Chronic wounds

51 Products

Wound Moulage Ileostoma, incl. stand

This moulage shows an ileostomy, the second most common type of ostomy. The terminal ileostoma is usually found on the right side of the body and shows the small intestine sewn in above skin level. Due to the use of a special plastic compound, all common stoma bags adhere to the moulage. The model is suitable for sizing using a stoma template, cleaning the skin with water and attaching the base plate and stoma bag. The moulage is in a holder and can also be removed.

€365.33*

Simulation smell "vomit"

Spray bottle á 30ml with vomit odor frequently encountered in care.The odorant is ready to use and can be sprayed on mannequins or clothing for even more realism in training and education.

€67.83*

Wound Moulage Colostoma, incl. stand

This moulage shows a colostomy, the most common type of stoma creation. The terminal colostoma is usually found in the middle of the body or on the left side of the body and shows the colon sewn in above skin level. Due to the use of a special plastic compound, all common stoma bags adhere to the moulage. The model is suitable for sizing using the stoma template, cleaning the skin with water and attaching the base plate and stoma bag. The moulage is in a holder and can also be removed.

€365.33*

Simulation smell "urine"

Spray bottle á 30ml with urine odor frequently encountered in care.The odorant is ready to use and can be sprayed on mannequins or clothing for even more realism in training and education.

€67.83*

Simulation smell "feces"

Spray bottle á 30ml with fecal odor frequently encountered in care.The odorant is ready to use and can be sprayed on mannequins or clothing for even more realism in training and education.

€67.83*

Wound Moulage Colostoma with inflammation, incl. stand

This moulage shows a colostomy, the most common type of stoma creation. The terminal colostoma is usually found in the middle of the body or on the left side of the body and shows the colon sewn in above skin level. The area around the colon is inflammed Due to the use of a special plastic compound, all common stoma bags adhere to the moulage. The model is suitable for sizing using the stoma template, cleaning the skin with water and attaching the base plate and stoma bag. The moulage is in a holder and can also be removed.

€365.33*

Wound foot with diabetic foot syndrome

This life-like and life-size foot model shows typical symptoms of the diabetic foot syndrome. Multiple ulcera and lesions are located at typical positions in different grades. Additional symptoms like cracked skin and a necrotic toe are also shown. A perfect model for diabetic education as well as for nursing education or medical studies. Especially suitable for wound care management education.

€918.68*

Simulation smell "necrotic tissue"

Spray bottle á 30ml with necrotic tissue odor frequently encountered in care.The odorant is ready to use and can be sprayed on mannequins or clothing for even more realism in training and education.

€67.83*

Wound Moulage Colostoma in abdominal crease, incl. stand

This moulage shows a colostomy, the most common type of stoma creation. The terminal colostoma is usually found in the middle of the body or on the left side of the body and shows the colon sewn in above skin level. The Stoma is located in a abdominal crease. Due to the use of a special plastic compound, all common stoma bags adhere to the moulage. The model is suitable for sizing using the stoma template, cleaning the skin with water and attaching the base plate and stoma bag. The moulage is in a holder and can also be removed.

€365.33*

Wound foot with diabetic foot syndrome, severe stage

This life-size foot model with diabetic foot syndrome shows a foot after a ray resection as a result of necrosis and deep ulcer. Additionally, the foot shows ulcera, lesions and cracked skin. This model is perfect for wound care management education and general nursing education.

€918.68*

Wound Moulage Colostoma under skin level, incl. stand

This moulage shows a colostomy, the most common type of stoma creation. The terminal colostoma is usually found in the middle of the body or on the left side of the body and shows the colon sewn in. The colon is under skin level. Due to the use of a special plastic compound, all common stoma bags adhere to the moulage. The model is suitable for sizing using the stoma template, cleaning the skin with water and attaching the base plate and stoma bag. The moulage is in a holder and can also be removed.

