DWA GmbH
modula S-XL Operating Manual sw ver 2.09 Nov 2015
Operating Manual
59 Pages

Preview
Page 1
0044 We hereby declare that the unit described below is in conformity with the Council Directive 93/42/EEC on Medical Devices.
This operating manual applies to models from the product line:
modula S-XL in the configurations modula S-XL 4, modula S-XL 5, modula S-XL 6, modula S-XL 7, modula S-XL 8, modula S-XL 9, modula S-XL 10
with software version 2.09 and higher.
Serial number SN
___________________________________
This operating manual is included in the scope of delivery. It must be kept at hand and be passed on with the unit if it is resold. We reserve the right to make modifications with respect to the specifications and illustrations given in this operating manual that result from technical advancements. This is a translation of the original operating manual. This manual, or parts thereof, may not be reprinted, translated or reproduced in any form without written consent of DWA GmbH & Co. KG. This operating manual is not covered by a revision service. Last update: 2015-11, the date of the current edition can be obtained from:
DWA GmbH & Co. KG Großer Sand 8 76698 Ubstadt-Weiher Germany Tel: Fax:
+49 (0) 7251 6900-20 +49 (0) 7251 6900-115
XLBA1E-5 Operating manual modula S-XL.doc
Page 2 of 59
Content: Explanation of the symbols used ...5 1
Preliminary remarks ...5
2 General information ...6 2.1 Applied directives, laws, standards ...6 2.2 Terminological definitions...6 2.3 Purpose ...6 2.4 Intended use ...7 2.5 Obligations of the plant operator ...7 2.6 Qualification of the operating personnel ...7 2.7 Packaging and shipping ...8 2.8 Scope of supply...8 2.9 Spare parts ...9 2.10 Disposal ...9 2.11 Supplementary documentation ...9 2.12 Optional accessories ...10 2.12.1 Water Guard...10 2.12.2 Water Protector ...10 2.12.3 Remote control ...10 2.12.4 Modem kit...10 2.12.5 External hardness measurement ...10 2.13 Consumables ...10 3 3.1 3.2 3.3 3.4 3.5 3.6
Safety instructions ...11 Overall hazard assessment ...11 General safety information ...11 Hazards caused by electrical energy ...11 Emissions ...11 Electromagnetic compatibility ...12 Safety devices ...13
4 4.1
Labelling ...14 Symbols on the nameplate and their significance ...15
5 Specifications ...16 5.1 Technical data ...16 5.1.1 Versions ...17 5.1.2 Possible unit combinations ...17 5.1.3 Performance data...18 5.1.4 Module array ...19 5.1.5 Dialysis water quality and conductivity ...21 5.1.6 Microbiology ...21 5.2 Flow chart ...22 5.3 Functional description ...24 5.4 Unit views ...25 5.5 Sensors and valves ...28 6 6.1 6.2
Installation ...29 Installation site requirements ...29 Positioning requirements...29
7 7.1 7.2
Commissioning ...30 Initial start-up ...30 Restart after initial start-up ...30
XLBA1E-5 Operating manual modula S-XL.doc
Page 3 of 59
8 Operation ...31 8.1 Control panel ...31 8.1.1 Key functions...32 9 9.1 9.2 9.3 9.4 9.5 9.6
Operating modes ...33 STANDBY ...33 DIALYSIS ...33 RINSING ...34 LOCKED ...35 DISINFECTION ...36 ERROR ...37
10 Retrieving information ...38 10.1 INFO menu ...38 10.1.1 Info screen: SYSTEM ...39 10.1.2 Info screen: PRESSURE ...40 10.1.3 Info screen: FLOW ...40 10.1.4 Info screen: TEMPERATURE ...41 10.1.5 Info screen: CONDUCTIVITY ...42 10.1.6 Info screen: DIGITAL INPUTS ...43 10.1.7 Info screen: DIGITAL OUTPUTS ...43 10.1.8 Info screen: SYSTEM INTERFACE ...44 10.1.9 Info screen: STATISTICS ...45 10.1.10 Info screen: ALARM LIST ...45 10.2 SERVICE menu ...46 10.2.1 Service dialogue: ACCESS ...47 10.2.2 Service function: SERIAL OFF ...47 10.2.3 Service function: PREFILTER CHANGE ...47 10.2.4 Service function: SENSOR NIV1 ...47 11 Maintenance and servicing ...48 11.1 Inspection intervals ...48 11.2 External cleaning ...48 11.3 Replacing the pre-filter cartridges ...49 11.4 Sampling to determine the bacterial count...49 12 Faults and messages ...50 12.1 Critical faults with unit shutdown ...50 12.1.1 Switching action in the event of Water Guard alarm...52 12.2 Faults without unit shutdown ...53 12.3 Messages ...55 13 Emergency operation...56 13.1 Starting and stopping the emergency mode ...56 13.2 Failure of dry run protection device Niv1 ...57 Inventory...58 Daily log ...59
XLBA1E-5 Operating manual modula S-XL.doc
Page 4 of 59
Explanation of the symbols used Refers to a hazardous situation. Failure to avoid this situation may result in personal damage including serious personal injury.
