RetCam Shuttle

Wide-Field Imaging System

Service Manual
PN 20-000107 Rev. A

5775 W. Las Positas Blvd.

Pleasanton, CA 94588
USA

Phone: (925) 463-7984

Fax: (925) 251-0078
Toll free: (800) 215-6005
www.claritymsi.com

© 2007 CMS, Inc.

All Rights Reserved

PN 04-03-016, Rev. D, 24 April 2006

 Table of Contents

1.0 Notices and Labels ............................................................................2

Important User Safety Notices ................................................................5
Labels / Symbols ....................................................................................6

2.0 Introduction .......................................................................................10

Figure 1. RetCam Shuttle ............................................................12
Figure 2. Electro-Optical (E/O) Box .............................................13
Figure 3. Handpiece and Lens Piece ...........................................14
Figure 4. Lens Piece Selection ....................................................15

3.0 Maintenance .....................................................................................16

3.1 Recommended Maintenance Schedule ........................................16
3.2 Cleaning Procedures ....................................................................16

4.0 Specifications ....................................................................................19

5.0 Service Information .........................................................................22

5.1 Troubleshooting ............................................................................22
5.2 Changing the illumination bulb ......................................................23
5.3 Fuse Replacement .......................................................................24
5.4 Servicing the interior of the cart ....................................................25
5.5 Replacement Parts .......................................................................25
5.6 Laptop Information.........................................................................26

6.0 Technical Support ............................................................................26

6.1 How to Get Support ......................................................................26
6.2 Returning Parts for Repair ............................................................27

7.0 Appendix ............................................................................................28

7.1 RetCam Shuttle Software End User License Agreement ..............28

RetCam Shuttle Service Manual 1 PN 20-000107 Rev. A

1.0 Notices and Labels

RetCam Shuttle Service Manual 2 PN 20-000107 Rev. A

RetCam Shuttle Service Manual 3 PN 20-000107 Rev. A
RetCam Shuttle Service Manual 4 PN 20-000107 Rev. A
RetCam Shuttle Service Manual 5 PN 20-000107 Rev. A
Labels / Symbols

Intensity Decrease

Intensity Increase

Focus Closer

Focus Distant

Snap Switch

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RetCam Shuttle Service Manual 7 PN 20-000107 Rev. A
RetCam Shuttle Service Manual 8 PN 20-000107 Rev. A
For RetCam Shuttle Systems:

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2.0 Introduction
The RetCam Shuttle from Clarity Medical Systems is an integrated, mobile wide-
field imaging system. Clarity designed the RetCam Shuttle to be maneuverable in
constrained areas and for total system transport within and between hospitals and
clinics. The RetCam Shuttle is made to have site awareness, which means it is
made to be aware of the physical location where it is being operated. Thus, it
prompts you at start-up to identify the operating location and it identifies saved
data according to location. It also offers networkability, to support data transfer to
and from the system and the multiple locations where it may be used.
With the exception of a fluorescein angiography light source and attached printers,
the RetCam Shuttle offers the same basic functionality as the RetCam II, the
leading choice for wide-field pediatric retinal imaging. The imaging system,
including camera and lens choices, is identical, as are the image viewing,
processing and other utilities.

The system is designed for easy operation by either a clinician or trained staff
members. Using the integrated notebook computer, you have point-and-click
access to all functions via the system software. You can use the RetCam Shuttle
to quickly capture, display, process, and transfer high resolution digital images.

Indications for Use

For general ophthalmic imaging, including retinal, corneal, and external.

CAUTION: Use of this manual is intended for qualified technical personnel only.
If in doubt, please contact the manufacturer before proceeding.

Storage and Transport

For storage of the system when not in use, disconnect the power cord and store it
in the cart. Remove all loose objects from the top surface. Fold the display down
flat. Store the handpiece within the system. Store the laptop in the bag and secure
in a safe location. Wipe down the surfaces with a soft cloth. Lock the casters to
keep it in place.

