take a moment to take a look at the pair of shoes you’re wearing today do they
of shoes you’re wearing today do they
of shoes you’re wearing today do they feel comfortable I hope so
feel comfortable I hope so
feel comfortable I hope so do they look nice do they fit so
do they look nice do they fit so
do they look nice do they fit so occasionally we are in here today well
occasionally we are in here today well
occasionally we are in here today well now imagine to wear those exact same
now imagine to wear those exact same
now imagine to wear those exact same pair of shoes for the next four weeks or
pair of shoes for the next four weeks or
pair of shoes for the next four weeks or let’s say even four months or let’s say
let’s say even four months or let’s say
let’s say even four months or let’s say four years every season every waking
four years every season every waking
four years every season every waking hour does it still feel like the perfect
hour does it still feel like the perfect
hour does it still feel like the perfect pair of shoes or would you maybe go for
pair of shoes or would you maybe go for
pair of shoes or would you maybe go for something tailor-made right now I know
something tailor-made right now I know
something tailor-made right now I know this is very very hard to imagine but
this is very very hard to imagine but
this is very very hard to imagine but there is an area where we actually have
there is an area where we actually have
there is an area where we actually have not the choice to choose what we wear
not the choice to choose what we wear
not the choice to choose what we wear each and every day I’m talking about
each and every day I’m talking about
each and every day I’m talking about orthopedic care in orthopedic care we
orthopedic care in orthopedic care we
orthopedic care in orthopedic care we have like introduced for instance
have like introduced for instance
have like introduced for instance prosthetic limbs which replace a missing
prosthetic limbs which replace a missing
prosthetic limbs which replace a missing body part or we have braces which
body part or we have braces which
body part or we have braces which support or correct some malalignment for
support or correct some malalignment for
support or correct some malalignment for instance of a limp those have to be worn
instance of a limp those have to be worn
instance of a limp those have to be worn every day for months for years on the
every day for months for years on the
every day for months for years on the body therefore it is very important that
body therefore it is very important that
body therefore it is very important that they are really tailored to fit
they are really tailored to fit
they are really tailored to fit perfectly however we have seen a variant
perfectly however we have seen a variant
perfectly however we have seen a variant trend over the last years or decades
trend over the last years or decades
trend over the last years or decades even going for more one-size-fits-all
even going for more one-size-fits-all
even going for more one-size-fits-all solutions because it’s just cheaper to
solutions because it’s just cheaper to
solutions because it’s just cheaper to make and there are too many people out
make and there are too many people out
make and there are too many people out there to serve so here in Germany we
there to serve so here in Germany we
there to serve so here in Germany we actually have a lot of really really
actually have a lot of really really
actually have a lot of really really high trained experts who can build
high trained experts who can build
high trained experts who can build custom and tailor-made devices which fit
custom and tailor-made devices which fit
custom and tailor-made devices which fit perfectly
perfectly
perfectly however they face rising cost and time
however they face rising cost and time
however they face rising cost and time pressure also medical certification is
pressure also medical certification is
pressure also medical certification is an issue for them and last but not least
an issue for them and last but not least
an issue for them and last but not least they have less and less apprentices who
they have less and less apprentices who
they have less and less apprentices who want to pick up on this nice profession
want to pick up on this nice profession
want to pick up on this nice profession worldwide if we look at other non
worldwide if we look at other non
worldwide if we look at other non industrial countries the World Health
industrial countries the World Health
industrial countries the World Health Organization says
Organization says
Organization says that nine out of ten people don’t get
that nine out of ten people don’t get
that nine out of ten people don’t get the prosthetic device or the brace they
the prosthetic device or the brace they
the prosthetic device or the brace they need to be mobile
need to be mobile
need to be mobile this means 90% actually have to stay at
this means 90% actually have to stay at
this means 90% actually have to stay at home feeling maybe useless without a
home feeling maybe useless without a
home feeling maybe useless without a device so the mobility impairment they
device so the mobility impairment they
device so the mobility impairment they have for them is permanent let’s go back
have for them is permanent let’s go back
have for them is permanent let’s go back to the industrial countries also here we
to the industrial countries also here we
to the industrial countries also here we have due to the aging of society during
have due to the aging of society during
have due to the aging of society during the aging population a huge demand
the aging population a huge demand
