practical tips from other recipients, download Cochlear CoPilot.

About the author: Dr. Hughes is currently a Research Fellow at the Centre for Patient Reported Outcome Research (CPROR) at the Institute of Applied Health, University of Birmingham in the UK. She received her M.H.Sc in speech-language pathology from the University of Toronto, Canada, and her PhD at Swansea University Medical School, Wales, UK where she was a James Callaghan Scholar whose research focused on the development and validation of a new patient-reported outcome measure of listening effort in adult cochlear implant recipients.Dr. Hughes has worked on several collaborations with the Australian Hearing Hub and the Australian Institute of Health Innovation, Macquarie University, Sydney, Australia, and she is a Core Member of the Adult Rehabilitation Special Interest Group, British Society of Audiology.

Apple, the Apple logo, Apple Watch, FaceTime, Made for iPad logo, Made for iPhone logo, Made for iPod logo, iPhone, iPad Pro, iPad Air, iPad mini, iPad and iPod touch are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc., registered in the U.S. and other countries.

Expert opinion: Kanso® 2 Sound Processor first impressions - Cochlear ProNews (9)

Hybrid Hearing: Who is a Candidate?

June 29, 2015

The Cochlear™ Nucleus® Hybrid™ Implant System is the only FDA-approved electric-plus-acoustic option available today.

This innovative technology transforms the way hearing loss is treated, allowing adults with high-frequency hearing loss to access critical speech sounds through electrical stimulation combined with natural acoustic hearing.

Hybrid candidates struggle to hear well in noise and will report dissatisfaction with appropriately fit hearing aids. Help them get back what they are missing!

We recommend use of the CNC and AzBio tests for candidacy evaluation. Click herefor the pre-operative hearing implant candidate worksheet.

Hybrid is indicated for adult unilateral use only. Cochlear’s Nucleus 6 Sound Processor* is the only sound processor available today with combined electric and acoustic stimulation in a single device. Recipients often elect to continue use of their contralateral hearing aid.

Hear from recipients who use Hybrid Hearing:

* Only approved for use with the Cochlear Nucleus Hybrid Implant

(Video) Introducing the Cochlear™ Kanso® 2 Sound Processor

Journal Club - Standard of Care: International Consensus Paperby Cochlear Guest Author / October 13, 2020

(Video) How to Facilitate Sound Processor Upgrades: Eligibility

The Impact of Remote Checkby Kyle Longwell / October 19, 2020

(Video) The Kanso 2® Sound Processor - This changes the game for hearing!

FAQs

What is the top rated cochlear implant? ›

Cochlear™ Nucleus® Implants are the most reliable in the industry. Along with hearing performance, that's a key reason why Cochlear is the most chosen1-4 hearing implant company. With more than 475,000 implants worldwide,1 no other company can match our record for implant reliability.

Is kanso 2 GOOD? ›

The simplicity of the Kanso 2 Sound Processor is spectacular! The recipient can just tap the processor three times to turn it off and twice to turn it on. I love that it has become so incredible easy for recipients to use.

What is the most well known hearing based implant technology? ›

A cochlear implant is an electronic device that improves hearing. It can be an option for people who have severe hearing loss from inner-ear damage who are not able to hear well with hearing aids.

Is there a new cochlear implant coming out? ›

Better hearing can help people reach their full potential. The Nucleus 8 Sound Processor will be commercially available across the United States and Canada by the end of 2022.

What is the newest cochlear implant processor? ›

The Nucleus 8 Sound Processor features Cochlear's latest and most innovative hearing technology that can sense changes in a person's environment and automatically adjust their listening settings.

How many years do cochlear implants last? ›

How long will a cochlear implant last? The internal device is designed to last for your lifetime, and the manufacturers offer a ten year warranty, with some restrictions. While rare, internal devices can and do fail.

What is the price of Kanso 2? ›

Buy KANSO 2 CP1150 HOME CHARGER Online for Rs 10,200.

What is the difference between Kanso 2 and nucleus 8? ›

The Nucleus 8 Sound Processor features an additional USB charging option, allowing you to charge from a PC, or in the car. The Kanso 2 Sound Processor uses a new all-in-one Home Charger that charges, stores and dries your device at the same time. A Portable Charger is also available.