Refers to a potentially hazardous situation. Not acting cautiously may result in material damage.
Refers to useful information and important notes within the respective context.
Indicates upper and lower temperature limits.
Symbol for separate disposal of electrical and electronic devices as well as having been placed on the market after 13 August 2005.
Caution! Mains voltage!
1
Preliminary remarks
This operating manual provides all users with instructions necessary for the safe and reliable operation of the unit. It is an important document, an aid in operating and servicing the installation and contains fault remediation procedures. Please read this operating manual, comply with the instructions provided and make sure this manual is always at hand on the unit.
Read the operating manual before operating or servicing the unit!
XLBA1E-5 Operating manual modula S-XL.doc
Page 5 of 59
2
General information
2.1
Applied directives, laws, standards
Council Directive 93/42/EEC of 14 June 1993 concerning Medical Devices
DIN EN 61010-1 Safety requirements for electrical equipment, for measurement, control and laboratory use – part 1: General requirements
DIN EN 60601-1-2 Medical Electrical Equipment – part 1-2: General requirements for basic safety and essential performance – Collateral standard: Electromagnetic compatibility – Requirements and tests
2.2
Terminological definitions
Permeate:
Water with a limited amount of compounds which is produced by pre-treatment and reverse osmosis units.
Dialysis water:
Treated water meeting the requirements of ISO 13959 and suitable for haemodialysis and similar applications (source: ISO 23500).
Concentrate:
Water with an increased amount of compounds which is retained as retentate on the feed side of the membrane within the separation process.
RO
means “reverse osmosis unit”.
The present application uses permeate as dialysis water. Within this document, the term "permeate" refers mainly to technical application aspects, whereas "dialysis water" generally refers to the final product used for medical therapy.
2.3
Purpose
The modula S-XL reverse osmosis unit produces dialysis water and supplies it through a pipe system (ring main for dialysis water) to connected dialysis devices. Dialysis water is recovered through a membrane separation process called reverse osmosis.
XLBA1E-5 Operating manual modula S-XL.doc
Page 6 of 59
2.4
Intended use
The modula S-XL reverse osmosis unit may only be used for production and supply of dialysis water. Other applications, in particular the use of media other than those mentioned in the specifications, may lead to hazardous situations and must thus be refrained from in all cases! Any other use will be considered as not intended. The same is true if the unit is operated with defective safety devices or if installation, start-up, operation and servicing of the installation is carried out improperly. DWA GmbH & Co. KG shall not be liable for damages resulting from unintended use. Performance modifications to the installation as well as the use of third-party spare parts must be checked and approved by DWA. Intended use includes compliance with the prescribed operating and maintenance instructions.
2.5
Obligations of the plant operator
Generally, the operator is responsible for
choosing the components of the water treatment and distribution system,
the compatibility of the individual components,
compliance with the safety regulations and taking precautionary work safety and accident prevention measures,
the correct use of the unit by instructed personnel,
the professional training of the operating personnel at the installation and their initiation to the operating instructions,
keeping of an inventory,
and the timely completion of recurrent safety checks by trained and qualified technical staff (called maintenance personnel in the following).
2.6
Qualification of the operating personnel
The operating personnel must be initiated in the operation and the particularities of the unit. Only initiated persons of legal age are allowed to operate the unit! The initiation by the manufacturer or the maintenance personnel shall take place during start-up of the installation and when required. Other training is not necessary to operate the unit.
