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|47th week of 2010 patent applcation highlights part 52
|Patent application number
|WASHABLE DIAPER AND METHOD OF ASSEMBLY - A washable diaper having an outer article with an inner liner system detachably coupled to the outer article. The outer article has front and back ends, with opposing side edges connecting the ends, and inner and outer surfaces, with at least one fastening mechanism on the inner surface proximate to at least one of the ends. The inner liner system has first and second ends and includes at least one washable article, so that when assembled with the outer article, the first and second ends of the inner liner system align with the front and back ends of the outer article to be detachably coupled. The inner liner system may also include a liner member and/or at least one absorbent pad, configured to be placed within the washable article. A method of assembly of the washable diaper having an outer article and inner lining system is also disclosed.
|Attachment Areas for Wearable Absorbent Articles - A wearable absorbent article comprises an outer cover and an absorbent core assembly. At least a portion of the outer cover is joined to the absorbent core assembly over at least a first attachment area and a second attachment area. The overall lateral width of the second attachment area is less than the overall lateral width of the first attachment area. At least a portion of the second attachment area is disposed in a hip region of the article. The first attachment area is disposed longitudinally outboard from the second attachment area.
|TUCKED FASTENER FOR IMPROVED FASTENER PERFORMANCE - A folded disposable absorbent garment has an absorbent chassis, a pair of front side panels extending from a front region of the absorbent chassis, and a pair of back side panels extending from a back region of the absorbent chassis. A first fastening component is disposed on each of the front side panels and a second fastening component is disposed on each of the back side panels. Each of the second fastening components is releasably attached to a respective one of the first fastening components to define a pair of refastenable seams. The front side panels and the back side panels are folded such that each of the refastenable seams overlies an outer surface of one of the front region and the back region of the absorbent chassis in a plane generally parallel to the front and back regions of the absorbent chassis.
|DRUG CONTAINER AND MULTILAYER FILM - It is an object of the present invention to provide a drug container excellent in unsealability, gas barrier property, contamination resistance, heat resistance, antiblocking property and transparency, and to provide a multilayer film for production of the drug container. To achieve the object, the drug container is formed, for example, of a multilayer film including a first layer (
|Tabletop Drug Dispensing Vial Access Adapter - A vial enshrouded or contained in a protective covering which prevents emission of radiation form the vial contents, shielding the environment and personnel from irradiation. The vial optionally has a V-shaped bottom to allow withdrawal of a maximal amount of the fluid without inverting the vial. The vial is equipped with a vial access adapter having a fluid withdrawal spike which extends in to the V-shaped bottom. The vial access adapter may be vented or non-vented.
|VIAL ASSEMBLY AND METHOD FOR REDUCING NOSOCOMIAL INFECTIONS - Vacuum break vial assembly and method for reducing the incidence of nosocomial infections, comprising a vial stopper having an apertured needle sheath, and a hole in the bottom of the vial fitted with a single or multi-part bladder-retaining plug/vent assembly. The vial has an aluminum cap holding a plastic flip-off top, removal of which permits access by hypodermic needle through the stopper into the needle sheath. No pre-pressurization of the vial by ambient contaminated air via the hypodermic can occur. Rather, the needle is inserted in the vial through the stopper and the medicinal fluid withdrawn. Air is inlet via a vent into the collapsed bladder secured in the bottom of the vial and the bladder expands to permit withdrawal of fluid into the hypodermic without vacuum lock. No air having pathogen vectors is introduced into the vial medicinal fluid, as the bladder isolates volume-compensating air from the medicinal fluid.