How much does a Kanso cost? ›

Nucleus® 8 and Kanso® 2 Sound Processors

The average cost of a cochlear implant sound processor upgrade is $1,800-$3,000, depending on your health plan.

What are the disadvantages of cochlear implants? ›

Other Risks Associated with the Use of Cochlear Implants
  • May hear sounds differently. ...
  • May lose residual hearing. ...
  • May have unknown and uncertain effects. ...
  • May not hear as well as others who have had successful outcomes with their implants.
  • May not be able to understand language well.
Feb 9, 2021

What is the best age to get a cochlear implant? ›

Children can receive a cochlear implant beginning at 10 to 12 months of age. For a child hoping to receive a cochlear implant at this age, evaluations should start around 3 to 4 months of age. A congenitally deaf child should have cochlear implant surgery before 3 years old, earlier if possible.

Do cochlear implants have a 100% success rate? ›

Cochlear implants have a high success rate as medical prostheses because only less than 0.2% of recipients reject them.

Can I go through airport security with a cochlear implant? ›

It is not necessary to remove hearing aids or the exterior component of a cochlear implant at security checkpoints. It is best if you wear your hearing device while going through the metal detector. Assistive listening devices must undergo x-ray screening.

When did Kanso 2 come out? ›

AudiologyOnline: What does the FDA's new approval of Cochlear's technology include? Natasha McDougald: On July 2, 2020 the FDA granted approval to Cochlear Americas for the first off-the-ear sound processor with smartphone compatibility and direct streaming - the Cochlear™ Nucleus® Kanso® 2.

Do cochlear implants affect the brain? ›

Summary: Older adults fitted with a cochlear implant to compensate for severe hearing loss have significantly poorer cognitive function than their normal-hearing counterparts.

What is the most advanced hearing aid technology? ›

The most sophisticated hearing aids come with tinnitus masking features. An audiologist or other hearing care provider can program them to emit sounds that mask the tinnitus or ringing in your ears.

What is the failure rate for cochlear implants? ›

A 10-year retrospective analysis of 57 patients showed that the CI malfunctioned in just 4 cases (7 percent). 1 Other studies have found similar results. If implant failure has the highest rate at less than 10 percent of all surgeries, you can assume that your chances for a successful cochlear implant are pretty high.

Do cochlear implants completely restore one's hearing back to normal? ›

Cochlear implants don't restore normal hearing, says Nandkumar. But depending on the individual, they can help the wearer recognize words and better understand speech, including when using a telephone.

Who Cannot get cochlear implants? ›

Exclusionary Conditions. Children with inner ear abnormality (for example, Michel malformation in which the cochlea does not develop, or complete absence of the cochlear nerve) cannot receive cochlear implants.

Are you still deaf if you have a cochlear implant? ›

Cochlear implants allow deaf people to receive and process sounds and speech. However, these devices do not restore normal hearing. They are tools that allow sound and speech to be processed and sent to the brain.

Can you get an MRI with a cochlear implant? ›

Some MR Conditional cochlear implants may require the magnet to be surgically removed before an MRI can take place. The magnet will need to be surgically replaced following the MRI procedure. For other MR Conditional cochlear implants, splint/bandaging kits may be available from the manufacturer for use during MRI.

How long does Kanso 2 battery last? ›

Did you know that the battery life of the integrated rechargeable battery on the Kanso 2 Sound Processor is up 18 hours?

Can you swim with kanso 2? ›

Add the security of the Cochlear™ Aqua+ and your Kanso 2 Sound Processor becomes waterproof*, so you can confidently wear your sound processor while enjoying your favorite water activities.

Is Kanso 2 rechargeable battery? ›

The Kanso 2 Sound Processor is the smallest and lightest5,6 off-the-ear sound processor available, with a built-in rechargeable battery and improved dust and water resistance* so you can hear comfortably all day with confidence.