The maintenance personnel is trained exclusively by DWA and receives, upon termination of the training, a certificate that is valid two years and entitles the holder to start-up, maintain, and repair the unit as well as to check the electrical safety.
XLBA1E-5 Operating manual modula S-XL.doc
Page 7 of 59
2.7
Packaging and shipping Adhere to the accident prevention regulations and handling instructions on the package! Do not toss nor put weigh onto the package! Packing: 1450 x 800 x 1900 (L x W x H) mm, weight: 375 kg max.
Protect from frost or heat! Storage and shipping at +1 °C to +45 °C
If condensation occurs during shipment between two places with different ambient temperature and high humidity, the inside of the unit must dry before the unit may be switched on! Let the unit dry at 25 °C for at least 36 h.
2.8
Scope of supply
The scope of supply of the modula S-TP reverse osmosis unit includes the following parts:
the complete unit according to the order
and the following parts: No. Quantity
Unit
Item no.
1
1
unit
SO8CMOX1E
Operating manual modula S-XL
2
3.00
meter
ZG05AL025
Hose 39x7 mm (DN 25)
3
6.00
meter
ZG05AL020
Hose 31x6 mm (DN 20)
4
8
units
ZG05V2032
Hose clamp 20-32 mm
5
8
units
ZG05V2540
Hose clamp 25-40 mm
6
1
unit
SO8B98063
Customer interface
7
1
unit
SO8C15045
Wastewater hose 1.5 m RO
8
1
unit
ZG01HT450
HT pipe bend (PP) DN 50 / 87°
9
2
units
ZG01P2325
Male/female union 25+32 PVC-U
10
2
units
ZG01P1625
Hose connector D25
11
1
unit
20KSET110
Permeate sampling kit (contains 6 sampling bags and accessories)
12
1
unit
SO8BXLBOX
Spare fuses box for modula S-XL
13
2
units
FILT05020
Pre-filter cartridge 5 µm 20''
14
1
unit
YY0000003
Pre-filter housing wrench
15
1
unit
ZG01HKS11
Hook key for DIN 11851 DN15
XLBA1E-5 Operating manual modula S-XL.doc
Designation
Page 8 of 59
2.9
Spare parts
The spare parts list is available to the maintenance personnel in the Service documentation for modula S-XL. The use of third-party spare parts may impair the intended use of the unit and must thus be checked and approved by DWA.
2.10
Disposal The implementation of the 2002/96/EC Directive via the WEEE Directive of the European Community means that the disposal of obsolete electrical equipment as well as electronic and electrical assemblies with domestic waste is no longer permissible. These parts must be disposed of in an environmentally sound manner! Unless otherwise agreed with DWA or if a private waste management system is not available, DWA equipment and any environmentally hazardous parts thereof can be resent to DWA.
2.11
Supplementary documentation
Detailed information about installation, start-up, maintenance and repair is available to the maintenance personnel for the modula S-XL reverse osmosis unit in the Service documentation for modula S-XL.
XLBA1E-5 Operating manual modula S-XL.doc
Page 9 of 59
2.12
Optional accessories
2.12.1
Water Guard
The Water Guard is a leakage sensor in the osmosis room. It can be mounted upstream the pretreatment units (pressure regulator, backflow preventer, filters, softener, etc.) in order to isolate these components from the water supply system in case of water leakage.
2.12.2
Water Protector
The Water Protector serves as a leak monitor in the dialysis room and sends an alarm in case of water leakage. When the unit is in unattended rinsing mode, the Water Protector may switch off the whole system network in case of leakage.
2.12.3
Remote control
The remote control can be used to switch the DWA system network on and off from a central control room. It also provides a display for the status or a message.
2.12.4
Modem kit
The reverse osmosis unit has two serial ports for data logging and remote maintenance. The ports are located at the bottom of the control cabinet.
2.12.5
External hardness measurement
Protects the RO membranes in the event of a hardness breakthrough.
For more information about optional accessories, please contact your DWA field representative.
2.13
Consumables
FILT05020:
20KSET110:
Pre-filter cartridge 5 µm 20'' Permeate sampling kit (contains 6 sampling bags and accessories)
XLBA1E-5 Operating manual modula S-XL.doc
Page 10 of 59
3
Safety instructions
3.1
Overall hazard assessment
The unit is state-of-the-art and complies with the requirements of the EC directive and the standards on medical devices.
