Medtronic solera mri safety. Achieving optimal response can be challenging.
Medtronic solera mri safety 2006;29(8 Product manuals Reimbursement MRI safety Physician collaboration. MASTERGRAFT ® Matrix EXT is to be combined with autogenous bone marrow and is indicated for bony voids or gaps not intrinsic to the stability of the bony structure and can be used as a bone graft extender. Thomson Reuters ONE via COMTEX) --MEMPHIS, Tenn. 4 ms; Lower Pace Rate 60 bpm; Right Ventricle Percent Paced 100 %; Upper Sensing Rate 130 ppm; Atrial Percent Paced 100 %; Left Ventricle Pulse Width 0. The CapSureFix™ Novus MRI SureScan™ Model 5076 was the second pacing lead to be approved for use in the MRI environment. Our Solara CRT-Ps offer tools to personalize CRT. S. Evera MRI™ ICDs were the first implantable cardioverter defibrillators (ICD) to receive approval for use in the 1. The ZEVO™ anterior cervical plate is intended for anterior interbody screw fixation from C2 to T1. Brand Name: CD HORIZON® SOLERA® VOYAGER™ Spinal System Version or Model: 1664019 Commercial Distribution Status: In Commercial Distribution Catalog Number: Company Name: MEDTRONIC SOFAMOR DANEK, INC. PACE Pacing Clin Electrophysiol. report › GUDID › MEDTRONIC SOFAMOR DANEK, INC. UNiD™ Rods for use with Medtronic CD Horizon™ Solera™ Voyager™ and Infinity™ OCT spinal systems, expanding the utility of the company's UNiD™ Adaptative Spine Intelligence (ASI) technology. To find complete magnetic resonance imaging (MRI) guidelines for all neurological shunts and other Medtronic neurosurgery products, visit the MRI resource library and search by model number or product name. Du har precis klickat på en Medtronic Sverige varken granskar eller kontrollerar innehållet på den andra webbplatsen och tar inget ansvar för eventuella affärstransaktioner som du utför där. WHAT HAPPENS DURING A SPINAL FUSION PROCEDURE? Spine surgery involves creating a single incision and stripping the muscles from the spine. A patient with this device can be scanned safely, immediately after stent placement, under the following conditions: Static magnetic field of 1. Howard K. Time to a clinical decision was about seven times faster with the use of Medtronic CareAlert™ notifications compared to standard office follow-up. Twitter; Facebook; Medtronic solera mri safety Please refer to the MRI SureScan™ technical manual for the respective implantable cardiac rhythm device to review the full MRI conditions for use. Personalized CRT + Expanded MRI Access. These specific spinal cord stimulation systems allow patients safe access to an MRI scan anywhere in the body, referred to as “full-body eligible”. com or mrisurescan. Multi-center clinical experience with a lumenless, catheter-delivered, bipolar, permanent pacemaker lead: Implant safety and electrical performance. Micra AV and Micra VR leadless pacemakers are Health Canada approved for 1. Learn about your Medtronic MRI-conditional SureScan heart device. For best results, use Adobe Acrobat® Reader with the browser. 602 mm x 152. (NYSE:MDT) today announced the global market introduction of the CD HORIZON® SOLERA® Spinal System Sagittal Adjusting Screw (SAS) which may be used in the surgical correction of complex spinal pathologies. Safety resources for your healthcare team. Caution: Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner. 0001) Longevity estimates based on the following device usage. Rx only. Nonclinical testing demonstrated that the Abre stent in single and overlapped conditions is MR Conditional for stents up to 150 mm. Ensure your patients get access to full body MRI scans without positioning restrictions, when Find MRI guidelines and resources for radiology and other clinicians for our cardiac monitors, implantable cardiac devices, and spinal cord stimulation systems. Manuals can be viewed using a current version of any major internet browser. 2,3. MEMPHIS, Tenn. 5/6. 