The system is provided with the means to easily move it between patients while it
is running. To relocate the system while it is running, close just the RetCam
Shuttle program, disconnect the power cord , release the front caster locks and
gently roll the system to the new location. If the floor is uneven or tiled surface,
move the system carefully to avoid damage from excessive vibration. The laptop
battery will keep the laptop running for a short period of time based on the charge
remaining in the laptop battery. To ensure continued power, plug power cord back
into system and power source as soon as the system is relocated to the new
location. Once in the new position, lock the casters, reconnect the power cord at
both ends, restart the RetCam Shuttle program and continue with imaging.

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Hardware Components

• Notebook Computer: Pre-loaded with RetCam Shuttle system software, it

comes as part of the system. Offers a large LCD display for real-time video and
still imaging, image processing and data transfer. A Pentium-based system
running Windows® XP Professional, it includes a DVD/R/RW drive, integrated
network adapter and USB ports.

Note: For information on the rechargeable battery of the notebook computer,

please follow the laptop manufacturer’s recommendations located at the
following webpage URL; http://usa.twinhead.com/PRO/N15RI

• Handpiece: Contains the 3-chip CCD camera. Lightweight and easy to

position, it has a long cable for easy reach. Use with changeable lens pieces.
Note: Always return the handpiece to the holster on the work surface when
not imaging. The handpiece cable can be draped over the transport handle,
but do not wrap it tightly or damage to the fiber optic may result.

• Handpiece Interconnect Harness: Contains three separate cables: the

lamp (fiber optic) cable for subject illumination, the camera controller cable, and
the focus motor cable.

• Electro-Optical (EO) Box: Contains the CCD camera control unit, a

halogen illumination lamp, and the control circuitry for light intensity, camera focus,
image capture and system logic. The front panel has outlets for computer power
(DC/DC power) and USB video, the footswitch and the three interconnect camera
handpiece harness cables.

• Tri-Function Footswitch: A rocker pedal on each side, and a push button

in the middle.

• Focus control—left pedal: Rock to the left to focus closer, to the

right to focus more distant.

• Light intensity—right pedal: Rock to the left to decrease intensity,

to the right to increase intensity.

• Snap switch—central push button: Press to capture and store the

current still image, or in video mode, to start and stop recording.

• Storage Compartment(s): Particularly useful for safe transport,

compartments inside the upper cart door provide storage for the handpiece, the
lens pieces, and a container for tools and supplies. Inside the lower door on the
right is a compartment for the footswitch.

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• Transport Handle: Extends to tilt and roll the cart to another location.

Electro-Optical (E/O) Box

Figure 1. RetCam Shuttle Imaging

System
*Image representative only

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The Electro-Optical Box

Figure 2. E/O Box

*Image representative only

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 QUICK TIP, FRONTMOST
HANDPIECE LENS
REMOVAL OR
INTERCONNECT PIECE
CONNECTION CONTACT LENS
CABLE

Figure 3. Handpiece and Lens Piece

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 Figure 4. Lens Piece Selection

Lens Model Application Common Field of View

D1300 ROP & Anterior Segment 130 Degrees
E800 High contrast & Posterior 80 Degrees
C300 High Magnification 30 Degrees
PL100 Portrait Lens N/A

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3.0 Maintenance
This section addresses maintenance under the following topics:

3.1 Recommended Maintenance Schedule

3.2 Cleaning Procedures

3.1 Recommended Maintenance Schedule

Between patients: Clean and inspect lens piece.

Weekly: Wipe down the system.

Monthly: Inspect cables and connections for wear.

Burned out bulb: Replace illumination bulb

Blown fuse: Replace system fuses

3.2 Cleaning Procedures

For cleaning purposes, the RetCam Shuttle is divided into two categories:

1. The Lens Piece that contacts the patient

2. The rest of the system

1. Cleaning the Lens Piece

The Lens Piece should be cleaned thoroughly between patients to prevent the
spread of infectious disease. As recommended by the American Academy of
Ophthalmology, the cleaning liquid of choice is 70% isopropyl alcohol. Moisten a
clean towelette with the solution and use a gentle wiping action across the front of
the lens piece, being sure to pay special attention to the concave contact lens
area. To prevent irritation to the next patient from residue left on the lens, rinse the
tip of the lens piece thoroughly with disinfected distilled water.