If the unit is used as intended, it presents no hazards.
Malfunctions impairing intended use must be remedied immediately.
3.2
General safety information
Never bypass or bridge safety devices!
Never cover the unit or parts thereof!
Do not put any combustible items near or on top of the unit.
In case of unusual noise, odours, or leakage, monitor the unit, separate it from the mains and call the maintenance personnel!
Immediately report defective hoses or connections to the maintenance personnel!
3.3
Hazards caused by electrical energy The electrical safety of the unit must be checked at least once per year during the recurrent test!
3.4
Emissions
The unit does not produce any dust or vibrations. The measured noise level is below 70 dB (A). Personal noise protection measures are thus unnecessary.
XLBA1E-5 Operating manual modula S-XL.doc
Page 11 of 59
3.5
Electromagnetic compatibility
Medical electrical equipment is subject to special precautionary measures with respect to electromagnetic compatibility (EMC) and must be installed and put into operation according to the instructions in the accompanying documentation. Information about EMC in compliance with DIN EN 60601-1-2 section 5.2.2 is given in the Service documentation for modula S-XL.
The modula S-XL reverse osmosis unit has been tested and is protected according to the requirements and recommendations of DIN EN 60601-1-2 (Electromagnetic Compatibility – Requirements and tests). Nevertheless, disturbances caused by electromagnetic radiation or other equipment cannot be ruled out.
Portable and mobile HF communication equipment may affect medical electrical equipment.
XLBA1E-5 Operating manual modula S-XL.doc
Page 12 of 59
3.6
Safety devices
Safe handling of the unit is provided by the following safety devices mounted at the unit: (1) Power switch for mains isolation (2) Automatic circuit breakers and micro fuses in the control cabinet (3) Conductivity measuring device Ci4 for product quality monitoring (4) Pressure measuring device Pi4 for permeate pressure monitoring (5) Overflow valve protecting the dialysis units from pressure peaks in case of malfunction (6) Temperature measuring device Ti1 protecting the unit from overheat (7) Lockable castors (8) Dry run protection device Niv1. Caution! Mains voltage!
1
2
8 3
4
5
6
7
XLBA1E-5 Operating manual modula S-XL.doc
Page 13 of 59
4
Labelling The nameplate is located on the left side of the control cabinet
The code REF represents the item number of the device.
The serial number SN consists of the year of manufacture, device identification and consecutive number: Example: yy MODXL #### yy: Year of manufacture 20yy MODXL: Device identification ####: consecutive number The version label (A) states the permissible mains voltage, mains frequency and the rated current consumption of the device:
or
XLBA1E-5 Operating manual modula S-XL.doc
Page 14 of 59
4.1
Symbols on the nameplate and their significance Symbol for "reference/item number".
Symbol for "serial number".
3N~
Type of supply, in this case: three-phase alternating current with neutral conductor. Symbol for "conformity with the Directive 93/42/EEC" concerning medical products. The following number identifies the notified body, in this case: 0044.
IPX4
Statement of the protection type, in this case: protection against splashed water from all sides.
Symbol for "follow the operating instructions".
Symbol for "separate collection of electrical and electronic devices" and "bringing into circulation after 13th August 2005".
Symbol for "manufacturer" in combination with the name and address of the manufacturer.
XLBA1E-5 Operating manual modula S-XL.doc
Page 15 of 59
5
Specifications
5.1
Technical data
modula S-XL
Performance data
Water connections
Electrical data
Electrical safety
Feed water
Ambient conditions
On-site requirements
Designation
Specification
Dimensions (L x W x H)
1270 x 690 x 1620 mm
Weight of modula S-XL 4 (dry / operating) modula S-XL 10 (dry / operating)
278 / 376 380 / 502
Dialysis water output
up to 1650 l/h
at 10 °C and 2.5 bar backpressure
(s. section 5.1.3 and following)
Permeate pressure
2 to 5 bar
Retention rate
> 99 % NaCl
Yield
up to 85 %
Feed water inlet
Connector for hose DN25 or Screw connection 5/4” male
Dialysis water
Connector for hose DN20 or DIN 32676 - DN25
Mains plug
CEE 32 A (3L+N+PE, 6h
Mains voltage depends on type (see section 5.1.1)
400 V 3~(N) / 50 Hz or 400 V 3~(N) / 60 Hz
Energy consumption
6.5 kW
Fuse
25 A / Fi ΔI 30 mA
Protection class
I
Overvoltage category
II
Contamination level
2
Ingress Protection Rating
IP X4
Quality
Softened drinking water
Hardness
< 0.1 °dH (0.018 mmol/l)
Fouling index / SDI
<3
Conductivity
1400 µS/cm
Iron
< 0.05 mg/l
free Chlorine
< 0.1 mg/l
Temperature range
5 to 30 °C
pH
6.5 to 8.5
Temperature
- Shipping / storage - Operation
+1 to +45 °C +1 to +35 °C
Humidity
max. 90 % rel.humidity, non-condensating
Installation altitude
max. 2000 m above NHN
Isolable water supply,
Pressure reducing valve or pressure booster as required
for full upgrade 6 m3/h at 3 to 6 bar dyn.