Does the Kanso 2 have telecoil? ›

What's included. *The Kanso 2 Sound Processor does not have an integrated telecoil but it can be connected to assistive listening devices utilising the telecoil functionality of the Mini Microphone 2+. The telecoil of the Mini Microphone 2+ is optimised for room loop use.

What is the difference between cochlear and BAHA? ›

A bone-anchored hearing solution delivers sound vibrations directly to the inner ear in direct contact with the skull bones, while a cochlear implant (always surgical) completely by-passes the no more working hearing mechanism and stimulates the auditory nerve by internally implanted electrodes.

How much does cochlear implant cost in USA? ›

How much do cochlear implants cost? Cochlear implants are more expensive than hearing aids. The average cost of cochlear implants can range from $30,000 to $50,000 without insurance. Most major insurance agencies and federal insurance programs provide coverage for cochlear implants.

What is the smallest cochlear implant? ›

The Nucleus® Kanso® Sound Processor is the world's smallest and lightest1 off-the-ear cochlear implant sound processor. It's the only off-the-ear cochlear implant sound processor with two microphones. Just press a single on/off button and let the advanced technology take over.

Can you have 2 cochlear implants? ›

In the same way that bilateral hearing aids are standard of care to remediate bilateral hearing loss, the use of two cochlear implants, or bilateral implantation, is becoming the standard of care for patients who cannot receive adequate benefit from hearing aids at either ear.

Is a cochlear implant better than a hearing aid? ›

Hearing aids do not require surgery and are best suited for people with less severe hearing loss and fair speech understanding. Cochlear implants require surgery and are best suited for people with more severe hearing loss in one or both ears and poor speech understanding.

What level of hearing loss qualifies for cochlear implant? ›

Therefore, patients with hearing losses greater than or equal to 60 dB HL (pure tone average 0.5, 1k, 2kHz) and speech understanding less than or equal to 60%,8 should be considered for a referral for a cochlear implant evaluation.

What is an alternative to cochlear implant? ›

ADHEAR Non-Implant System

The ADHEAR is a non-surgical bone conduction alternative. The ADHEAR system uses an adhesive adapter placed behind the ear with a bone conduction sound processor connected over it. It can be used for conductive (middle ear) hearing loss in one or both ears.

How many people in the US have cochlear implants? ›

In the United States, roughly 118,100 devices have been implanted in adults and 65,000 in children.

Is getting a cochlear implant a major surgery? ›

A: Cochlear implant surgery is typically performed as an outpatient procedure. The surgery is performed under general anesthesia and takes approximately 1 to 3 hours. The procedure is considered a routine surgery with low risk.

Who is the best cochlear implant surgeon in the world? ›

Best Cochlear implant placement Doctors
  • Jordi Coromina Isern. ENT doctor. 39 years of experience. ...
  • Pakize Eker Balcioglu. General surgeon. 21 years of experience. ...
  • Fehmi Döner. ENT doctor. ...
  • Mehmet Eken. ENT doctor. ...
  • Orhan Gazi Yigitbasi. ENT doctor. ...
  • Dr Wolfgang Gstoettner. ENT doctor. ...
  • Murat Topak. ENT doctor. ...
  • Ophir Hendzel. ENT doctor.

What celebrity has a cochlear implant? ›

Lou Ferrigno

After dealing with a severe ear infection as a child, this former bodybuilder and The Incredible Hulk actor wore hearing aids for a long duration of his career. Recently, Ferrigno opted to have cochlear implant surgery to further correct his hearing.

Should a 90 year old get a cochlear implant? ›

Surgeons say age may not be a factor. Some older patients do well with cochlear implants, experts say. Is there an age limit to getting a cochlear implant? I asked this question of several cochlear implant surgeons around the country, and they all answered the same way: Age, per se, is not a disqualifying factor.

Does Kanso 2 have Bluetooth? ›

You can stream calls and entertainment wirelessly to your Kanso 2 from any Bluetooth®-enabled phone using the Cochlear Wireless Phone Clip.

How long does Kanso 2 take to charge? ›

When fully charged, the Portable Charger can provide one full charge to your Kanso 2 Sound Processor. Completely recharge your sound processor in 4.5 hours.