WARNING: To avoid damage, do not autoclave any part of the RetCam system.

The American Academy of Ophthalmology also recommends disinfecting with 1:10

dilution of bleach for 5 minutes. Refer to the AAO Information Statement, insert in
the RetCam Shuttle,
Users Manual. (AAO Information Statement, Recommendations, I., Procedures for
Protection of the Patient., Recommendations; D. Disinfection procedures.)

WARNING: To handle chemicals safely, consult Material Safety Data Sheets

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(MSDS) before using isopropyl alcohol or bleach.

Note: If you disinfect with bleach, you must rinse the front most part of the lens
piece with disinfected distilled water, and make sure the lens piece is wiped
completely clean before using on a patient.

Note: Never immerse the entire lens piece or handpiece in any liquid or solution.
For disinfection purposes, you can immerse no more than 4 mm (about 1/6”) of the
tip of the lens piece, in an inverted position, FOR NO MORE THAN 15 MINUTES.
Immersing more or longer than this causes corrosion of the lens piece and voids
the lens warranty. Use water, bleach, 3% hydrogen peroxide or isopropyl alcohol.
Permissible immersion depth is illustrated in Figure 5 below. It is important not to
immerse the joint where the polished metal tip meets the painted housing, since it
is susceptible to corrosion.

Figure 5. Inverted lens piece showing permissible depth of immersion.

Immersion to only 4 mm

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2. Cleaning the Rest of the System

As with any medical device, use good public health practices when handling the
equipment, based on CDC guidelines. In addition, as with typical office equipment,
a gentle wiping with a cloth moistened with mild soap and/or water is
recommended. Do not spray cleaning solutions directly on the computer or other
modules, spray the cloth instead. The cart and side panels also cannot be
sprayed, but only the cloth with which you wipe, to avoid introducing spray or mist
inside the system. Use only a mild soap and/or water solution.

When cleaning the laptop computer, unplug the computer from the power outlet
before cleaning. Use a damp cloth for cleaning. Do not use aerosols, solvents, or
strong detergents.

The lens piece should be checked before each use for damage to the front contact
lens and surrounding surface. The interconnect cable and connectors should be
checked for damage to the end connectors and protective covers.

WARNING: Always inspect the lens before use for damage such as chips, cracks
or roughness that could injure the patient’s eye.

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4.0 Specifications
Physical
• 19” (483 mm) wide x 19”(483 mm) deep x 34”(864 mm) high
• 75 mm front swivel casters with brakes
• 75 mm rear casters
• Approximately 65 lbs. (30 Kg)
• Low center of gravity
• Temperature range: 59º F to 95º F or 15º C to 35º C
• Humidity range: non-condensing 10% to 95%

Electrical
• Power consumption: 250 VA maximum
• Input Power: 100-240V~, 50/60 Hz
• Detachable hospital grade power cord

Cart Features
• Two storage containers for lenses and supplies
• Internal handpiece holster
• Secondary work surface
• Tri-function footswitch
• Dual 5" front locking casters
• Extendable handle for system transport.

Custom Light Source

• Adjustable intensity iris
• Automatic black and white balance functions
• Lemo focus motor connector
• Custom fiber optic
• Automatic fan speed controller
• Easy-access bulb replacement

Handheld Imager
• 3-chip RGB CCD
• Full 24-bit color
• 30 frames-per-second full-resolution capture
• Quick-change front lens piece, 4 options

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 Notebook Computer
• Intel® Pentium® M 2.1 GHz processor
• 1GB Random Access Memory
• 80 GB hard drive
• DVD/R/RW drive
• 3 USB connections
• Audio
• 10/100 Ethernet Adapter
• Intel 128MB Video Adapter

Software
®
• MS Windows XP SP2 operating system
• Proprietary image acquisition, storage and processing
• Live color image display
• Integrated patient database
• Still and video capture modes
• Review functions
• Compare functions
• Transfer / backup functions
• Data export as XML, CSV, or TXT with automatic patient organization
• Image export as bitmap, jpeg, or png
• Image annotation

Environmental Conditions

The system as delivered is intended for use indoors, at normal room temperatures,
upright, on a level surface, with the brakes applied to the front casters.

