1. Offline Demonstration Benefits for Healthcare Practitioners
Piccolo Xpress™
Offline Demonstration
Piccolo
Reagent Disc
Piccolo
Instrument
Benefits for Healthcare Practitioners

2. Click on the front package (the red one) for a closer look.
This menu represents over 97% of all requested chemistries.
There are 13 in total,
11 of which are fully
CLIA waived
Here is the Piccolo family of reagent discs.

3. They are shipped and stored refrigerated and can be used directly from the refrigerator.
All Piccolo Reagent Discs are individually packaged and sealed in foil pouches.
Click on the arrow to tear open the pouch and reveal the reagent disc.

4. In the center is a foil cup that contains the sample diluent.
Centrifugal action mixes the diluted sample and hydrates the reagent beads.
Inside the barcode ring are the cuvettes that hold the reagent and QC beads.
The outer ring has a barcode that contains calibration, lot, expiration and disc type.
Each self-contained reagent disc is single use.
One patient, one disc.
The Piccolo technology was originally developed for use in the Space Shuttle.

5. The discs are small and easy to use.
View Sample Entry
Replay Disc Technology
View Piccolo Instrument
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View Analyte Menu
The discs are small and easy to use.

6. Piccolo Reagent Disc - Analyte Menu
View Sample Entry
Replay Disc Technology
View Piccolo Instrument
Go back to the beginning
View Practice Impact

7. Only 100 microliters of sample is required.

11. Discs can use whole blood, serum or plasma.
View Sample Entry Again
View Detailed Disc Fluidics
Analyze a Sample
View Piccolo Instrument
Discs can use whole blood, serum or plasma.