Can cochlear implant cause balance problems? ›

Cochlear implant (CI) usually solves hearing difficulties with minor complications. However, it can have a negative effect on vestibular function, causing dizziness and imbalance. CI improves hearing; however, it might compromise vestibular function.

Is cochlear damage permanent? ›

Cochlear Damage means that all or part of your inner ear has been hurt. Damage to the cochlea typically causes permanent hearing loss.

Who is the best cochlear implant surgeon? ›

Best Cochlear implant placement Doctors
  • Jordi Coromina Isern. ENT doctor. 39 years of experience. ...
  • Pakize Eker Balcioglu. General surgeon. 21 years of experience. ...
  • Fehmi Döner. ENT doctor. ...
  • Mehmet Eken. ENT doctor. ...
  • Orhan Gazi Yigitbasi. ENT doctor. ...
  • Dr Wolfgang Gstoettner. ENT doctor. ...
  • Murat Topak. ENT doctor. ...
  • Ophir Hendzel. ENT doctor.

What cochlear implants are FDA approved? ›

The cochlear implant system consists of an internal and an external component. The Nucleus 24 Cochlear Implant System was previously approved for use in people ages 9 months and older with severe to profound sensorineural hearing loss in both ears.

What percentage of cochlear implants are successful? ›

Cochlear implants have a high success rate as medical prostheses because only less than 0.2% of recipients reject them. Adults often benefit immediately after the placement of the implant. The sound quality continues to improve for about 3 months after the initial tuning sessions.

What are the three cochlear implant companies? ›

Cochlear Implant Manufacturers:
  • Cochlear Corporation.
  • Advanced Bionics Corporation.
  • Med-El Corporation.

What is the oldest age to get a cochlear implant? ›

“People always ask me, 'Am I too old for a cochlear implant?,' and my response to that is that you're never too old to hear – to be a part of the world,” says Dr. David Kelsall. Dr. Kelsall, otologist from Rocky Mountain Ear Center located in Denver, Colorado, has personally implanted a patient who is 96 years old.

What is the difference between nucleus 8 and Kanso 2? ›

The Nucleus 8 Sound Processor features an additional USB charging option, allowing you to charge from a PC, or in the car. The Kanso 2 Sound Processor uses a new all-in-one Home Charger that charges, stores and dries your device at the same time. A Portable Charger is also available.

What should I avoid with cochlear implants? ›

What activities MUST I avoid?
  • Diving from a diving board – this can cause trauma and put the internal implant at risk.
  • Rides involving high speeds / extreme forces as this may dislodge the internal implant.
  • Martial arts involving throwing.
  • Must not touch Van der Graaf generator in school science lessons.
Dec 14, 2021

Do people with cochlear implants hear perfectly? ›

Cochlear implants allow deaf people to receive and process sounds and speech. However, these devices do not restore normal hearing. They are tools that allow sound and speech to be processed and sent to the brain.

What are 2 pros and cons of getting cochlear implants? ›

They have pros and cons that you should consider if you are thinking about getting a cochlear implant to help with your severe hearing loss.
  • Pro: Cochlear Implants Allow Deaf People To Hear. ...
  • Pro: Giving Older Patients Their Social Lives Back. ...
  • Con: Cochlear Implants are Expensive.
Sep 18, 2020

Videos

1. Nucleus 8 Sound Processor | Replacing microphone cover | Cochlear
(Cochlear Australia and New Zealand)
2. Cochlear™ Nucleus 8 Sound Processor - What is Bluetooth® LE Audio?
(CochlearGlobal)
3. Comparing the new Nucleus 8 Sound Processor with Nucleus 7
(Cochlear Europe, Middle East & Africa)
4. TECH Talk – Zwolan – Wear Your Way: The Nucleus Cochlear Implant Sound Processor
(Cochlear Americas)
5. TECH Talk – Lalwani – Don’t Wait: The Benefits of Earlier Implantation (Part 2)
(Cochlear Americas)
6. TECH Talk – Kraskin – New Ways to Hear Your Way: The Cochlear™ Baha® SoundArc
(Cochlear Americas)
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