Condition Operating Storage and Transport

Temperature 59º to 95º F (15º to 35º C) -4º to 122º F (-20º to 50º C)
Relative 10% to 95% non-condensing 10% to 85% non-condensing
Humidity
Atmospheric 20.7 to 31.3 inches Hg (70 to 14.7 to 31.3 inches Hg (50 to
Pressure 106 kPa) 106 kPa)
Altitude -1255 to 9882 feet (-382 to -1255 to 18288 feet (-382 to
3012 meters) 5574 meters)

Note: Specifications subject to change without notice.

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RetCam Shuttle Service Manual 21 PN 20-000107 Rev. A
5.0 Service Information
5.1 Troubleshooting Guide

Problem Troubleshooting steps

No power to Check connections.

laptop. Is the power cord plugged into the back of the system?
If not plug the power cord in.
Is the main power switch in the back turned on?
If not then turn the main power on.
Is the laptop power plugged into the laptop and the system?
If not, plug cable in.
No Light from Verify the fiber optic from the handpiece is inserted in the fiber
handpiece. optic port of the E/O box.
Verify the power switch in the back of the system and on the
front of the E/O box are turned on.
Turn the power switch off for 10 minutes and then turn it on.
This will allow the lamp to cool.
If after these measures are taken the lamp does not turn on,
then replace the illumination bulb. (Ref section 5.2)
No Live Image. Check connections
Is the USB cable from E/O box to the laptop connected?
Verify they are properly plugged in.
Is the camera cable securely connected to the E/O box?
Verify the camera cable is inserted and threaded on.
Unable to snap Close and restart the RetCam Shuttle program.
image from
footswitch.
Images do not Verify the Export path and subfolder match the intended
transfer. destination.
There is no Contact your Information Technology (IT) department.
network
connection.

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5.2 Changing the illumination bulb
The illumination light bulb located in the E/O Box will need periodic replacement.
It is a 12 volt, 75 watt halogen bulb, industry type EKE. Replacement bulbs are
available from Customer Service; part number 02-04-501.

1) Shutdown the RetCam Shuttle according to the user manual, if it is not

already turned off.
2) Disconnect the main power cord from the wall.
3) Unplug the fiber optical cable from the front of the E/O Box.
4) Remove the two screws from the small front panel.
5) Grip the handle on the small panel. Pull the small front panel out slowly
from the E/O Box. Stop when the light bulb is fully exposed.
6) Remove the illumination bulb from the socket and replace it with the new
one.
7) Check the position of the new bulb to make sure that the reflector of the
bulb is located in the center of the lamp socket’s opening.
8) Push the small front panel back into the E/O Box slowly. Use caution to
avoid pinching wires in the area.
9) Replace the two screws on the small front panel.

CAUTION: Do not touch the bulb located in the center of the reflector, or the
concave surface of the reflector. Skin oils will adhere to the outside of the bulb,
reducing the cooling efficiency of the bulb, creating a hot-spot and subsequent
premature burnout. Handle by the reflector only.

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5.3 Fuse Replacement

Locate the power entry module on the lower right side of the rear of the cart. Make
sure to remove the power cord before proceeding any further.

Using a flat blade screwdriver, gently pry open the cover of the fuse holder at the
top of the power entry module.

With the cover open, gently pry at edges to start removal. Finish removal with
fingers. Remove the blown fuse from the fuse holder and replace it with a new
fuse of same type and rating.
Fuse Type: T 3A / 250VAC slo-blow 5 x 20mm

CAUTION: For continued

protection against risk of fire, replace
only with same type and rating fuse.
When you have replaced the blown fuse,
reinsert the fuse holder fully and close the
cover.