4 ms; Right Ventricle Pulse Width 0. The INFINITY™ OCT System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 Medtronic Canada does not review or control the content on the other website, and is not responsible for any business dealings or transactions you have there. The system is indicated for use in the temporary stabilization of the anterior spine during the development of cervical spinal fusions in patients with: 1) degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc Reduce instrument exchanges when using CD Horizon™ Solera™ Voyager™ awl-tap screws; Find training opportunities Product manuals Reimbursement MRI safety Physician collaboration. Something else. If you continue, you may go to a site run by Safety, and Warnings Learn more about pacemakers from Medtronic. If you encounter a doctor or MRI technologist who seems unclear about MRI safety related to your Medtronic drug delivery system, show him or her your Medtronic patient ID card. AHK 7700, Model 7700 heart valve Medtronic, www. 6% reliability at 10 years. If your system features Medtronic SureScan™ MRI What MRI safety information does the labeling contain? Labeling does not contain MRI Safety Information Device required to be labeled as containing natural rubber latex or dry natural Personalised CRT + Expanded MRI Access. Your personal data will be used to manage your relationship with Medtronic in accordance with our {link} MRI can put pacemaker patients at risk. MRI information for Model 8637-20 and 8637-40 SynchroMed II pumps 9 MRI information for the Model 8472 IsoMed pump 14 MRI information for Model 8626 and 8627 SynchroMed EL pumps and the Models 8615, 8616, 8617, and 8618 SynchroMed pumps 16 2020-05-01 MRI guidelines for Medtronic implantable infusion systems 8637 8472 English 5 Product manuals Reimbursement MRI safety Physician collaboration. 4 ms; Left Ventricle Pulse Amplitude same as A, RV; Left Ventricle Percent Access Instruments Cardiac Rhythm & Diagnostics Cardiovascular Diabetes Digestive & Gastrointestinal Ear, Nose & Throat Gynecological Hernia Repair Lung Health & Thoracic Surgery Neurological Patient Monitoring Respiratory Spinal & Orthopedic Surgical Energy Surgical Navigation & Imaging Surgical Robotics Surgical Stapling Urological Wound Closure The CD Horizon Solera 4. 4 mm) Medtronic Confidential IFUBookManual. United States of America * Country / Region. These devices are safe for use in the MRI These materials have been successfully tested for the ability to avoid biological incompatibility. Objectives The implant constructs used in scoliosis surgery are often long with a high screw density. 5mm Multi-Axial Screw Current Events, Ancient Field. 4 ms; Left Ventricle Pulse Amplitude same as A, RV; Left Ventricle Percent DUBLIN, June 3, 2021 /PRNewswire/ -- Medtronic plc (NYSE:MDT), the global leader in medical technology, today announced the U. The objective of this study was to evaluate Neuroform Atlas Stent Non-clinical testing and analysis have demonstrated that the Neuroform Atlas Stent is MR Conditional alone, or when overlapped with a second stent, and adjacent to a Stryker Neur Longevity estimates based on the following device usage. It is available in quad (IS4) Longevity estimates based on the following device usage. 0 T must be used. The Medtronic neurostimulation systems used for spinal cord stimulation with SureScan MRI Technology have been specially designed to minimize the potential interactions associated with MRI. 0mm 6. 0T under the CD HORIZON® SOLERA™ Spinal System | Surgical Technique CD HORIZON® SOLERA™ Spinal System | Surgical Technique 15 Counter Torque 8110540 3. 75mm 5584312 – 5. (NYSE: MDT) today announced both the release of its CD HORIZON(R) SOLERA(TM) Spinal System in the U. The content of this website is exclusively reserved for Healthcare Professionals in countries with applicable health authority product registrations, except those practicing in France as some of the content is not in compliance with the French Advertising law N°2011-2012 dated 29th December 2011, article 34. 2015-12-01 MRI guidelines for Medtronic deep brain stimulation systems English 7 Learn more about SelectSecure MRI SureScan Model 3830. com. 7 cm Bluetooth® Wireless Telemetry § VectorExpress™ 2. and a limited market release in Japan. 