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Ultrasound Guidance System Facilitates Vascular Access

By MedImaging International staff writers
Posted on 06 Aug 2021

A novel percutaneous access system combines a forward-viewing ultrasound probe and working portal to expedite central vascular access procedures.

The Crystalline Medical (Fremont, CA, USA) Vu-Path Ultrasound System is a miniaturized, forward-viewing ultrasound probe with an integrated interventional access channel for needles, guide wires, and other tools that allows skin-to-site central vascular access procedures to be performed at the bedside. Vu-Path provides a forward imaging orientation, which allows even the novice ultrasound operator to visualize structures that are directly in front of the probe, thus aiding seamless navigate in any direction.

The ultrasound probe and the needle channel are integrated and in a fixed position, which means that the ultrasound probe goes wherever the needle goes, providing constant forward –looking needle visualization. The needle can also be removed and replaced with other interventional tools, such as guide wires or catheters. The proprietary high-frequency Vu-Path ultrasound probe also provides high resolution images of the structures deep within the body, which are displayed on the system monitor.

“Crystalline Medical believes that the Vu-Path Ultrasound Guidance System will lead to decreased costs to the healthcare system by allowing experienced and inexperienced ultrasound operators to successfully cannulate central lines the first time, every time,” stated the company, “as well as by reducing unnecessary complications during central vascular access procedures, and providing a point-of-care solution that avoids using valuable surgical suite time and specialty physicians.”

Needle guidance for the jugular, subclavian, or femoral vasculature can be difficult, especially for complicated patients. When aggravated by poor visualization, it often results in multiple attempts, which can be uncomfortable for the patient and time consuming for the operator. It may also lead to failure, which requires the patient to be referred to the surgical suite. Poor visualization during central vascular access procedures may also lead to the accidental puncture of nearby structures, such as the lung, bowel, or non-targeted vasculature.

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66 (82.015991210938): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

67 (485.18180847168): SELECT fid FROM jos_deeppockets WHERE id=294789186 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294789186 AND published='1' LIMIT 1

68 (44.822692871094): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`

69 (42.915344238281): select jos_twitters.link from jos_twitters where cat=10

70 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

71 (29.802322387695): select jos_google_plus.link from jos_google_plus where cat=10

72 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

73 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294789186 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294789186 AND published='1' LIMIT 1

74 (30.994415283203): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`

75 (313.99726867676): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (216.96090698242): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

77 (43.869018554688): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

78 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

94 (33.140182495117): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

110 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

111 (46.968460083008): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789186 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (45.061111450195): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789186 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

114 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

115 (73.909759521484): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294789186 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (571.01249694824): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294789186 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (569.10514831543): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (370.02563476562): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

119 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

120 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

121 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

122 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

123 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

124 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

125 (297.06954956055): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 20268.91708374): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

127 (148.05793762207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

128 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

129 (515.93780517578): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789186 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789186 AND type='deeppockets_item' AND published='1' LIMIT 1

130 (!!!!! 727354.04968262): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (!!!!! 919974.80392456): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

132 (73.909759521484): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

134 (32.901763916016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (26.941299438477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

136 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (27.179718017578): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

138 (402.92739868164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (308.99047851562): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (46.968460083008): SELECT name FROM jos_deeppockets WHERE id=214

141 (54.121017456055): SELECT name FROM jos_deeppockets WHERE id=214

142 (447.98851013184): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (370.02563476562): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (991.1060333252): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

145 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

146 (!!!!! 6536.9606018066): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 1574.9931335449): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789186 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (674.96299743652): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789186 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (432.96813964844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

152 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

153 (!!!!! 1347.0649719238): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

154 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

155 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

156 (!!!!! 3274.2023468018): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789186 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789186 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (88.930130004883): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

158 (30.994415283203): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

159 (32.186508178711): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

161 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789186 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789186 AND published='1' LIMIT 1

162 (39.100646972656): select jos_twitters.link from jos_twitters where cat=10

163 (25.98762512207): select jos_facebook.link from jos_facebook where cat=10

164 (25.98762512207): select jos_google_plus.link from jos_google_plus where cat=10

165 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

166 (272.03559875488): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1192.0928955078): insert into jos_banners_delta values (14615,'2025-04-29 21:33:15','3.140.184.203','view'),(14202,'2025-04-29 21:33:15','3.140.184.203','view'),(14203,'2025-04-29 21:33:15','3.140.184.203','view')

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