the aging population a huge demand increase and there are illnesses like
increase and there are illnesses like
increase and there are illnesses like diabetes which cause actually the
diabetes which cause actually the
diabetes which cause actually the numbers of amputations to explode
numbers of amputations to explode
numbers of amputations to explode therefore we need to take all those
therefore we need to take all those
therefore we need to take all those technological advantage we have at hand
technological advantage we have at hand
technological advantage we have at hand and empower those rare professionals to
and empower those rare professionals to
and empower those rare professionals to enable them that they can make
enable them that they can make
enable them that they can make tailor-made devices for everyone I’m
tailor-made devices for everyone I’m
tailor-made devices for everyone I’m convinced that by using digitalization
convinced that by using digitalization
convinced that by using digitalization or 3d printing we an can empower those
or 3d printing we an can empower those
or 3d printing we an can empower those professionals that they can make a
professionals that they can make a
professionals that they can make a solution for everyone out there speaking
solution for everyone out there speaking
solution for everyone out there speaking about more than 100 million people in
about more than 100 million people in
about more than 100 million people in the whole world why am I convinced let’s
the whole world why am I convinced let’s
the whole world why am I convinced let’s take a step back six years ago I had to
take a step back six years ago I had to
take a step back six years ago I had to undergo an ill-fitting treatment myself
undergo an ill-fitting treatment myself
undergo an ill-fitting treatment myself so for undergoing radiosurgery I had to
so for undergoing radiosurgery I had to
so for undergoing radiosurgery I had to wear such a halo fixator system it
wear such a halo fixator system it
wear such a halo fixator system it basically consists of a metal ring
basically consists of a metal ring
basically consists of a metal ring around your skull then for titanium
around your skull then for titanium
around your skull then for titanium screws are inserted into your skull to
screws are inserted into your skull to
screws are inserted into your skull to fixate you in place it’s a very very
fixate you in place it’s a very very
fixate you in place it’s a very very painful sensation you cannot move any
painful sensation you cannot move any
painful sensation you cannot move any millimetre at all being a biomedical
millimetre at all being a biomedical
millimetre at all being a biomedical engineering student at this time I was
engineering student at this time I was
engineering student at this time I was quite sure there has to be a better
quite sure there has to be a better
quite sure there has to be a better solution to treat patients out there so
solution to treat patients out there so
solution to treat patients out there so that they don’t have to suffer well to
that they don’t have to suffer well to
that they don’t have to suffer well to be honest I’m not this creative genius
be honest I’m not this creative genius
be honest I’m not this creative genius type of guy so no brilliant idea struck
type of guy so no brilliant idea struck
type of guy so no brilliant idea struck me no apple fell on my head well four
me no apple fell on my head well four
me no apple fell on my head well four years later I met a very creative
years later I met a very creative
years later I met a very creative physician near Munich he’s researching
physician near Munich he’s researching
physician near Munich he’s researching at the local university hospital his
at the local university hospital his
at the local university hospital his name is Simon and he had actually the
name is Simon and he had actually the
name is Simon and he had actually the idea to create something custom-made 3d
idea to create something custom-made 3d
idea to create something custom-made 3d printed for his patient
printed for his patient
printed for his patient he wanted to use CT scans as a basis and
he wanted to use CT scans as a basis and
he wanted to use CT scans as a basis and then really fitted to them so that he
then really fitted to them so that he
then really fitted to them so that he achieved the perfect fit I’d like to
achieved the perfect fit I’d like to
achieved the perfect fit I’d like to show where we are now our lead designer
show where we are now our lead designer
show where we are now our lead designer Yanis here is showcasing his latest
Yanis here is showcasing his latest
Yanis here is showcasing his latest creation as you can see the brace is
creation as you can see the brace is
creation as you can see the brace is really perfectly following his jawbone
really perfectly following his jawbone
really perfectly following his jawbone so it achieved an equal weight
so it achieved an equal weight
so it achieved an equal weight distribution as is based on a 3d scan or
distribution as is based on a 3d scan or
distribution as is based on a 3d scan or CT scan of his head also it’s really
CT scan of his head also it’s really
CT scan of his head also it’s really lightweight and breathable which is very
lightweight and breathable which is very
lightweight and breathable which is very important and you can actually attach or
important and you can actually attach or
important and you can actually attach or dis attach those things here in a matter
dis attach those things here in a matter
dis attach those things here in a matter of seconds which is important for the
of seconds which is important for the
of seconds which is important for the daily cleaning routine thanks Janice