€365.33*

Wound moulage sacral decubitus, cleaned

This moulage shows the sacral area with a pressure ulcus after a surgical cleaning. The necrotic tissue has been removed, wound pockets are present. The wound is available either freshly cleaned or with wound exsudate. The moulage can be used for demonstration of vacuum wound therapy. The moulage adheres on simulated patients or manikins, it can be fixed with special skin glue for longer training sessions. The anal fold is represented to demonstrate the typical challenges when dressing the wound.Supplied with storage box.

€427.21*

Simulation smell "sweaty feet"

Spray bottle á 30ml with sweaty feet odor frequently encountered in care.The odorant is ready to use and can be sprayed on mannequins or clothing for even more realism in training and education.

€67.83*

Wound moulage venous leg ulcer, large, exudation phase

This self-adhesive wound represents a venous leg ulcer, a substance defect in the tissue of the lower leg as a result of a chronic venous insufficiency. The shown exudation phase represents the most common ulcus disease (60% to 80% of all ulcus diseases) in its untreated condition. Fibrin and excessive wound exsudate have to be removed during the would cleaning. This large wound is perfect for adhering at the lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€412.93*

Wound foot with diabetic foot syndrome, severe stage, manikin version

€918.68*

Simulation smells, complete set, 5 scents

Set of 5 spray bottles á 30ml with odors common in care:- feces- urine- necrotic tissue- vomit- sweaty feetThe odorants are ready to use and can be sprayed on mannequins or clothing for even more realism in training and education.

€320.11*

Wound moulage venous leg ulcer, large, granulation phase

This self-adhesive wound represents a venous leg ulcer, a substance defect in the tissue of the lower leg as a result of a chronic venous insufficiency. The shown granulation phase represents the most common ulcus disease (60% to 80% of all ulcus diseases) in the stage of building granulation tissue. In this stage it is very important to use the suitable dressing to prevent wound healing disorders (fibrin persistence). This large wound is perfect for adhering at the lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€412.93*

Wound foot with diabetic foot syndrome, severe stage, Nurisng Anne version

€918.68*

Wound moulage venous leg ulcer, small, exudation phase

This self-adhesive wound represents a venous leg ulcer, a substance defect in the tissue of the lower leg as a result of a chronic venous insufficiency. The shown exudation phase represents the most common ulcus disease (60% to 80% of all ulcus diseases) in its untreated condition. Fibrin and excessive wound exsudate have to be removed during the would cleaning. This small wound is perfect for adhering at the ankle or lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€257.04*

Wound moulage sacral decubitus, cleaned including stand

€412.93*

Wound moulage venous leg ulcer, large, epithelisation phase

This self-adhesive wound represents a venous leg ulcer, a substance defect in the tissue of the lower leg as a result of a chronic venous insufficiency. The shown epithelisation phase represents the most common ulcus disease (60% to 80% of all ulcus diseases) in the stage of building epithelial tissue, finally leading to close the wound. This large wound is perfect for adhering at the lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€412.93*

Seymour II Decubitus-Simulator

This Decubitus-Simulator is made of a unique flexible, life-like material and is perfect for dressing practice. The model was molded from a 74-year-old patient and shows the following pressure injuries: Stage 1, stage 2, stage 3and Stage 4. It also shows a suspected deep tissue injury (DTI), a unstageable eschar/slough wound and a 14 cm dehisced wound. Life size. Optional carrying bag available.

€1,156.68*

Wound moulage sacral decubitus, untreated

This moulage shows the sacral area with a pressure ulcus in an unattended stage. The tissue has died under continuous pressure and necrotic tissue is visible. The actual size of the necrotic area can not be defined and needs surgical therapy. The moulage adheres on simulated patients or manikins, it can be fixed with special skin glue for longer training sessions. The anal fold is represented to demonstrate the typical challenges when dressing the wound.Supplied with storage box.