|APPLICATOR FOR INSERTING AN IMPLANT - The invention pertains to an applicator (
|METHOD AND A DELIVERY DEVICE FOR ADMINISTERING AN ACTIVE SUBSTANCE TO A SUBJECT - A delivery device (
|Method of Using Prefilled, Single Dose, One Time Use Self-Destructing, Auto-Disabling Safety Syringe - The present invention relates to the method of use for a single dose, single use, self-destructing, auto-disabling safety syringe. The invention successfully addresses and solves the problems of the prior art by combining the use of COC injection molding with the advantages presented by the ampoule cartridge and the traditional safety syringe all integrated into a single device. A pre-filled ampoule or barrel is molded with minimal draft enabling the syringe's piston plunger to be partially self-lubricated by the syringe's contents. The addition of an internal auto disabling coupler to the piston plunger allows the device to be used only a single time. In addition, the present invention's structure is such that its safety sleeve necessarily moves forward to cover the syringe's needle after use. The invention's elements solve the biocompatibility and safety problems of the prior art and provide an exact dose, prefilled, single use, safety syringe.
|PHARMACEUTICAL COMPOSITION AND NASAL RINSING DEVICE THEREFOR - Vaccine is administered into a nose. A pharmaceutically-acceptable aqueous saline solution carrier comprising from 0.5% to 1.9% salt is provided in a nasal device. The saline solution is administered into a first nasal cavity to rinse the first nasal cavity. The saline solution is added to the first nasal cavity until the saline solution flows via a posterior nasal aperture into a second nasal cavity. A vaccine is then administered into the first nasal cavity.
|Steroid Delivery System - A steroid delivery system including a mixing syringe having a first chamber and a second chamber and at least one hypodermic needle is provided. The first chamber of the mixing syringe contains a pre-measured volume of a local anesthetic and the second chamber contains a pre-measured volume of a corticosteroid. An improved mixing syringe and a method for treating pain using the steroid delivery system of the present invention is also provided herein. The improved syringe achieves mixing without the introduction or elimination of air and without puncturing or rupturing of a membrane, diaphragm or other material. The kit concept improves the speed of the procedure, sterility, accuracy of dosing, and immediate availability of disparate items to implement the procedure in a variety of medical practice settings.
|Catheter system - The invention provides a catheter system comprising a stomach probe for gastric decompression or drainage of stomach fluids, and a jejunal probe for nutriment supply during enteral feeding. The stomach probe comprises a drainage tube to be inserted into the stomach of a patient, the drainage tube having proximal and distal ends and defining a lumen for receiving and for guiding insertion of the jejunal probe into the small intestine of the patient. The jejunal probe is sized and adapted to be received within the lumen of the stomach probe for guided insertion to the small intestine. The catheter system further comprises support means for supporting the jejunal probe within the lumen of the stomach probe such that the feeding tube maintains a spaced relation to an inner wall surface of the lumen of the drainage tube.
|Method and apparatus for extensible intravenous drip line - The extensible intravenous ("i.v.") drip line tubing uses a helical accordion support structure on which the i.v. tubing is attached. The helical accordion backbone has some tendency to spring back, but this is not relied upon to extend and return the i.v. tubing it carries. The carrier structure keeps the i.v. tubing from getting tangle or kinked. A centrally located retractable line, which is located within the center of the helical accordion structure, acts as the retracting mechanism, as it tends to allow the accordion structure to be pulled into an extended position, while upon rewinding the central cord, the helical accordion support structure can be pushed toward a collapsed position without the i.v. drip line tubing becoming tanked, kinked, and thereby blocked. As a safety feature, so the i.v. line does not encounter and strain between it and the point of entry of the i.v. line into the patient, is one or more wrist and or armbands to which the i.v. carrier is attached by a short, strong line.
|Steerable Surgical Guide Wire Introducer - A guide wire introducer with integrated wire steering function for treating bone. The guide wire employed with the introducer includes a bore material that is a psuedoelastic metal alloy, such as Nitinol. This introducer has a chamfered tip with the complement of the outer construction including a uniform narrow outer diameter enabling insertion into soft tissue and bone with a guide wire therein. The chamfered tip of the introducer incorporates as integrated slit that enables the steering function of the introducer. Additionally, the outer surface of the introducer incorporates a radiolucent notch for radial position reference.