however we wanted to go bigger with this
however we wanted to go bigger with this so we partnered up with some more
so we partnered up with some more
so we partnered up with some more experts like software engineers we found
experts like software engineers we found
experts like software engineers we found there a guy called Felix who made us
there a guy called Felix who made us
there a guy called Felix who made us possible to automate the solution we
possible to automate the solution we
possible to automate the solution we have generated a lot of 3d models of
have generated a lot of 3d models of
have generated a lot of 3d models of different orthopedic applications and
different orthopedic applications and
different orthopedic applications and based on 3d scans of a patient or CT
based on 3d scans of a patient or CT
based on 3d scans of a patient or CT data photos or just plain measurements
data photos or just plain measurements
data photos or just plain measurements which you type in on an online platform
which you type in on an online platform
which you type in on an online platform in just a couple of seconds you can
in just a couple of seconds you can
in just a couple of seconds you can automatically fit the device it’s Zen
automatically fit the device it’s Zen
automatically fit the device it’s Zen manufactured using industrial 3d
manufactured using industrial 3d
manufactured using industrial 3d printing like we also use in aerospace
printing like we also use in aerospace
printing like we also use in aerospace or automotive so this is a very safe
or automotive so this is a very safe
or automotive so this is a very safe technology which we also prove by using
technology which we also prove by using
technology which we also prove by using virtual as well as physical stress
virtual as well as physical stress
virtual as well as physical stress testing of the device up to one full
testing of the device up to one full
testing of the device up to one full metric ton already so in a couple of
metric ton already so in a couple of
metric ton already so in a couple of days we can achieve that the medical
days we can achieve that the medical
days we can achieve that the medical supply store who took the data in and
supply store who took the data in and
supply store who took the data in and consulted the patient on the right
consulted the patient on the right
consulted the patient on the right fitting device achieves back a
fitting device achieves back a
fitting device achieves back a custom-made device which is an assemble
custom-made device which is an assemble
custom-made device which is an assemble to make the full to make the full
to make the full to make the full
to make the full to make the full prosthetic leg for instance in this case
prosthetic leg for instance in this case
prosthetic leg for instance in this case and also adjust slightly because you can
and also adjust slightly because you can
and also adjust slightly because you can never really capture the perfect image
never really capture the perfect image
never really capture the perfect image right from the beginning there might be
right from the beginning there might be
right from the beginning there might be the need for some alterations in the end
the need for some alterations in the end
the need for some alterations in the end besides talking about fit there’s also a
besides talking about fit there’s also a
besides talking about fit there’s also a very important aspect I would like to
very important aspect I would like to
very important aspect I would like to explain to you this is a fashion aspect
explain to you this is a fashion aspect
explain to you this is a fashion aspect so we have seen in the past that medical
so we have seen in the past that medical
so we have seen in the past that medical devices are usually let’s say boring
devices are usually let’s say boring
devices are usually let’s say boring looking or sterile looking in a positive
looking or sterile looking in a positive
looking or sterile looking in a positive sense and as we have seen with the brace
sense and as we have seen with the brace
sense and as we have seen with the brace this does not have to be the case we
this does not have to be the case we
this does not have to be the case we know nowadays that to bridge the
know nowadays that to bridge the
know nowadays that to bridge the so-called
so-called
so-called uncanny gap it is very important that
uncanny gap it is very important that
uncanny gap it is very important that people accept their device as a part of
people accept their device as a part of
people accept their device as a part of themselves so acceptance is key to a
themselves so acceptance is key to a
themselves so acceptance is key to a good outcome
we have certainly come a long way from a
we have certainly come a long way from a wooden peg as a prosthetic leg and we
wooden peg as a prosthetic leg and we
wooden peg as a prosthetic leg and we now remade
now remade
now remade the way how a prosthetic leg can look
the way how a prosthetic leg can look
the way how a prosthetic leg can look today as you can see here with our model
today as you can see here with our model
today as you can see here with our model flow this is a very very modern type of
flow this is a very very modern type of
flow this is a very very modern type of prosthetic leg it’s almost see-through
prosthetic leg it’s almost see-through
prosthetic leg it’s almost see-through also what you cannot see very good is
also what you cannot see very good is
also what you cannot see very good is the prosthetic foot inside it’s also
the prosthetic foot inside it’s also
the prosthetic foot inside it’s also fully 3d printed however this is only