€427.21*

Wound moulage arterial leg ulcer, small, exudation phase

This self-adhesive wound represents an arterial leg ulcer, a substance defect in the tissue of the lower leg as a result of a peripheral arterial occlusive disease (PAOD). Caused by insufficient blood and related oxygen supply the healing of wounds is inhibited any small injuries can become chronic wounds. In this moulage the necrosis of tissue is represented as extensive black areas. This small wound is perfect for adhering at the ankle or lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€257.04*

Wound moulage venous leg ulcer, small, granulation phase

This self-adhesive wound represents a venous leg ulcer, a substance defect in the tissue of the lower leg as a result of a chronic venous insufficiency. The shown granulation phase represents the most common ulcus disease (60% to 80% of all ulcus diseases) in the stage of building granulation tissue. In this stage it is very important to use the suitable dressing to prevent wound healing disorders (fibrin persistence). This small wound is perfect for adhering at the ankle or lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€257.04*

Wound Foot “Wilma”

Moulded from a real foot for a true-life experience when assessing the various wounds. Twenty different conditions are presented so you can see and understand how they are different. Great care has been taken to colour each wound just as you would see it on a patient. Once the different etiologies are understood, you can discuss and devise treatment plans that will deliver optimized patient care. The following wounds and abnormalities are included: pressure ulcers, deep tissue injury, callus, amputated toe, gangrene, maceration, partial thickness wounds, corn, ingrown toenail, blister, hammer toes, and skin stapled wound. Comes with positioning base for "hands free" access to all the sites when applying dressings or teaching.Size: 32 x 20 x 9 cm

€1,060.29*

Wound moulage arterial leg ulcer, large, exudation phase

This self-adhesive wound represents an arterial leg ulcer, a substance defect in the tissue of the lower leg as a result of a peripheral arterial occlusive disease (PAOD). Caused by insufficient blood and related oxygen supply the healing of wounds is inhibited any small injuries can become chronic wounds. In this moulage the necrosis of tissue is represented as extensive black areas. This large wound is perfect for adhering at the lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€412.93*

Surgical wound, with suture, 22cm

This moulage is made of skin-friendly material and adheres by itself on the skin of a standardized patient, a manikin or on the supplied base. The moulage can be attached to any location of the body, for example over the knee to simulate a wound after a knee replacement or on the belly to simulate a cesarean section. The soft material moves with the body and can be attached over joints. If the moulage does not adhere well anymore, simply clean the backside with alcohol and it will stick strongly again. If the moulage shall be used for a longer course, we recommend a special skin glue.

€337.96*

Surgical wound with staples, 22cm

€337.96*

Bandaging Simulator

This simulator consists of a female torso with flexible, lifelike skin which realistically responds to adhesives and all types of bandaging procedures. 14 different wounds allow one to practice wound management techniques, cleaning and bandaging techniques just like on a real patient. Wound closures feature surgical staples and sutures which cannot be removed.The simulator is supplied in a carrying case and features the following wounds:- Thyroidectomy- Mid-sternal split with chest tube drains (surgical staples)- Mastectomy with simulated drain- Cholecystectomy with simulated T-tube- Laparotomy (surgical staples)- Appendectomy- Colostomy- Illeostomy- Abdominal hysterectomy (surgical staples)- Thoractomy (surgical staples)- Nephrectomy (surgical staples)- Laminectomy- Sacral decubitus ulcer (stage II)- Leg amputation stump (surgical staples)Size: 84 x 30.5 x 63.5 cm, weight: 12 kg

€2,208.64*

Wound moulage arterial leg ulcer, small, granulation phase

This self-adhesive wound represents an arterial leg ulcer, a substance defect in the tissue of the lower leg as a result of a peripheral arterial occlusive disease (PAOD). Caused by insufficient blood and related oxygen supply the healing of wounds is inhibited any small injuries can become chronic wounds. In this moulage the granulation phase after successful causal therapy and careful wound cleaning is represented. This small wound is perfect for adhering at the ankle or lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€257.04*

Elderly Pressure Ulcer Foot

Chronic foot ulcers affect elderly the most, we have designed the Elderly Pressure Ulcer Foot for instruction on care and cleaning of pressure ulcers in various stages. Pressure ulcers are more likely to appear over pressure points such as heels, tips of toes, between toes, or anywhere the bones may protrude and rub against socks, shoes, or bed sheets. This replica contains all four severity stages:- Stage I: Located on the bottom of the toe. Surface of the skin is red.- Stage II: Located on the bottom of the foot just under the toe. Surface of the skin is red and deeper into the skin layers.- Stage III: Located on the side of the foot. Surface of the skin is red, looks more like a crater, and reaches the bottom layer of the skin.- Stage IV: Located on the heel of the foot. Surface of the skin is red. A great amount of tissue has been damaged, including muscle, bone, joints, and tendons.