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5.4 Servicing the Cart
CAUTION: Removing the back panel should be done by qualified technical
personnel only. Maintenance personnel should be familiar with the usual
precautions regarding the service of electronic and electrical equipment.

The Laptop, E/O Box, Handpiece and Footswitch are modules that can be
removed from the cart for replacement under the direction of the technical service
department. Make note of the cable connections before removing a module.

Contact Technical Service for help troubleshooting problems to the module level
before attempting repairs.

5.5 Replacement Parts

Spare parts and supplies can be ordered by the following ways from
Customer Service at; 1-800-215-6005
FAX; 1-925-463-7993
or email; service@retcam.com

Consumables:
Illumination Bulb (halogen) 02-04-501
Fuses 3-amp 250 VAC 5x20mm (slo-blo) 20-000097
USB drive, SanDisk 03-12-025
User Manual 20-000106

Components:
Laptop 20-000067
Footswitch 20-000009
Hand-piece 01-00-201
E/O Box 20-000008
Portrait Lens (PL100) 01-00-017
ROP Lens (D1300) 01-00-015
80º Lens (E800) 01-00-016
High Magnification (C300) 01-00-014-1

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5.6 Laptop Information
Note: The battery is not fully charged. Allow your battery to fully charge before
using it (i.e., before disconnecting AC power). Calibrating the battery before use is
also highly recommended. For information on the rechargeable battery of the
notebook computer, please follow the laptop manufacturer’s recommendations
located at the following webpage URL; http://usa.twinhead.com/PRO/N15RI

6.0 Technical Support

6.1 How to Get Support
The User Manual and Service Manual have been written to answer the majority of
questions that arise with the product. Please consult these manuals before calling
for service.

Clarity Medical Systems, Inc.’s (CMS) in-house technical staff is dedicated to

helping our users with any specific problems and questions you may have with the
RetCam Shuttle. Please have your serial number ready and include the serial
number on all correspondence. The serial number is located on a label affixed to
the back of the cart.

Please be as specific and give as much information as possible. If you encounter

a system malfunction of any kind, please record the exact steps taken leading to
the failure, so that our staff can replicate the problem.

Off-shore customers, please contact your distributor.

In the US, please call: Telephone Support: (800) 215-6005

FAX Support: (925) 251-0078

or write to: Clarity Medical Systems, Inc.

5775 West Las Positas Blvd.
Pleasanton, CA 94588
USA

or email to: service@retcam.com

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6.2 Returning Parts for Repair
If a part or component is defective or damaged and is to be returned to Clarity
Medical Systems for repair or replacement a Return Materials Authorization
Number (RMA #) must be issued by CMS. The RMA number must be noted on
the return shipping documents so that the disposition of the part is known when it
is received at CMS offices.

Should your CMS product prove defective during the period covered by this
warranty, please call, FAX or write to CMS at the numbers and address listed
above for an RMA number. Each separate part must be securely packaged and
returned to CMS in its original shipping container or an equivalent. Please clearly
mark the outside of each returned package with the RMA number.

CMS will, at its option, repair or replace any defective or damaged part or
component. Determination regarding whether service and repairs are completed
at the customer site or the defective or damaged part(s) are returned to CMS‘s
facilities for repair shall be made by CMS on a case by case basis. Costs incurred
to complete service or repair, including parts, labor, travel and shipping, not
covered by warranty will be billed to the customer upon successful completion of
the service or repair.

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7.0 Appendix
7.1 RetCam Shuttle Software End User License Agreement
You have acquired a RetCam Shuttle (“DEVICE”) that includes software licensed by Clarity Medical System, Inc. (“CMS,
Inc.”) from Microsoft Licensing Inc. or its affiliates (“MS”). Those installed software products of MS origin, as well as
associated media, printed materials, and “online” or electronic documentation (“SOFTWARE”) are protected by international
intellectual property laws and treaties. The SOFTWARE is licensed, not sold. All rights reserved.