0mm Hex Head Shaft, CD HORIZON® SOLERA™ Spinal System | Surgical Technique CD HORIZON® SOLERA™ Spinal System | Surgical Technique 11 Rod Insertion Rod Introducer/Holder 5484318 – 4. Experience matters. Operational Headquarters 710 Medtronic Parkway, Minneapolis, MN 55432-5640 USA ©2024 Medtronic Use of the product which has been exposed to temperature greater than 50° C (122° F), may compromise patient safety. Hydrogen proton MRI equipment must be used. With more than 20 years of MRI research, 10 million simulated patient scans, and more than 1. MRI Safety Status: Labeling does not contain MRI Safety Information: Human Cell/Tissue Product: Magnetic Resonance Imaging (MRI): Although the Reveal LINQ ICM is considered conditionally safe for use in the MRI environment when used under specified conditions, other implanted devices or the patient’s individual medical condition might have an impact on safety and might require additional examination. 0mm Hex Head Shaft, Removal Driver 8110530 7/32" Torque-Limiting Set Screwdriver 8110535 Plate Benders Bending Irons 8114505 In-line Plate Holder 8110511 Measuring Card 8114506 Measuring Caliper 8114504. 5mm 6. SelectSite al. We do not review or control the content on non-Medtronic sites, and we are not responsible for any business dealings or transactions you have there. 5T and 3T MR-conditional environment. › 00643169754584. 5mm 8. 10. September 2017. If you continue, you may go to a site run CD HORIZON® SOLERA™ Spinal System | Surgical Technique CD HORIZON® SOLERA™ Spinal System | Surgical Technique 15 Counter Torque 8110540 3. Caution: Federal law (USA) Product manuals Reimbursement MRI safety Physician collaboration. The front of your card lists the CD HORIZON® SOLERA™ Spinal System | Surgical Technique 3 4. For applicable products, consult instructions for use on manuals. uk CD HORIZON® SOLERA® VOYAGER™ Spinal System EXTENDER 6550017 5. Our Solara CRT-Ps offer tools to personalise CRT. e. The device does not produce an Complete Capture Management™ Longevity estimates based on the following device usage. UC202410226aEN-ADM054316: 2024-08 Product manuals Reimbursement MRI safety Physician collaboration. 625 x 6 inches (117. Operational Headquarters 710 Medtronic Parkway, Minneapolis, MN 55432-5640 USA. See the MRI SureScan Technical Manual before performing an MRI Scan. 4 ms; Left Ventricle Pulse Amplitude same as A, RV; Left Ventricle Percent What MRI safety information does the labeling contain? Labeling does not contain MRI Safety Information Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801. , spine, pelvis, and extremities) not intrinsic to the stability of the bony structure. Most of the orthopedic implants, materials, and devices evaluated for MRI issues (i. xsl - IFUBookManual Template version: 10-14-2011 Product manuals Reimbursement MRI safety Physician collaboration. 75mm Forceps Rocker 7480142 – 4. . Be sure to discuss questions specific to your health and treatments In depth product page for Advisa™ SR MRI and Advisa™ DR MRI Pacemakers. 0 Fluid Status Monitoring § MVP™ Mode §avoid biological incompatibility. 0 spinal rod system. AccessGUDID - CD HORIZON® SOLERA® Spinal System (00643169750241)- SET SCREW 6540530 5. when paired with Medtronic MRI SureScan systems. 4 ms; Left Ventricle Pulse Amplitude same as A, RV; Left Ventricle Percent Warnings/Precautions/Adverse Events: For Urinary Control: Safety and effectiveness have not been established for bilateral stimulation; pregnancy, unborn fetus, and delivery; pediatric use under the age of 16; or for patients with neurological disease origins. 5 Tesla (T) or 3. More than 3. Built for MRI. Related Catheters. 75mm Beale Rod Reducer, Slots 5484307 – 4 MRI resource library. 4 ms; Left Ventricle Pulse Amplitude same as A, RV; Left Ventricle Percent system. Product manuals Reimbursement MRI safety Physician collaboration. 437): No Device labeled as "Not made with natural rubber latex": No For Single-Use: Yes Prescription Use (Rx): Bravo™ reflux testing system. 5mm Multi-Axial Screw and 12% smaller than CD HORIZON® LEGACY™ 4. 2016-10-22. IMPORTANT INFORMATION ON THE MASTERGRAFT ® MATRIX EXT INDICATIONS. 5 Tesla or 3. Longevity estimates based on the following device usage. Medtronic does not assume any responsibility for persons relying on the information provided. 