|MEDICAL IMPLANTS WITH RESERVOIR(S), AND MATERIALS PREPARABLE FROM SAME - Described is a medically useful article comprising a three-dimensional body including one or more implantable substances, wherein the body defines one or more reservoirs for receiving amounts of a biocompatible wetting liquid. In certain embodiments the body is disruptable upon wetting with the biocompatible liquid to form a conformable implantable material such as a putty, paste or more flowable wetted implant material. Also described are methods for manufacturing such medical materials, and methods for using such medical materials to treat patients.
|MAGNETIC DELIVERY DEVICE - A method of delivering a reagent into a cell comprising positioning at least one cell, and at least one magnetically susceptible particle attached to the reagent, in the magnetic field of a Halbach array such that the magnetically susceptible particle is attracted to and contacts the cell is described together with an apparatus for delivery of the reagent.
|SYSTEMS, DEVICES, AND METHODS FOR MINIMALLY INVASIVE PELVIC SURGERY - The invention, in various embodiments, provides systems, devices, and methods for treating urinary incontinence.
|DEVICE AND PROCEDURE FOR REFRACTIVE LASER SURGERY - The invention involves a device and a procedure for refractive laser surgery on a target object. With the aid of a laser beam source, an fs-impulse laser beam is generated. A second laser beam source generates a UV laser beam. A shared scanner device utilises the fs-impulse laser beam and the UV laser beam for the scanning of the target object.
|CRYOPROBE CLAMP HAVING TRANSMURALITY ASSESSMENT WINDOW - A cryoprobe clamp for creating a lesion in a target tissue comprises a housing portion, a handle extending from the housing portion, a clamp assembly including a distal blade and a proximal blade structured for clamping a target tissue therebetween, a trigger mechanism positioned adjacent the handle and operably coupled to the clamp assembly, and an ablation tool extending between the housing portion and the clamp assembly. The distal blade includes receiving means structured to receive a distal portion of the ablation tool, and the proximal blade includes an outer frame surrounding an open window portion. Upon clamping the target tissue between the distal and proximal blades, a lesion formed by the distal end of the ablation tool is visible through the window portion of the proximal blade.
|THERMAL CAPSULOTOMY TOOL AND SYSTEM - A system and tool for performing a capsulotomy procedure. The system includes an air pressure unit providing pressurized airflow, a capsulotomy and movement control unit providing electrical current and movement control, and a capsulotomy tool including a main housing, and an extendable-retractable burning element coupled to the main housing. The tool is in connection with the capsulotomy and movement control unit for providing electrical current to the burning element and movement control for extending and retracting the burning element. When the burning element is in a flattened, retracted configuration, the tip of the tool can be inserted through a relatively small corneal incision. Once in the anterior chamber, the burning element is switched to a circular, extended configuration, so as to allow performance of a capsulotomy by applying an electrical pulse to the burning element.
|DEVICE AND METHOD FOR THE THERMAL ABLATION OF TUMORS BY MEANS OF HIGH-FREQUENCY ELECTROMAGNETIC ENERGY UNDER OVERPRESSURE CONDITIONS - A device for the TA by means of high frequency comprising a thin hollow element (
|Tissue Impedance Measurement Using a Secondary Frequency - An microwave ablation system includes a generator including a first energy source, a second energy source and a diplexer, the diplexer multiplexes a first energy from the first energy source and a second energy from the second energy source. The system also includes a cable including a center conductor and an outer sheath where the multiplexed energy is transmitted through the center conductor. In addition an antenna is provided that is operable to receive the multiplexed energy from the center conductor and to deliver the multiplexed energy to a region of tissue. The outer sheath acts as a return path of the second energy to the second energy source. A sensor is also provided that measures at least one parameter of the second energy generated by the second energy source and the second energy returned from the region of tissue.
|Assessment of electrode coupling for tissue ablation - An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.