fully 3d printed however this is only
fully 3d printed however this is only one of the possible ways what he could
one of the possible ways what he could
one of the possible ways what he could wear this for instance is truly another
wear this for instance is truly another
wear this for instance is truly another possibility for him to wear so he could
possibility for him to wear so he could
possibility for him to wear so he could switch to this for going to let’s say a
switch to this for going to let’s say a
switch to this for going to let’s say a fancy party
fancy party
fancy party it’s truly for a black-tie affair and as
it’s truly for a black-tie affair and as
it’s truly for a black-tie affair and as Flo is a very good musician and loves
Flo is a very good musician and loves
Flo is a very good musician and loves music this is actually created for a
music this is actually created for a
music this is actually created for a rock festival like if you go on a go
rock festival like if you go on a go
rock festival like if you go on a go rock and park this one actually can be
rock and park this one actually can be
rock and park this one actually can be hosed down with a water pipe afterwards
hosed down with a water pipe afterwards
hosed down with a water pipe afterwards if it’s gets too dirty and it has a song
if it’s gets too dirty and it has a song
if it’s gets too dirty and it has a song text engraved on the back thanks
so we think in the future when we once
so we think in the future when we once captured the right fit we can actually
captured the right fit we can actually
captured the right fit we can actually generate a lot of different designs for
generate a lot of different designs for
generate a lot of different designs for each and every patient and we have seen
each and every patient and we have seen
each and every patient and we have seen this already for instance an eyewear
this already for instance an eyewear
this already for instance an eyewear wear something which you would be
wear something which you would be
wear something which you would be ashamed of in the past now becomes a
ashamed of in the past now becomes a
ashamed of in the past now becomes a personal statement rather more like a
personal statement rather more like a
personal statement rather more like a fashion statement or even an accessory
fashion statement or even an accessory
fashion statement or even an accessory there’s a third aspect I would like to
there’s a third aspect I would like to
there’s a third aspect I would like to talk quickly about this is functionality
talk quickly about this is functionality
talk quickly about this is functionality I mean the best looking device or the
I mean the best looking device or the
I mean the best looking device or the best fitting devices of no use if it
best fitting devices of no use if it
best fitting devices of no use if it breaks when you go to the swimming pool
breaks when you go to the swimming pool
breaks when you go to the swimming pool for instance so we actually met Belinda
for instance so we actually met Belinda
for instance so we actually met Belinda this year she’s a very active
this year she’s a very active
this year she’s a very active 50-something so you see it’s not only a
50-something so you see it’s not only a
50-something so you see it’s not only a solution for the young people and she
solution for the young people and she
solution for the young people and she wanted to participate in a ten-mile
wanted to participate in a ten-mile
wanted to participate in a ten-mile awareness walk for the right of disabled
awareness walk for the right of disabled
awareness walk for the right of disabled people for doing so she really needed a
people for doing so she really needed a
people for doing so she really needed a foot which would enable her to really
foot which would enable her to really
foot which would enable her to really put her foot down which would carry her
put her foot down which would carry her
put her foot down which would carry her the long distance we went out there and
the long distance we went out there and
the long distance we went out there and actually created a very very lightweight
actually created a very very lightweight
actually created a very very lightweight fully prosthetic leg and it’s actually
fully prosthetic leg and it’s actually
fully prosthetic leg and it’s actually the first ever fully medically certified
the first ever fully medically certified
the first ever fully medically certified 3d printed leg in the world as you can
3d printed leg in the world as you can
3d printed leg in the world as you can see it’s up and running solution and it
see it’s up and running solution and it
see it’s up and running solution and it also goes nice with her accessory as
also goes nice with her accessory as
also goes nice with her accessory as well
well
well we have talked today about fit function
we have talked today about fit function
we have talked today about fit function and fashion or aesthetic so of course
and fashion or aesthetic so of course
and fashion or aesthetic so of course from patient to patient
from patient to patient
from patient to patient this might differ we are all individuals
this might differ we are all individuals
this might differ we are all individuals and everyone has his own preferences
and everyone has his own preferences
and everyone has his own preferences also from cultural background to
also from cultural background to
also from cultural background to cultural background this can also have
cultural background this can also have
cultural background this can also have different priorities I would like to
different priorities I would like to
different priorities I would like to share one last story with you where you