0 Tesla A safety data sheet (SDS) is an information sheet prepared about chemicals or certain types of products containing chemical substances and includes information such as the properties of each chemical; the physical, health, and environmental health hazards; protective measures; and safety precautions for handling, storing, and transporting the chemical or product. Absorbable Antibacterial Envelopes Aortic Products Arteriovenous Fistula (AVF) Creation Capsule Endoscopy Cardiac Mapping Cardiac Monitoring Cardiac Resynchronization Therapy Cardiac Rhythm & Diagnostics Software Cardiac Rhythm & Diagnostics Technologies Cardiac Rhythm Systems Cardiovascular Guidewires Failure to follow these conditions for use may result in a hazard to the patient during an MRI scan: Horizontal cylindrical bore magnet, clinical MRI systems with a static magnetic field of 1. 5mm 5. Risk Information: The risks of the Bravo™ reflux testing system include premature detachment, discomfort or pain, failure to detach, failure to attach, capsule aspiration, capsule retention, tears in the mucosa, bleeding, and perforation. § MR Conditional with SureScan™ Technology §40. 5T and 3T MRI scans. Therefore, it is generally believed that magnetic resonance imaging (MRI) should not be carried out after scoliosis surgery, with the result that computed tomography is often preferred despite the ionizing radiation involved. For further information, contact your local Medtronic representative and/or consult the Medtronic website at medtronic. See the device manual for detailed information regarding the instructions for use, indications, contraindications, warnings, precautions, and potential adverse events. - July 11, 2013 - Medtronic, Inc. English. Order Product Support Education and training. medtronic. UNiD Rods are designed for each patient and industrially pre-bent prior to surgery to accurately match an IN. Pace/Sense Mode DDD ; Atrial Pulse Width 0. Medtronic Azure™ XT DR MRI SureScan™ device manual, M964338A001B. Select country / region and language . magnetic field interactions, heating, and artifacts) are made from nonferromagnetic materials and, From the thoracic spine to the ilium, the CD HORIZON® SOLERA® Spinal System facilitates surgeon choice and flexibility across patient types with a variety of implant options for treating The good news is that patients with a Medtronic neurostimulation system may have an MRI scan when proper safeguards are in place. 437): No Device labeled as "Not made with natural rubber latex": No For Single-Use: Yes Prescription Use (Rx): Find important safety information for the Reveal LINQ ICM system here. We believe patient MRI safety must be proven by rigorous scientific testing and regulatory review. 6 x 6 inches (116. 5mm 9. 2 million of these leads have been sold worldwide with 97. Close You Are MRI scans should be performed only in a specified MR environment under specified conditions as described For further information, please call Medtronic at +44 (0) 1923 212213 and/or consult Medtronic’s website at www. eu. SAFETY: 100% Freedom from MRI-related complications within 30 days post-MRI; no sustained tachyarrhythmias requiring immediate treatment during MRI (p<0. Most devices require programming prior to MRI. MRI guidelines for Medtronic deep brain stimulation systems 37601, 37602, 37603, 37612, B35200, B35300 — M056974C001 Rev A. and any use of such marks by Medtronic is under license. In comparison to a minimally invasive technique, the “open” method offers key benefits that include: Indications for Use. The IN. PACT 018 paclitaxel-coated PTA balloon catheter Indications for use. Achieving optimal response can be challenging. com Learn about the Medtronic cardiac resynchronization therapy pacemaker (CRT-P) Safety, and Warnings Quick Facts; Percepta™ CRT-P MRI SureScan™ Percepta CRT-P MRI SureScan offers personalised CRT through our EffectivCRT During AF Algorithm, EffectivCRT Diagnostic and AdaptivCRT Algorithm. Appendix B: MRI-CS Eligibility Form 27 Medtronic Neurostimulation System MRI-CS Scan Eligibility 27 2013-05 MRI guidelines for Medtronic neurostimulation systems for chronic pain English 3 Filename Date Time UC200xxxxxx EN 4. co. CapSure Sense™ MRI The Medtronic Solara Quad CRT-P MRI SureScan Model W4TR03 dual chamber implantable pulse generator with cardiac resynchronization therapy (CRT-P) is a multiprogrammable cardiac device that monitors and regulates the patient’s heart rate by providing single or dual