€408.17*

Wound moulage venous leg ulcer, small, epithelisation phase

This self-adhesive wound represents a venous leg ulcer, a substance defect in the tissue of the lower leg as a result of a chronic venous insufficiency. The shown epithelisation phase represents the most common ulcus disease (60% to 80% of all ulcus diseases) in the stage of building epithelial tissue, finally leading to close the wound. This small wound is perfect for adhering at the ankle or lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€257.04*

Wound moulage arterial leg ulcer, small, epithelization phase

This self-adhesive wound represents an arterial leg ulcer, a substance defect in the tissue of the lower leg as a result of a peripheral arterial occlusive disease (PAOD). Caused by insufficient blood and related oxygen supply the healing of wounds is inhibited any small injuries can become chronic wounds. This moulage shows the building of epithelial tissue, finally leading to closure of the wound after successful causal therapy and careful wound cleaning.This small wound is perfect for adhering at the ankle or lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€257.04*

Surgical wound, without suture, 22cm

€241.57*

Stan Stage 4 Presure Injury Model

Designed for teaching and training with vacuum assisted closure and negative pressure wound therapy devices, this model features a large sacral Stage 4 pressure injury, with eschar, subcutaneous fat, undermining, tunneling, slough, eschar and exposed bone (with osteomyelitis) and a Stage 3 pressure injury with subcutaneous fat and granulation tissue. The large size and depth of the Stage IV pressure injury, as well as the undermining and tunneling, make it ideal for practicing the proper dressing and preparation of a large wound for use with a negative pressure wound therapy device. The Stage 3 pressure injury is positioned so that the Stage 4 can be dressed by itself or a "bridging" dressing can be applied to the Stage 4 and Stage 3 to demonstrate and practice this skill.Size: 23 x 23 x 11.5 cm, weight: 1 kg

€756.84*

Negative-Pressure Wound Therapy (NPWT) Trainers

The Negative-Pressure Wound Therapy (NPWT) Trainers assist with the instruction of advanced therapy management for many types of acute and chronic wounds.Use the trainers for demonstration of application, placement, and management of a negative-pressure wound therapy system and for the care of wounds. These uniquetrainers have different depths of wound care, including tunneling. The lifelike texture of the skin and realistic appearance of the wounds give added realism to training.Appropriate wound care bandaging products can be used. Pump device and bandaging supplies not included.

€738.99*

Wound moulage arterial leg ulcer, large, granulation phase

This self-adhesive wound represents a arterial leg ulcer, a substance defect in the tissue of the lower leg as a result of a peripheral arterial occlusive disease (PAOD). Caused by insufficient blood and related oxygen supply the healing of wounds is inhibited any small injuries can become chronic wounds. In this moulage the granulation phase after successful causal therapy and careful wound cleaning is represented. This large wound is perfect for adhering at the lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€412.93*

Stump Bandaging Upper Torso

Upper torso with amputation stumps for bandaging training. Life size.

€735.42*

Nursing Care Moulage Kit

This moulage kit offers a highly detailed variety of disease, pressure and surgically induced wounds to assist practitioners in understanding the treatment of their patients. Whether the practitioners’ education includes clinical nurse training, certified nursing assistant training, surgical technician, or pre-hospital disciplines, it is beneficial to visualize the problems that arise in caring for these wounds. The kit comes with a spray container of both stinky sweat and vomit to assist in presentation. Comes packaged in a sturdy carrying case for eased of storage and transport.

€3,381.98*

Stump Bandaging Lower Torso

Lower torso with amputation stumps for bandaging training. Life size.