12. In the first phase of the run, the sample and diluent are measured.

13. In the first phase of the run, the sample and diluent are measured.

14. In the first phase of the run, the sample and diluent are measured.

15. In the first phase of the run, the sample and diluent are measured.

16. In the first phase of the run, the sample and diluent are measured.

17. In the first phase of the run, the sample and diluent are measured.

18. The sample fills the overflow cuvette, indicating enough is present.

19. The sample fills the overflow cuvette, indicating enough is present.

20. The sample fills the overflow cuvette, indicating enough is present.

21. The sample fills the overflow cuvette, indicating enough is present.

22. Continue with Fluidics
Replay First Phase
The sample fills the overflow cuvette, indicating enough is present.

23. The diluent is measured and then flows into the iQC cuvettes.

24. The diluent is measured and then flows into the iQC cuvettes.

25. The diluent is measured and then flows into the iQC cuvettes.

26. The diluent is measured and then flows into the iQC cuvettes.

27. The diluent is measured and then flows into the iQC cuvettes.

28. The sample is then spun down and the plasma is separated.

29. The sample is then spun down and the plasma is separated.

30. The sample is then spun down and the plasma is separated.

31. The sample is then spun down and the plasma is separated.

32. Continue with Fluidics
Replay Second Phase
The sample is then spun down and the plasma is separated.

33. Capillary action pushes the sample and diluent into the mixing chamber.

34. Capillary action pushes the sample and diluent into the mixing chamber.

35. Capillary action pushes the sample and diluent into the mixing chamber.

36. Capillary action pushes the sample and diluent into the mixing chamber.

37. Capillary action pushes the sample and diluent into the mixing chamber.

38. Capillary action pushes the sample and diluent into the mixing chamber.

39. Capillary action pushes the sample and diluent into the mixing chamber.

40. Capillary action pushes the sample and diluent into the mixing chamber.

41. Capillary action pushes the sample and diluent into the mixing chamber.

42. Capillary action pushes the sample and diluent into the mixing chamber.

43. Capillary action pushes the sample and diluent into the mixing chamber.

44. The disc is then oscillated to mix the sample and diluent.

45. The disc is then oscillated to mix the sample and diluent.

46. The disc is then oscillated to mix the sample and diluent.

47. The disc is then oscillated to mix the sample and diluent.

48. The disc is then oscillated to mix the sample and diluent.

49. The disc is then oscillated to mix the sample and diluent.

50. The disc is then oscillated to mix the sample and diluent.

51. The disc is then oscillated to mix the sample and diluent.

52. The disc is then oscillated to mix the sample and diluent.

53. The disc is then oscillated to mix the sample and diluent.

54. The disc is then oscillated to mix the sample and diluent.

55. Continue with Fluidics
Replay Third Phase
The disc is then oscillated to mix the sample and diluent.

56. The diluted sample then flows through to the reaction cuvettes.

57. The diluted sample then flows through to the reaction cuvettes.

58. The diluted sample then flows through to the reaction cuvettes.

59. The diluted sample then flows through to the reaction cuvettes.

60. The diluted sample then flows through to the reaction cuvettes.

61. The diluted sample then flows through to the reaction cuvettes.

62. The design of the cuvettes lets air to outflow and prevents bubbles.

63. The design of the cuvettes lets air to outflow and prevents bubbles.

64. The design of the cuvettes lets air to outflow and prevents bubbles.

65. The design of the cuvettes lets air to outflow and prevents bubbles.

66. Also, the cuvette design ensures the proper amount of sample is used.

67. Also, the cuvette design ensures the proper amount of sample is used.

68. Also, the cuvette design ensures the proper amount of sample is used.

69. Continue with Fluidics
Replay Fourth Phase
Also, the cuvette design ensures the proper amount of sample is used.

70. An overfill reservoir is used to ensure enough sample is present.

71. An overfill reservoir is used to ensure enough sample is present.

72. An overfill reservoir is used to ensure enough sample is present.

73. The disc is then spun in alternating directions to dissolve the beads.

74. The disc is then spun in alternating directions to dissolve the beads.

75. The disc is then spun in alternating directions to dissolve the beads.

76. The reactions and absorbance are then measured and recorded.
View Disc Fluidics Again
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The reactions and absorbance are then measured and recorded.

77. View back of instrument
The Piccolo Xpress Chemistry Analyzer is small and portable, and is perfect for in-office point-of-care testing.
With 3 simple steps any healthcare professional can easily receive lab-accurate results in minutes.
View screen
functions
End
Demo
View back of instrument
Analyze a sample

78. The Piccolo has a convenient handle for easy carrying and portability.
Maintenance on the Piccolo is a breeze. Every few months, just remove and wash the filter, then put it back in.
The Piccolo is equipped with 5 USB ports for easy connectivity to peripherals or your EMR/LIS systems.
The Piccolo has a convenient handle for easy carrying and portability.
Go back to home screen
Analyze a sample

79. A CD reader is included for easy software upgrades.
Go back to home screen
Analyze a sample

80. The Piccolo Xpress has an intuitive touch screen interface for easy operation. Just touch the analyze button to begin.

83. Go back to home screen
Analyze a sample
View Sample Entry

84. The Piccolo Xpress is as easy to use as a CD Player
The Piccolo Xpress is as easy to use as a CD Player. Just load it and go.

88. Press the close button to close the drawer and begin the run.

91. As the run begins, the Piccolo will ask you what type of sample you’re running.

92. Select Patient, and then enter a patient ID number.
Through the USB ports, you can connect a keyboard, scanner or EMR system.

106. After about 12 minutes, the run will be complete, and a printout will appear in the top of the analyzer.

107. The output is printed on sticky backed roll-tape paper for easy transferral to the patient file.
Zoom in to see printout
View entire printout

108. The roll-tape printout comes out of the top of the analyzer and is easily torn out for viewing and use.
View entire printout
Complete the analysis

109. View Analysis Again Complete the analysis
The output contains all the patient and run info. Results are shown along with reference ranges. Abnormal results are shown with an asterisk. At the bottom, QC and interferent info is displayed.
View Analysis Again
Complete the analysis

110. Press the open button on the analyzer to open the drawer and discard the disc.

113. Discard the used disc in a biohazard container.
Close the drawer and you’re ready for the next run.

117. Turn Analyzer & View Screens
View Analysis Again
Turn Analyzer & View Screens
View Panel
Information
View Detailed Disc Fluidics
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Demo

118. Zoom In
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Demo

119. The Piccolo has a touch-screen interface with large icons.
Click on any icon to see the functionality.
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Demo

120. Zoom Out,
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Demo

121. The “i” button in the center of the screen shows helpful information about the functionality of that screen.
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Demo