|Bipolar Ablation Device, System and Method for Minimally Invasive Isolation of Pulmonary Veins in a Sub-Xiphoid Approach - Structure and method for using a sub-xiphoid ablation clamp for ablating tissue of a patient. The clamp has an elongate shaft having a major axis, first and second opposing jaws configured to open and close along a first plane, a first and second ablation element positioned along the first and second jaws configured to ablate the tissue positioned therebetween, an actuable joint operatively coupled between the shaft and the opposing jaws and configured to move the opposing jaws to a selectable angle relative to the major axis of the elongate shaft along a second plane orthogonal to the first plane. The ablation clamp has a handle operatively coupled to the shaft having an actuator configured to actuate the actuable joint and a trigger mechanism to open and close the opposing jaws.
|Treatment System With A Pulse Forming Network For Achieving Plasma In Tissue - A system for providing electrical energy to tissue to treat the tissue, including a pair of output electrodes for delivering the electrical energy to the tissue, a pulse forming network for generating short high voltage pulses of electrical energy; an isolation transformer disposed between the pulse forming network and the pair of output electrodes to deliver the short high voltage pulses of electrical energy from the pulse forming network to the pair of output electrodes and to provide voltage isolation between the pulse forming network and the electrodes, and a common mode choke disposed between the isolation transformer and the pair of output electrodes to keep the pulse current flowing out from the first electrode approximately equal to the pulse current flowing back into the second electrode to substantially reduce stray or leakage currents in the tissue. The high voltage pulses of electrical energy may be about 100 to 400 nanoseconds in duration and about 10 kilovolts to about 20 kilovolts in initial peak magnitude. Related methods are also disclosed.
|METHOD AND APPARATUS FOR CONTROLLING LESION SIZE IN CATHETER-BASED ABLATION TREATMENT - A method and apparatus that utilizes a force-time integral for real time estimation of lesion size in catheter-based ablation systems. The apparatus measures the force exerted by a contact ablation probe on a target tissue and integrates the force over an energization time of the ablation probe. The force-time integral can be calculated and utilized to provide an estimated lesion size (depth, volume and/or area) in real time. The force-time integral may also account for variations in the power delivered to the target tissue in real time to provide an improved estimation of the lesion size. In one embodiment, the force metric can be used as feedback to establish a desired power level delivered to the probe to prevent steam popping.
|FIXATION CLAMP - A fixation clamp for use in an external fixation system for holding bone fragments adjacent to each other with the help of fixation elements has at least one clamping assembly having a pair of jaws with at least two different size grooves to accommodate a bone fixation element such as a pin or rod. An alternate clamping assembly has at least three grooves wherein at least two of the grooves have a different size adapted to accommodate a correspondingly sized bone fixation element such as a bone pin. The longitudinal axes of the grooves define a polygon. The jaw pairs can be rotated about a central longitudinal axis to present different size reception cavities towards the pins or rocks depending on their diameter.
|FIXATION DEVICE FOR THE FIXATION OF BONE FRAGMENTS - A fixation device for the fixation of bone fragments, applicable to the mutual fastening of bone fragments temporarily separated during a surgical operation or as a result of a trauma. The device is also suitable for the fixation of a bone flap in the replacement thereof in a corresponding aperture made in the cranium or cranial bone mass. The device is made of biocompatible material and has a flexible strip and fastening mechanism, the strip having a length allowing the formation of a fastening loop tightly fastening the bone fragments to be joined together. The fastening mechanism is provided with at least one opening provided with an interlocking mechanism allowing the passage of a free end of the strip and preventing its extraction in the direction opposite to the insertion.
|Peri-Prosthetic Fixation Implant and Method - An apparatus for leading a cerclage member along a desired path through a portion of bone, comprises a guide strip extending from a proximal end to a sharpened distal end, at least a portion of the guide strip being biased to assume a shape corresponding to a portion of a desired path along which the cerclage member is to pass through a portion of bone and a delivery cannula including a lumen sized to slidably receive the guide strip therein, the cannula maintaining the guide strip in a substantially straight configuration until the guide strip is extended distally out of the lumen.