€667.59*

Pat Pressure Injury Model

A unique, compact, comprehensive and realistic model displaying the following pressure injuries: an unstageable eschar/slough wound, Stage 1 (in both darkly and lightly pigmented skin), Stage 2, Stage 3 with undermining, tunneling and slough, a shallow Stage 4 over the malleolus with exposed bone and tendon, and a Stage 4 with exposed bone, tendon, muscle and undermining, tunneling, eschar and slough. The darkly pigmented skin section shows how different a Stage 1, blood blister and suspected DTI (Deep Tissue Injury) may appear depending on the pigmentation. Optional carry case available.Size: 21 x 32 x 4.5 cm, weight: 1.5 kg

€917.49*

Wound moulage arterial leg ulcer, large, epithelization phase

This self-adhesive wound represents an arterial leg ulcer, a substance defect in the tissue of the lower leg as a result of a peripheral arterial occlusive disease (PAOD). Caused by insufficient blood and related oxygen supply the healing of wounds is inhibited any small injuries can become chronic wounds. This moulage shows the building of epithelial tissue, finally leading to closure of the wound after successful causal therapy and careful wound cleaning.This large wound is perfect for adhering at the lower leg and adheres by itself. For longer use, it can be fixed with a special skin glue. All materials used in this product are dermatologically harmless.Supplied with storage box.

€412.93*

Wound foot with diabetic foot syndrome, manikin version

€918.68*

Ultra Nursing Wound Simulation Kit

The “ultimate” kit designed to assist nursing educators in creating medical experiences that used to only be found in clinical settings. The instructor-created simulation scenarios assist students with making assessments, prioritizing patients, and determining correct treatments. Simulation allows students to make critical mistakes without endangering a live patient, providing them with realistic patient interaction and enabling them to gain experience and gain confidence before entering real-life clinical situations. The more realistic the simulation, the greater the learning experience. Applications of wounds, blisters, abrasions, bruises, and much more act as visual aids. Moulage adds enough realism for students to become completely engaged in the scenarios presented. It allows them to feel the patient or patient simulator is someone for whom they must provide appropriatecare. Using very quick, basic simulations and simple makeup, the simulated three-dimensional lifelike wounds can be cleaned, sutured, bandaged, etc., for a realistic nursing experience. Nursing simulation can use simple makeup and include wounds applied to a real person’s or patient simulator’s limbs, chest, head, or any other part of the body. The simulation can be as basic or advanced as needed by also adding other elements of realism, including sweat, blood, pus, mucous, or any other “recipes” needed to create a realistic learning environment. The Ultra Nursing Wound Simulation Kit includes everything needed to create complex scenarios to assist students with a multitude of sensory perception experiences. Included are simulated wounds, makeup, and makeup accessories all packaged in a hard carry case.

€3,246.32*

Pressure Ulcer / Bedsore Models

Pressure ulcers, also known as bedsores or decubitus wounds, affect over one million adults every year. The wounds can range from superficial and mildly red on the skin surface to an extremely infected, deep, open wound penetrating down to the bone with blackened or dead tissue. These models illustrate all four wound stages and are used to give instruction on the care and cleaning of the ulcers. The four stages include:- Stage 1 — Reddening, unbroken skin- Stage 2 — Open wound that is reddened with partial skin loss- Stage 3 — Deep, open wound that reaches through all layers of skin and into the muscle- Stage 4 — Severe, deep, open wound that reaches through all layers of skin and damages muscle, bone, tendons, and jointsThe Pressure Ulcer/Bedsore Models are made with our lifelike skin. Includes four buttocks models representing each stage, four display easels, and instruction key card.Size: 16.5 x 15.9 x 2.5 cm, Weight: 3.6 kg

€1,031.73*

Decubitus Treatment Simulator

This model of a human buttock shows first-, second-, and third-degree decubitus and allows practicing of washing and dressing procedures.Size: 24 x 37 x 9 cm

€558.11*

Wanda Wound Foot

With Wanda Wound Foot you have everything you need for the diagnosis and care of wounds on the foot. A variety of typical wounds and changes make this model the ideal aid in training.Depicted are a deep tissue pressure injury of indeterminable depth, maceration between the toes, a blister, nail fungus, ingrown nail, corn, amputation of the 4th toe, dry gangrene, eschar, stage 1, 2, 3 and 4 pressure ulcers, a stapled surgical wound, callus, callus and deep and superficial ulcer.The model has a soft surface and is ideal for applying dressings and plasters. The universal stand allows the model to be held so that you have free access to all wounds.