Drain max. 50 cm above floor level
XLBA1E-5 Operating manual modula S-XL.doc
HT50 pipe, for 6 m3/h, by gravity
Page 16 of 59
5.1.1
Versions
The reverse osmosis unit modula S-TP is available for two mains voltage versions:
5.1.2
REF 01MODULASXL4 - ..01MODULASXL10: 400 V AC 50 Hz and REF 01MODULASXL4C - ..01MODULASXL10C: 400 V AC 60 Hz.
Possible unit combinations
The reverse osmosis unit modula S-XL can be operated in combination with other equipment. After modifications made to a component to the water purification and distribution system, suitable tests should be performed to prove conformity to system requirements.
down-stream heat disinfection systems All DWA heat disinfection systems can be used as down-stream unit. Devices from other manufacturers may be operated under certain conditions. Please contact your DWA field representative.
Connected heat disinfection systems shall meet the requirements of the standards IEC 61010-1, IEC 60601-1 or equivalent.
Dialysis water ring mains: The reverse osmosis unit modula S-XL shall only be operated with dialysis water ring mains from media resistant and heat resistant materials. The following materials are suitable and approved:
PE-Xa (cross-linked polyethyelene)
PVDF (poly vinylidene fluoride)
stainless steel (1.4401, 1.4404, 1.4571 AISI 316, AISI 316L, AISI 316Ti)
Ring mains made from PVC have only limited resistance. PVC piping is not suitable for operating heat disinfection systems.
XLBA1E-5 Operating manual modula S-XL.doc
Page 17 of 59
5.1.3
Performance data The following nominal performance data refer to 10 °C and a back pressure of 2.5 bar when in MAXIMAL mode.
Model
Permeate output
modula S-XL 4
1400 l/h
modula S-XL 5
1750 l/h
modula S-XL 6
2100 l/h
modula S-XL 7
2400 l/h
modula S-XL 8
2700 l/h
modula S-XL 9
3000 l/h
modula S-XL 10
3300 l/h
Table for permeate output calculation at different temperatures: In order to estimate the permeate output at temperatures other than 10 °C, please use the correction factors given in the following table and calculate the actual output as explained in the example.
Temperature °C
Correction factor
Temperature °C
Correction factor
Temperature °C
Correction factor
1
0.62
11
1.04
21
1.46
2
0.66
12
1.08
22
1.51
3
0.70
13
1.13
23
1.54
4
0.74
14
1.16
24
1.59
5
0.79
15
1.21
25
1.64
6
0.84
16
1.26
26
1.69
7
0.87
17
1.30
27
1.74
8
0.92
18
1.33
28
1.79
9
0.95
19
1.39
29
1.85
10
1.00
20
1.43
30
1.89
Example: Nominal permeate output of a modula S-XL 5 at 17 °C? Output at 10 °C: Correction factor at 17 °C:
1750 l/h 1.30
Nominal permeate output at 17 °C and 2.5 bar permeate pressure: 1750 l/h x 1.30 = 2275 l/h
XLBA1E-5 Operating manual modula S-XL.doc
Page 18 of 59
5.1.4
Module array
The lowest expansion level of modula S-XL comprises four modules. If the unit is expanded to an uneven number of modules, it is always the module package 2 (inner) that has the larger number of modules.