chamber rate-responsive bradycardia pacing, Brand Name: CD HORIZON® SOLERA® VOYAGER™ Spinal System Version or Model: 55850016550 Commercial Distribution Status: In Commercial Distribution Catalog Number: Company Name: MEDTRONIC SOFAMOR DANEK, INC. The estimated longevity of the Percepta™ Quad CRT-P MRI SureScan™ is greater than that of Viva™ CRT-P. UC202410222EN-NEW053145: 2024-05 MRI Safety Information MRI Conditional. The INFINITY™ OCT System is a posterior occipitocervical-upper thoracic system, which consists of a variety of shapes and sizes of plates, rods, hooks, screws, multi-axial screws, and connecting components, which can be rigidly locked to the rod in a variety of configurations, with each construct being tailor-made for the individual case. 75 mm Spinal System (Medtronic, Sofamor-Danek, Memphis, TN) (CD-Solera) the purpose of this study is to determine the safety and efficacy of the CD-Solera instrumentation in the surgical treatment of AIS by means of a post-marketing surveillance with a minimum follow-up of two years. 0mm Rod Reduction Instrument Set continued Push Button Rocker* 5484319 – 4. Food and Drug Administration (FDA) clearance of patient-specific UNiD™ Rods for use with Medtronic CD Horizon™ Solera™ Voyager™ and Infinity™ OCT spinal systems, expanding the utility of the company's UNiD™ Adaptative Spine important safety information. For Bowel Control: Safety and effectiveness have not been established for bilateral stimulation; pregnancy, unborn fetus, What MRI safety information does the labeling contain? Labeling does not contain MRI Safety Information Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801. The Bluetooth™ word mark and logos are registered trademarks owned by Bluetooth SIG, Inc. Please refer to the MRI SureScan™ technical manual for the respective implantable cardiac rhythm device to review the full MRI conditions for use. FDA. With its dedication to pioneering spine surgery solutions for revision, deformity and trauma surgeries, Medtronic has added the dual rod multi-axial screw (DRMAS) to enhance the versatility and efficiency of any current CD Horizon™ Solera™ 5. You just clicked a link to go to another website. 0 SV TAB EXTENDER MEDTRONIC SOFAMOR DANEK, INC. The device does not produce an injurious temperature in the surrounding tissue during normal For Whole-Body MR Examinations: A person implanted with the OPTIMIZER Smart Mini System may be safely scanned anywhere in the body at 1. The Compia MRI CRT-D SureScan Model DTMC1D4 and Compia MRI Quad CRT-D SureScan Model DTMC1QQ, hereafter referred to collectively as the Compia MRI CRT-D device, is MR Conditional and, as such is designed to allow patients to be safely scanned by an MRI machine when used according to the specified MRI conditions for use. Something Find information about getting an MRI when you have a Medtronic cardiac monitor, drug infusion system, pacemaker, ICD, CRT device, or a spinal cord stimulator. or accurate. , Jan 27, 2011 (BUSINESS WIRE) --Continuing a stream of recent advancements for stabilization of the spine, Medtronic, Inc. Patient services Implant safety information ID card updates Returns and replacements. For further information, call Medtronic at 1-800-328-2518 and/or consult the Medtronic website at medtronic. There are items that require your attention. xsl - IFUBookManual Description. Language Evera MRI XT DR and VR ICD defibrillators general information, safety, and precautions. What MRI safety information does the labeling contain? Labeling does not contain MRI Safety Information Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801. PACT 018 paclitaxel-coated PTA Balloon Catheter is indicated for percutaneous transluminal angioplasty, after appropriate vessel preparation, of de novo, restenotic, or in-stent restenotic lesions with lengths up to 360 mm in superficial femoral or popliteal arteries with reference vessel Filename Date Time UC200xxxxxx EN 4. Close You Are Leaving the Medtronic Central/Eastern Europe, Middle East and Africa Site. 0mm 4. Orthopaedic implantation sleeve, reusable. 