€414.12*

"Decubitus Dan" care and dressing simulator

This universal pressure ulcer simulator shows stage 1, stage 2, stage 3 and stage 4 pressure ulcers. The buttocks of a geriatric patient also show a deep tissue injury, unclassifiable necrosis and a deshisced wound measuring approximately 12 cm. The life-size model is made of soft plastic and is ideal for dressing exercises, for vacuum wound therapy and for all other care measures. Size: 30x34x14cm, weight 1.3kg

€700.91*

Freddie Fistula Skills Trainer with case

Freddie Fistula was developed to provide health care providers and medical educators with a realistic skills trainer to facilitate instruction and practice in the management of open abdominal wounds with active fistulas. Open abdominal wounds with actively draining fistula present a complex wound care challenge that requires that multiple wound care modalities are utilized to control fistula effluent and allow for optimal wound healing. Freddie Fistula Wound Care Skills Trainer incorporates an innovative design with a realistic open abdominal wound with exposed intestines and three actively draining fistulas. A central stomatized fistula is easily observed, while both the non-stomatized and hidden fistulas are not readily observable and add to the complexity of identifying the source of effluent flow and the ability to manage drainage, while employing various wound dressing materials and techniques (such as negative pressure wound therapy). Any combination of the three fistulas can be opened to permit effluent flow, while the integral base of the trainer is designed with a tray that can contain up to 700ml of fluid. The Freddie Fistula Skills Trainer helps to build competency and confidence in this challenging wound care scenario by allowing the user to employ some of the latest wound treatments and techniques. Included with the Freddie Fistula trainer is a support rod to hold the 500ml effluent fluid bag, a drainage tube, a bottle of effluent fluid concentrate and 3-way, color-coded tubing sets with pinch clampsSize: 46 x 41 x 13 cm, weight: 4 kg

€1,793.33*

Training phantom for ultrasonic detection of tissue damage

This unique training phantoms allows training of ultrasonic detection of DTI (deep tissue injury). The phantom has two replaceable pads in two locations where DTI typically occurs easily. One pad represents the sacral region, the other the greater trochanter region.The phantom has 5 different pads for each of the two regions:- Healthy tissue – no defect- Mild bedsore – edema and hypoechoic area- Moderate bedsore – edema and abscess- Severe bedsore – edema and cobblestone-type abscess- Pocket-type bedsore – tissue wound and pocket formationObserving features such as loss of superficial fascia, localized areas of low brightness, and the location and depth of abnormal findings make it possible to confirm mild bed sore at category/stage I to II. Of course the model can also be used for visual classification of decubitus ulcer as well. Standard classification and treatment practice can be practiced and inserts can be used for teaching different stages. Supplied in storage case.

Medical simulators - realistic training experiences for experts

Discover a revolutionary era in medical training with our state-of-the-art medical simulators. Immerse yourself in realistic and risk-free medical simulations that allow trainee doctors, nurses and healthcare professionals to practise life-saving skills. The Erler-Zimmer simulators offer an interactive platform that integrates advanced technology such as augmented reality to provide hands-on experiences in a safe learning environment. Invest in your medical education and choose our medical simulators for optimal training. Discover the future of medical training - practical, safe and state-of-the-art. Contact us today to find out more about our simulators and their possible applications. Effective training of healthcare professionals is critical to patient safety and success in the healthcare sector. Our simulators allow aspiring professionals to perfect their skills, build confidence and prepare for real-life situations - all without risk to patients. Prepare for real-life clinical challenges and enhance your skills with our innovative medical simulators - the future of medical education starts with medical simulators from Erler- Zimmer.

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