The following table provides an overview of the possible expansion levels and permeate outputs (at a water temperature of 10 °C and a back pressure of 2.5 bar): Top view
Designation
Capacity
Total
Redundance / ECOMODE
Module package 1 (outer)
modula S-XL 4
1: 2 x 350 l/h 2: 2 x 350 l/h
1400 l/h
700 l/h 700 l/h
Module package 2 (inner)
modula S-XL 5
modula S-XL 6
1: 2 x 350 l/h 2: 3 x 350 l/h
1: 3 x 350 l/h 2: 3 x 350 l/h
700 l/h 1750 l/h
2100 l/h
1050 l/h
1050 l/h 1050 l/h
1: 3 x 350 l/h modula S-XL 7
modula S-XL 8
modula S-XL 9
modula S-XL 10
XLBA1E-5 Operating manual modula S-XL.doc
2: 3 x 350 l/h 1 x 300 l/h
1: 3 x 350 l/h 1 x 300 l/h 2: 3 x 350 l/h 1 x 300 l/h 1: 3 x 350 l/h 1 x 300 l/h 2: 3 x 350 l/h 2 x 300 l/h 1: 3 x 350 l/h 2 x 300 l/h 2: 3 x 350 l/h 2 x 300 l/h
2400 l/h
1050 l/h 1350 l/h
2700 l/h
3000 l/h
3300 l/h
1350 l/h 1350 l/h
1350 l/h 1650 l/h
1650 l/h 1650 l/h
Page 19 of 59
The following combinations are also possible, especially for units with operation varying between partial and full load. Top view
Designation
Capacity
Total
Redundance / ECOMODE
Modulpaket 1 (außen)
1: 2 x 350 l/h modula S-XL 6
2: 3 x 350 l/h 1 x 300 l/h
2050 l/h
700 l/h 1350 l/h
Modulpaket 2 (innen)
1: 2 x 350 l/h modula S-XL 7
2: 3 x 350 l/h 2 x 300 l/h
700 l/h 2350 l/h
1: 3 x 350 l/h modula S-XL 8
2: 3 x 350 l/h 2 x 300 l/h
2700 l/h
1650 l/h
1050 l/h 1650 l/h
The modula S-XL reverse osmosis unit can be set to three different basic operating modes.
Basic mode REDUNDANT In REDUNDANT mode one of the two module packages is used as a reserve, so that dialysis can be continued even if components should fail. A 100 % redundancy of the dialysis water output capacity is given if the number of modules per package is identical.
Basic mode MAXIMAL In MAXIMAL mode both module packages are running in parallel in order to maximise the permeate production.
Basic mode ECOMODE The ECOMODE mode allows consumption-controlled dialysis water production. During operation, the unit constantly monitors dialysis water consumption and turns on and off the corresponding module packages as required.
In REDUNDANT and ECOMODE operating modes, unused module packages are rinsed automatically after longer idle times.
XLBA1E-5 Operating manual modula S-XL.doc
Page 20 of 59
5.1.5
Dialysis water quality and conductivity
The dialysis water quality depends primarily on two factors: the chemical composition of the feed water and the microbiological condition of the whole system (pretreatment, reverse osmosis, dialysis water ring main, etc.) and the maintenance of the latter. Reverse osmosis membranes retain a high proportion of the contaminants in the feed water. However, a few ions are always able to pass through the membranes. The dialysis water conductivity thus depends on the feed water quality.
The conductivity of the feed water limits the attainable dialysis water conductivity. A higher concentrate discharge rate (higher water consumption) can decrease the dialysis water conductivity.
Carry out regular chemical analyses of the feed and the dialysis water in order to become aware of changes in time and to be able to take appropriate measures.
5.1.6
Microbiology
There are microbial load limits for dialysis water. In general, new units can easily comply with these values. Reverse osmosis membranes almost completely retain germs, and microbial growth is reduced to a minimum through automatic idle time rinsing. However, there is a certain risk of retrograde contamination, e.g. coming from the connection ports at the bed head media panels, so that bacteria can be detected in the ring main as well as in the dialysis water.
Therefore, carry out regular microbe and endotoxin tests and use suitable disinfection measures if contamination is detected. See also Section 11.4 "Sampling to determine the bacterial count".
Avoid long idle times in order to minimise bacterial growth.
Perform regular heat disinfections of the ring mains to kill bacteria and to avoid biofilm growth.
XLBA1E-5 Operating manual modula S-XL.doc
Page 21 of 59