share one last story with you where you
share one last story with you where you see a really nice balance of these three
see a really nice balance of these three
see a really nice balance of these three aspects of customized orthopedic devices
aspects of customized orthopedic devices
aspects of customized orthopedic devices over one and a half years ago we met
over one and a half years ago we met
over one and a half years ago we met Emma so she actually was our first
Emma so she actually was our first
Emma so she actually was our first patient and she was at this time three
patient and she was at this time three
patient and she was at this time three years old very active going to
years old very active going to
years old very active going to kindergarten and like all her peers
kindergarten and like all her peers
kindergarten and like all her peers however she was missing her right foot
however she was missing her right foot
however she was missing her right foot since birth so she encountered a lot of
since birth so she encountered a lot of
since birth so she encountered a lot of trouble actually three major issues when
trouble actually three major issues when
trouble actually three major issues when going for a new prosthetic leg
going for a new prosthetic leg
going for a new prosthetic leg first of all there are almost none
first of all there are almost none
first of all there are almost none prosthetic feet for children out there
prosthetic feet for children out there
prosthetic feet for children out there because you cannot have all those small
because you cannot have all those small
because you cannot have all those small sizes in stock it doesn’t just make
sizes in stock it doesn’t just make
sizes in stock it doesn’t just make sense when she finally found a
sense when she finally found a
sense when she finally found a prosthetic foot maybe they had to cut
prosthetic foot maybe they had to cut
prosthetic foot maybe they had to cut down a bigger one for instance then she
down a bigger one for instance then she
down a bigger one for instance then she had to accept it we were talking before
had to accept it we were talking before
had to accept it we were talking before about acceptance and in her case she
about acceptance and in her case she
about acceptance and in her case she often rejected is because it was looking
often rejected is because it was looking
often rejected is because it was looking too much like a real foot but not close
too much like a real foot but not close
too much like a real foot but not close enough so she really felt uncomfortable
enough so she really felt uncomfortable
enough so she really felt uncomfortable and rejected it for a long time when she
and rejected it for a long time when she
and rejected it for a long time when she finally accepted it
finally accepted it
finally accepted it then she quickly broke it because she
then she quickly broke it because she
then she quickly broke it because she really likes to jump into puddles so
really likes to jump into puddles so
really likes to jump into puddles so she’s really active and well prosthetic
she’s really active and well prosthetic
she’s really active and well prosthetic feet are usually not waterproof so it
feet are usually not waterproof so it
feet are usually not waterproof so it easily corroded and broke we asked her
easily corroded and broke we asked her
easily corroded and broke we asked her what would you like to have and simply
what would you like to have and simply
what would you like to have and simply by incorporating her favorite color pink
by incorporating her favorite color pink
by incorporating her favorite color pink or maybe some fancy unicorn like this
or maybe some fancy unicorn like this
or maybe some fancy unicorn like this into the device we managed acceptance on
into the device we managed acceptance on
into the device we managed acceptance on first sight she’s now out and about and
first sight she’s now out and about and
first sight she’s now out and about and she’s rather complimented by her
she’s rather complimented by her
she’s rather complimented by her playmates at kindergarten for a pink
playmates at kindergarten for a pink
playmates at kindergarten for a pink prosthetic foot so we really managed to
prosthetic foot so we really managed to
prosthetic foot so we really managed to turn her from a Black Swan into a pink
turn her from a Black Swan into a pink
turn her from a Black Swan into a pink princess this has not only improved her
princess this has not only improved her
princess this has not only improved her physical development but also have
physical development but also have
physical development but also have psychological development some months
psychological development some months
psychological development some months ago we met Emma again so she’s still
ago we met Emma again so she’s still
ago we met Emma again so she’s still very active now more than four years old
very active now more than four years old
very active now more than four years old also her taste has changed now it’s more
also her taste has changed now it’s more
also her taste has changed now it’s more going for the blue version and we made a
going for the blue version and we made a
going for the blue version and we made a larger version for her based on the data
larger version for her based on the data
larger version for her based on the data we had acquired over 18 months ago so it
we had acquired over 18 months ago so it
we had acquired over 18 months ago so it was very easy to predict like we just
was very easy to predict like we just
was very easy to predict like we just actually needs the law as a new length
actually needs the law as a new length