122. Zoom Out,
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Demo

123. Zoom Out,
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Demo

124. Zoom Out,
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Demo

125. Zoom Out,
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Demo

126. The Piccolo has a touch-screen interface with large icons.
Click on any icon to see the functionality.
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Demo

127. This screen allows you to recall previous runs
This screen allows you to recall previous runs. You can search stored results, browse, transmit or view service archives.
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Demo

128. Past results can be quickly viewed or printed by touching the appropriate button on the screen.
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Demo

129. With each past run, you can choose to print or transmit the results, iQC or error report if there was one.
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Demo

130. The search function lets you search by ID, Date, Patient or Controls
The search function lets you search by ID, Date, Patient or Controls. Click the date button to view more screens
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Demo

131. This screen allows you to change the date for the search.
Click search to see the results.
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Demo

132. The analysis results are listed by date of the run.
Click on the top listing to view the result.
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Demo

133. Nearly every setting on the Piccolo Xpress is configurable by the user.
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Demo

134. This screen displays key analyzer information.
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Demo

135. Here you can set the correct time of day.
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Demo

136. Here you can set the correct date.
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Demo

137. This screen allows you to set the volume of the sounds for your analyzer.
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Demo

138. Helpful information is available by clicking the
“i” icon.
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Demo

139. Setting up a USB printer for your Piccolo is easy.
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Demo

140. You can adjust the display on your Piccolo to fit the lighting requirements of your environment.
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Demo

141. The Piccolo is equipped to perform in a wide variety of languages.
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Demo

142. This menu of icons allows Piccolo users perform advanced functions on the instrument.
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Demo

143. Here you can change the unit of measure for any or all analytes
Here you can change the unit of measure for any or all analytes. Click on the Single Analyte button to view choices.
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Demo

144. Select the Analyte you would like to change.
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Demo

145. Here you can select the preferred unit of measure
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Demo

146. This screen allows you to revise the reference ranges according to the needs of your patient population.
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Demo

147. Click on the demographic button to see available options.
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Demo

148. Here you can revise demographic information to meet your specific needs.
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Demo

149. This screen allows you to archive reference ranges and recall previous archives.
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Demo

150. This screen allows you to set the protocol for data transfer.
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Demo
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Demo

151. This screen is used for managing software upgrades.
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Demo

152. At any time, you may reset the analyzer back to the factory defaults.
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Demo

153. Here you can add security settings for administrators, operators or controls for your Piccolo.
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154. Managing analyzer operators is handled through this screen.
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155. You can add advanced settings to the analyze menu and require operator ID, gender and/or age of patient.
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Demo

156. A simple click on any check box will add that question to the analyze menu.
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Demo

157. Select your specialty to see the potential impact of the Piccolo Xpress
General Practitioner
Urgent Care
Centers
Imaging &
Radiology
Oncology
Cardiology
Practices
Hospital
ER/ICU
Pediatric
Wellness &
Home Health
Obstetrics &
Gynecology
Dialysis
Government
& Military
Internal
Medicine
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Technology
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Instrument
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Demo

158. Impact for General Practitioners
Improved patient care
Diagnose and prognose with confidence based on comprehensive results
Eliminate unnecessary delays in beginning critical treatment programs
Make real-time adjustments to medications and treatment regimens
Ensure integrity of patient sample by maintaining consistent custody
Increased office efficiency
Reduce the time spent preparing samples for courier to the lab
Eliminate time and hassle of tracking down patients to relay results
Increase the quality of time spent with patients
Reduce non-billable time by increasing E & M coding on patient visits
Improved practice capabilities
Conduct on-site CLIA waived lab analysis in minutes
Increased patient satisfaction from full-service capabilities
Important piece of in-house mini-lab (hematology, immunoassay)
All Piccolo reagent panels are reimbursable by payors - increase services without increasing costs
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159. Impact for Urgent Care Improved patient care
Diagnose and treat a wide variety of conditions with increased confidence based on lab-accurate results
Begin clinical treatment programs faster
Increase patient satisfaction from full-service capabilities
Increased practice efficiency
Reduce the time spent preparing samples and relaying results
Increase evaluation and management levels on patient visits
Increase patient confidence through comprehensive service
Increase patient referrals and word-of-mouth business
Improved practice capabilities
Conduct comprehensive, on-site, CLIA waived lab analysis in minutes
Increase in-house diagnostic services for your patient population
Important piece of in-house mini-lab (hematology, immunoassay)
All Piccolo reagent panels are reimbursable by payors - increase services without increasing costs
Go Back