IF YOU DO NOT AGREE TO THIS END USER LICENSE AGREEMENT (“EULA”), DO NOT USE THE DEVICE OR COPY
THE SOFTWARE. INSTEAD, PROMPTLY CONTACT CMS, INC. FOR INSTRUCTIONS ON RETURN OF THE UNUSED
DEVICE OR A REFUND. ANY USE OF THE SOFTWARE, INCLUDING BUT NOT LIMITED TO USE ON THE DEVICE
WILL CONSTITUTE YOUR AGREEMENT TO THIS EULA (OR RATIFICATION OF ANY PREVIOUS CONSENT).
GRANT OF SOFTWARE LICENSE. This EULA grants you the following license:

You may use the SOFTWARE only on the DEVICE.

NOT FAULT TOLERANT. The SOFTWARE IS NOT FAULT TOLERANT. CMS, INC. HAS INDEPENDENTLY
DETERMINED HOW TO USE THE SOFTWARE IN THE DEVICE, AND MS HAS RELIED UPON CMS, INC. TO CONDUCT
SUFFICIENT TESTING TO DETERMINE THAT THE SOFTWARE IS SUITABLE FOR SUCH USE.

NO WARRANTIES FOR THE SOFTWARE. THE SOFTWARE is provided “AS IS” and with all faults. THE ENTIRE RISK
AS TO SATISFACTORY QUALITY, PERFORMANCE, ACCURACY, AND EFFORT (INCLUDING LACK OF NEGLIGENCE)
IS WITH YOU. ALSO, THERE IS NO WARRANTY AGAINST INTERFERENCE WITH YOUR ENJOYJENT OF THE
SOFTWARE OR AGAINST INFRINGEMENT. IF YOU HAVE RECEIVED ANY WARRANTIES REGARDING THE DEVICE
OR THE SOFTWARE, THOSE WARRANTIES DO NOT ORIGINATE FROM, AND ARE NOT BINDING ON, MS.

Note on Java support. The SOFTWARE may contain support for programs written in Java. Java technology is not fault
tolerant and is not designed, manufactured, or intended for use or resale as online control equipment in hazardous
environments requiring fail-safe performance, such as in the operating of nuclear facilities, aircraft navigation or
communications systems, air traffic control, direct life support machines, or weapons systems, in which the failure of Java
technology could lead directly to death, personal injury, or severe physical or environmental damage. Sun Microsystems,
Inc. has contractually obligated MS to make this disclaimer.

No Liability for Certain Damages. EXCEPT AS PROHIBITED BY LAW, MS SHALL HAVE NO LIABILITY FOR ANY
INDIRECT, SPECIAL, CONSEQUENTIAL OR INCIDENTAL DAMAGES ARISING FROM OR IN CONNECTION WITH THE
USE OR PERFORMANCE OF THE SOFTWARE. THIS LIMITATION SHALL APPLY EVEN IF ANY REMEDY FAILS OF
ITS ESSENTIAL PURPOSE. IN NO EVENT SHALL MS BE LIABLE FOR ANY AMOUNT IN EXCESS OF U.S. TWO
HUNDRED FIFTY DOLLARS (U.S. $250.00).

Limitations on Reverse Engineering, Decompilation, and Disassembly. You may not reverse engineer, decompile, or
disassemble the SOFTWARE, except and only to the extent that such activity is expressly permitted by applicable law
notwithstanding this limitation.

SOFTWARE TRANSFER ALLOWED BUT WITH RESTRICTIONS. You may permanently transfer rights under this EULA
only as part of a permanent sale or transfer of the DEVICE, and only if the recipient agrees to this EULA. If the SOFTWARE
is an upgrade, any transfer must also include all prior versions of the SOFTWARE.

EXPORT RESTRICTIONS. You acknowledge that SOFTWARE is subject to U.S. export jurisdiction. You agree to comply
with all applicable international and national laws that apply to the SOFTWARE, including the U.S. Export Administration
Regulations, as well as end-use and destination restrictions issued by U.S. and other governments. For additional
information see http://www.microsoft.com/exporting/.

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