actually needs the law as a new length and then we could update the foot
and then we could update the foot
and then we could update the foot version it scaled instantly on the
version it scaled instantly on the
version it scaled instantly on the screen she could see how the new foot
screen she could see how the new foot
screen she could see how the new foot would look like and then we printed it
would look like and then we printed it
would look like and then we printed it for her we actually printed it twice
for her we actually printed it twice
for her we actually printed it twice because though she’s very active she
because though she’s very active she
because though she’s very active she likes to go to the swimming pool
likes to go to the swimming pool
likes to go to the swimming pool and in the summer to the beach so we
and in the summer to the beach so we
and in the summer to the beach so we inserted one version with titanium
inserted one version with titanium
inserted one version with titanium screws instead of steel screws which
screws instead of steel screws which
screws instead of steel screws which enables her to play safely at the beach
from now on customized prosthetic and
from now on customized prosthetic and orthotic devices are as normal as
orthotic devices are as normal as
orthotic devices are as normal as standard versions and at exactly the
standard versions and at exactly the
standard versions and at exactly the same cost we actually think we have
same cost we actually think we have
same cost we actually think we have created a solution which does not only
created a solution which does not only
created a solution which does not only enable the lucky 1% we have access to
enable the lucky 1% we have access to
enable the lucky 1% we have access to such highly trained experts like we
such highly trained experts like we
such highly trained experts like we mostly have in Germany but actually
mostly have in Germany but actually
mostly have in Germany but actually everybody out there so we will enable an
everybody out there so we will enable an
everybody out there so we will enable an individual mobility for everyone what I
individual mobility for everyone what I
individual mobility for everyone what I personally learned over the course of
personally learned over the course of
personally learned over the course of this journey is that I think it’s wrong
this journey is that I think it’s wrong
this journey is that I think it’s wrong to say that there is a genius guys
to say that there is a genius guys
to say that there is a genius guys sitting in a lab coming up with a great
sitting in a lab coming up with a great
sitting in a lab coming up with a great idea and proof there it goes no I think
idea and proof there it goes no I think
idea and proof there it goes no I think it’s quite typical to say you maybe
it’s quite typical to say you maybe
it’s quite typical to say you maybe encounter a personal problem like myself
encounter a personal problem like myself
encounter a personal problem like myself as hallo fixator system then you meet
as hallo fixator system then you meet
as hallo fixator system then you meet somebody else like Simon the physician
somebody else like Simon the physician
somebody else like Simon the physician he had the idea together with Janice the
he had the idea together with Janice the
he had the idea together with Janice the designer and Felix the software engineer
designer and Felix the software engineer
designer and Felix the software engineer we created a solution around this we
we created a solution around this we
we created a solution around this we teamed up actually with two other serial
teamed up actually with two other serial
teamed up actually with two other serial entrepreneurs who gave us the
entrepreneurs who gave us the
entrepreneurs who gave us the possibility to leverage this until it
possibility to leverage this until it
possibility to leverage this until it becomes a full transformative process
becomes a full transformative process
becomes a full transformative process which is already changing the
which is already changing the
which is already changing the orthopaedic industry today as we have
orthopaedic industry today as we have
orthopaedic industry today as we have seen today as well they are already
seen today as well they are already
seen today as well they are already where us who benefit from this solution
where us who benefit from this solution
where us who benefit from this solution and without such a very very strong team
and without such a very very strong team
and without such a very very strong team of experts of leat users of people who
of experts of leat users of people who
of experts of leat users of people who believe in you and share your vision it
believe in you and share your vision it
believe in you and share your vision it would not be possible to change an whole
would not be possible to change an whole
would not be possible to change an whole industry I therefore encourage you to go
industry I therefore encourage you to go
industry I therefore encourage you to go out there and find your team of experts
out there and find your team of experts
out there and find your team of experts so that you can also develop an idea
so that you can also develop an idea
so that you can also develop an idea create a solution and change something
create a solution and change something
create a solution and change something which you care about in a role that
which you care about in a role that
which you care about in a role that really fits you like this little foot
really fits you like this little foot
really fits you like this little foot perfectly fits little em’ly
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