160. Impact for Imaging/Radiology
Increased efficiency
Reduce the number of rescheduled appointments due to insufficient lab results
Reduce lost revenue and downtime from schedule interruptions
Reduce the risks associated with contrast medium use
Perform creatinine and BUN diagnostics without impacting workflow
CLIA Waived – easily administer tests accurately and efficiently
Only 3-simple steps – as easy to run as a CD player
Improved patient care
Reduce occurrences of NSF and contrast-induced nephropathy
Ensure that at-risk patients will not be exposed to added risk from contrast
Increased patient satisfaction from full-service capabilities
Improved practice capabilities
Lab-accurate creatinine and BUN results on-site in minutes
Increase physician referrals through one-stop patient care offering
Gain competitive advantage over rival facilities
Piccolo conforms to the highest standard creatinine method – IDMS traceable
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161. Impact for Oncology Improved patient care Increased efficiency
Eliminate rescheduled drug therapy treatments due to insufficient labs
Diagnose as early as possible through comprehensive chemistry results
Ensure that at-risk patients will not be exposed to additional risk from treatment
Rapidly identify nephrotoxicity and hepatotoxicity and make appropriate adjustments to chemo dosage within the oncology setting
Increase patient satisfaction from full-service capabilities
Increased efficiency
Reduce lost revenue and downtime from schedule interruptions
BMP Plus reagent disc has all oncology chemistry tests on one convenient disc
Only 3-simple steps – as easy to run as a CD player
Comprehensive diagnostic capabilities on-site for follow-up patients
Improved practice capabilities
Lab-accurate chemistry results on-site in minutes
Increase physician referrals through one-stop patient care offering
Gain competitive advantage over rival facilities
Compliment CBC results with comprehensive chemistry diagnostics
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162. Impact for Internal Medicine
Improved patient care
Diagnose and prognose with confidence based on comprehensive results
Eliminate unnecessary delays in beginning critical treatment programs
Make real-time adjustments to medications and treatment regimens
Ensure integrity of patient sample by maintaining consistent custody
Increased office efficiency
Reduce the time spent preparing samples for courier to the lab
Eliminate time and hassle of tracking down patients to relay results
Increase the quality of time spent with patients
Reduce non-billable time by increasing E & M coding on patient visits
Improved practice capabilities
Conduct on-site CLIA waived lab analysis in minutes
Increased patient satisfaction from full-service capabilities
Important piece of in-house mini-lab (hematology, immunoassay)
All Piccolo reagent panels are reimbursable by payors - increase services without increasing costs
Go Back

163. Impact for Cardiology Improved patient care
Monitor follow-up patient progress with comprehensive on-site analysis
Make real-time adjustments to lipid medications and treatment regimens
Eliminate unnecessary delays in beginning cardiac treatment programs
Ensure integrity of patient sample by maintaining consistent custody
Increased office efficiency
Reduce the time spent preparing samples and relaying results
Eliminate time and hassle of tracking down patients to relay results
Reduce non-billable time by increasing E & M coding on patient visits
Perform chemistry analysis during echocardiograms and stress tests
Improved practice capabilities
Conduct on-site CLIA waived lab analysis in minutes
Increase patient satisfaction from full-service capabilities
Chemistry compliments existing point-of-care services (CBC, IA)
All Piccolo reagent panels are reimbursable by payors - increase services without increasing costs
Go Back

164. Impact for Hospitals Increased efficiency Improved patient care
Reduce the time it takes to receive stat chemistry results
Begin critical treatment programs faster, without delays
Bring comprehensive chemistry capabilities to ER, ICU and Radiology depts
Enhance reach and services of core laboratory
Network point-of-care units to central LIS
Increase bed utilization and overall hospital efficiency
Improved patient care
Conduct comprehensive lab analysis in minutes on-site at the point-of-care
Diagnose and treat a wide variety of conditions with increased confidence based on lab-accurate results
Treat patients more quickly, with on-site lab accuracy
Increase patient satisfaction from full-service capabilities
Improved capabilities
Increase point-of-care diagnostic services for your patient population
Go Back