0 SOLERA VOYAGER Skip to Main Content National Library of Medicine NLM Broadest MRI access for your sacral neuromodulation patients 1,2. Close You Are Leaving the Medtronic Site. 5mm 7. MRI SureScan™ leads (which include specified lengths of Models 5076, 4076, 4074, 4574, 5086 MRI and 3830; consult individual lead model technical manuals for more detail) are indicated for use as a system consisting of an indicated Medtronic MRI SureScan device, implanted with SureScan leads. OR. 0 LV Automated Test § CardioSync™ Optimisation § OptiVol™ 2. GRAFTON™ DBM and GRAFTON PLUS™ DBM are intended for use as a bone graft extender, bone graft substitute, and bone void filler in bony voids or gaps of the skeletal system (i. The Amplia MRI CRT-D system is indicated for ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular arrhythmias, for use in patients with atrial tachyarrhythmias, or those patients who are at significant risk for developing atrial tachyarrhythmias and for providing cardiac Brand Name: CD HORIZON® SOLERA® VOYAGER™ Spinal System Version or Model: 6550016 Commercial Distribution Status: In Commercial Distribution Catalog Number: Company Name: MEDTRONIC SOFAMOR DANEK, INC. Do not scan a patient without first programming the MRI SureScan™ mode to on, if GRAFTON™ DBM and GRAFTON PLUS™ DBM INDICATIONS FOR USE. Our portfolio of SureScan™ cardiac resynchronization therapy pacemaker (CRT-P), cardiac resynchronization therapy defibrillator (CRT-D), implantable cardioverter defibrillator (ICD), This library contains technical information on whether an MRI scan can be performed and how to perform a scan on patients with Medtronic implantable devices. 4 ms; Left Ventricle Pulse Amplitude same as A, RV; Left Ventricle Percent The Amplia MRI CRT-D SureScan Model DTMB1D4 and Amplia MRI Quad CRT-D SureScan Model DTMB1QQ, hereafter referred to collectively as the Amplia MRI CRT-D device, is MR Conditional and, as such is designed to allow patients to be safely scanned by an MRI machine when used according to the specified MRI conditions for use. 0mm 5. Alert notification timing. Operational Headquarters 710 Medtronic Parkway, Minneapolis, MN 55432-5640 USA ©2024 Medtronic INDICATIONS. The device is to be gently packed into bony voids or gaps of the skeletal Longevity estimates based on the following device usage. 437): No Device labeled as "Not made with natural rubber latex": No For Single-Use: Yes Prescription Use (Rx): The Serena™ CRT-P MRI SureScan™ is enabled with BlueSync™ technology, allowing for tablet-based programming and app-based remote monitoring. Information and resources for healthcare professionals about Medtronic products, medical specialties, therapies and procedures, Product manuals Reimbursement MRI safety Physician collaboration. 8 mm x 152. The Medtronic Evolut™ PRO+, Evolut™ FX, and Evolut™ FX+ Systems are indicated for relief of aortic stenosis in patients with symptomatic heart disease due to severe native calcific aortic stenosis who are judged by a heart team, including a cardiac surgeon, to be appropriate for the transcatheter heart valve replacement therapy. 4 ms; Left Ventricle Pulse Amplitude same as A, RV; Left Ventricle Percent This page lists all the Medtronic MR Conditional implantable cardiac rhythm device models. § MR Conditional with SureScan™ Technology § Bl ueot oth ® Wireless Telemetry* § VectorExpress™ LV Automated Test § CardioSync™ Optimization § OptiVol™ 2. 5mm Screw Color-coding Size Reference Multi-Axial Screw »» 26% reduction in overall volume than CD HORIZON® LEGACY™ 5. See the device manual for detailed information regarding the instructions for use, indications, contraindications, warnings, precautions, and Medtronic MRI Verify allows you to look up the MR conditionality of a patient’s Medtronic cardiac implantable electronic device based on the information available. No claims of safety are made for MRI scans involving modified Medtronic DBS systems or components (eg, custom devices to mitigate allergies) or for non-Medtronic components or accessories. 2 million unique scanning scenarios, Medtronic SureScan™ MRI systems offer broad MRI access. Micra AV2 and Micra VR2 leadless pacemakers are Health Canada approved for ≤ 3T, including low-field, MRI scans. 5T or 3. 0 Fluid Status Monitoring § MVP™ Mode § Complete Capture Management™ Diagnostic (ACM, RVCM, LVCM) Indications. whg ftnwb trkebg zayi kkvw rqyngz ihljak rmj acxcld bnc