|APPARATUS AND METHODS FOR INTRODUCING PORTALS IN BONE - Some introducer tools for bone portals have a handle coupled to a driving member by a force-limiting coupling. A bone portal comprising a bone-penetrating portion and a bone stop may be driven to a desired depth in bone when the force-limiting coupling allows application of force to the bone portal that is sufficient to drive the bone-penetrating portion of the portal into the bone but not sufficient to drive the bone stop significantly into the bone. Bone portals of various types are described herein. Various configurations for stylets suitable for use in introducing bone portals or otherwise penetrating bone and methods for inserting bone portals are also described herein.
|APPARATUS FOR INTRODUCING PORTALS IN BONE HAVING MOVABLE BONE PROBE - Some introducer tools for bone portals have a handle coupled to a driving member by a force-limiting coupling. A bone portal comprising a bone-penetrating portion and a bone stop may be driven to a desired depth in bone when the force-limiting coupling allows application of force to the bone portal that is sufficient to drive the bone-penetrating portion of the portal into the bone but not sufficient to drive the bone stop significantly into the bone. Bone portals of various types are described herein. Various configurations for stylets suitable for use in introducing bone portals or otherwise penetrating bone and methods for inserting bone portals are also described herein.
|STEERABLE CURVABLE VERTEBROPLASTY DRILL - Disclosed herein is a steerable, curvable drill that can be used for various applications including vertebroplasty. The drill can include an elongate, tubular body, having a proximal end, a distal end, and a central lumen extending therethrough; a deflectable zone on the distal end of the tubular body, deflectable through an angular range; a handle on the proximal end of the tubular body; and a deflection control on the handle; a drill control on the handle; a drive shaft within the elongate tubular body having a proximal end and a distal end; and a boring element on the distal end of the device for creating a cavity within bone. The boring element can be operably connected to the distal end of the drive shaft, The drive shaft can be configured to move axially within the tubular body when the deflectable zone deflects through an angular range. Systems and methods involving the drill are also disclosed.
|SYSTEMS, METHODS AND DEVICES FOR PREPARING A KNEE JOINT FOR IMPLANTS IN A KNEE SURGERY - A reamer for reaming a joint between at least two bones comprises a housing, a plurality of cutting blades, and a power source. The housing is configured to be inserted within the joint. The plurality of cutting blades is configured to couple to the housing. The plurality of cutting blades creates a cutting surface. The power source is coupled to the housing and configured to deliver motion to the cutting blades such that the cutting blades cut at least one bone of the at least two bones. The method of resurfacing a bone comprises the steps of placing a reamer substantially within a bone joint. The reamer has a housing and a plurality of cutting blades. The cutting blades are configured to bear upon a bone surface. Motive force is delivered to the housing. The motive force drives the plurality of cutting blades to ream the bone surface.
|DEVICE AND APPARATUS FOR PERFORMING AN ENDOPROSTHESIS IMPLANTATION - Through the devices and apparatuses that are provided for performance of an implantation of endoprostheses, the previously unavoidable soft tissue damage and bone loss are largely reduced by carrying out the implantation via a narrow joint gap and a hole through the bone and through the rotational center point of the joint head. A fixation device and an extension arm of an extension device guarantee a bore true to angle, the system bore, through the proximal femur and femur head or humerus and humerus head. These must be extended with an extension device only by 2.0 to 2.7 cm in the bent position from the joint socket and are pivoted into the extension position. A narrow soft tissue access is therefore sufficient in order to introduce milling cutters and prostheses into the joint by means of a gripping tool. Through the system bore the drive shafts of the milling cutters as well as the press-in rods of the socket shell and the head prosthesis are guided true to angle and the latter pressed in by the press-in method and fixed by a fixation rod and counter plate. The devices are suitable for endoprosthesis implantations of the shoulder and hip.
|Autologous Bone Harvest During Osteotomy and Bone Drilling Procedures - An apparatus and method for collecting particulate bone from the operating site during an osteotomy or bone drilling procedure so that it can be used subsequently to augment the bone fusion process. A bone cutting or drilling tool is provided with a module for collecting particulate bone simultaneously with cutting or drilling the bone. The collected particulate bone is transferred continuously to a sterile containment module and maintained under sterile conditions until it is prepared for re-use in the patient.