165. Impact for Pediatrics Improved patient care
Diagnose and prognose with confidence based on comprehensive results
Eliminate unnecessary delays in beginning critical treatment programs
Make real-time adjustments to medications and treatment regimens
Ensure integrity of patient sample by maintaining consistent custody
Direct and Total Bilirubin for monitoring infants with jaundice
Increased office efficiency
Reduce the time spent preparing samples and relaying results
Perform chemistry analysis with a very small sample – only 100 microliters
Reduce non-billable time by increasing E & M coding on patient visits
Increase patient referrals and word-of-mouth business
Improved practice capabilities
Conduct on-site CLIA waived lab analysis in minutes
Increase parent/guardian satisfaction from full-service capabilities
All Piccolo reagent panels are reimbursable by payors - increase services without increasing costs
Go Back

166. Impact for Dialysis Centers
Improved patient care
Conduct comprehensive, on-site, CLIA waived lab analysis in minutes
Check for Electrolyte, Phosphorous, Creatinine, Albumin and BUN imbalance before and after dialysis treatments
Perform treatments based on up-to-the-minute chemistry results
Reduce patient ER visits and promote greater wellness across patient base
Increased patient satisfaction from full-service capabilities
Perform comprehensive chemistry analysis for follow-up visits
Increased practice efficiency
Reduce the time spent preparing samples for transmission to the lab
Reduce the time spent tracking down patients and relaying results
Improved practice capabilities
Increase in-house diagnostic services for your patient population
Provide greater diagnostic capabilities for referring physicians
All Piccolo reagent panels are reimbursable by payors - increase services without increasing costs
Go Back

167. Impact for OB-GYN Improved patient care Increased office efficiency
Diagnose and prognose with confidence based on comprehensive results
Eliminate unnecessary delays in beginning critical treatment programs
Make real-time adjustments to medications and treatment regimens
Ensure integrity of patient sample by maintaining consistent custody
Increased office efficiency
Reduce the time spent preparing samples for courier to the lab
Eliminate time and hassle of tracking down patients to relay results
Increase the quality of time spent with patients
Reduce non-billable time by increasing E & M coding on patient visits
Improved practice capabilities
Conduct on-site CLIA waived lab analysis in minutes
Increased patient satisfaction from full-service capabilities
Increased general medicine services and confidence for repeat patients
All Piccolo reagent panels are reimbursable by payors - increase services without increasing costs
Go Back

168. Impact for Wellness & Home Health
Improved patient care
Conduct comprehensive lab analysis on-site in minutes
Complete CLIA waived menu provides comprehensive health picture on-site
Simple operation, easily performed by untrained healthcare practitioners
Increased patient satisfaction from full-service capabilities
Increase immediacy and accuracy of diagnosis and treatment
Bring comprehensive diagnostic capabilities to the patients who need them most
Provide primary care physicians with accurate results in advance of appointments
Increased capabilities
Increase on-site diagnostic services for your patient population
Gain competitive advantage over rival providers
Improve patient treatment compliance monitoring
Increase value of offering for wellness fair organizing associations
Increase value for employers and employee health organizations
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169. Impact for Government & Military
Improved patient care
Bring comprehensive to patients in the field or at the point-of-care
Diagnose and prognose with confidence, based on lab-accurate results
Eliminate unnecessary delays in beginning critical treatment programs
Make real-time adjustments to medications and treatment regimens
Ensure integrity of patient sample by maintaining consistent custody
Increased clinic efficiency
Reduce the time spent preparing samples and relaying results
Increase the quality of treatment for outreach patients
Reduce non-billable time by increasing E & M coding on patient visits
Reduced turn around time for lab results
Improved clinic capabilities
Conduct on-site CLIA waived lab analysis in minutes
Increased patient satisfaction from full-service capabilities
Chemistry is perfect compliment to other point-of-care services
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170. Thank you for viewing the Piccolo Xpress™ Offline Demonstration
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