|Pressured syringe for the injection of a viscous liquid through a cannulated surgical screw bone filler adapter - A pressurized syringe used to inject a viscous liquid through an adapter attached to a bone filler adapter into a cannulated surgical screw utilizing the cannulated surgical screw as a port to inject bone void filler into a bone void within a bone cavity during the course of a surgical repair to attach, repair and secure broken or separated bone fragments and providing a more secure bone anchor matrix within which the surgical screw is set.
|METHODS FOR DELIVERING AN IMPLANT AND AGENT IN AN INTERVERTEBRAL DISC - The present invention relates generally to devices and methods for delivering medical devices, such as implants, to desired tissue sites, such as the intervertebral disc. In one aspect, an intervertebral disc repair and diagnostic device that is minimally invasive and that provides precise access to the desired site is provided. In some aspects, the device and method are adapted to deliver, position and expand implants that are initially oriented and compressed for minimally invasive, yet precise and effective implantation.
|SURGICAL SCREWDRIVER - A surgical screwdriver having two drive modes of operation, an axial mode and a ratcheting mode. The screwdriver includes a handle having a base, a shaft rotatably coupled to the handle proximate the base, the shaft having one or more grooves along a length, an outer sleeve having a ratchet mechanism and an internal bore configured to receive the shaft, and a distal shaft having a proximal end coupled with the outer sleeve and a distal working end configured to couple with a screw. When the screwdriver is in the axial mode of operation, the shaft is moved in axial translation with the outer sleeve and the ratchet mechanism engages the grooves to rotate the working end. When the screwdriver is in the ratcheting mode of operation, the handle base is coupled to outer sleeve and rotation of the handle activates the ratchet mechanism to rotate the working end.
|Peelable Sheath and Method of Use - A peelable sheath is used to provide an atraumatic cover for an elongate medical device positionable through an incision. The peelable sheath includes a flexible tube, a pair of tabs on a proximal portion of the flexible tube, and a collar on a proximal portion of the flexible tube. The tabs extend laterally through at least one sidewall opening in the collar. The flexible tube is slidably disposed in a lumen of the collar. In use, the sheath is positioned covering at least a distal portion of the elongate medical device, and the elongate medical device is inserted into an incision or other opening in a patient. The sheath is withdrawn from the elongated medical device by pulling the tabs outwardly relative to the longitudinal axis of the flexible tube, causing at least a proximal portion of the flexible tube to split longitudinally into at least two longitudinal sections. The longitudinal sections move proximally through the at least one sidewall opening as the tabs are pulled.
|TRANS-SEPTAL PACING METHOD AND APPARATUS - A medical electrical trans-septal pacing lead includes a lead body, a tine-like structure terminating a distal end of the lead body and a distal electrode coupled to the lead body at a position proximal to and in close proximity to the structure. A method for delivering left ventricular pacing to a heart includes inserting the trans-septal pacing lead through an inter-ventricular septal wall of the heart, from a right ventricle to a left ventricle, and positioning the distal electrode in a left ventricular endocardial surface of the septal wall.
|BURR HOLE CAP AND METHODS OF USE - In one embodiment, an apparatus comprises: a base structure adapted to be inserted within the burr hole; a lead securing member for securing the lead, the lead securing member comprising a first arm structure and a second arm structure, at least one spring loaded structure adapted to exert a force to bring the first arm structure and the second arm structure together; and a positioning tool having a distal end adapted to be inserted within the lead securing member. When the positioning tool is positioned within the lead securing member, the distal end holds the first and second arm structures a sufficient distance apart to receive a lead between the first and second arm structures; wherein the positioning tool comprises a control structure at a proximal end that, when engaged, causes the distal end of the positioning tool to be released from between the first and second arm structures.
|CLEANING OF A SURGICAL INSTRUMENT FORCE SENSOR - In one embodiment, a force sensing robotic surgical instrument includes a proximal housing linkable with a surgical robot arm, a shaft having a proximal portion and a distal portion, the proximal portion operably coupled to the housing, and a force transducer operably coupled to the distal portion of the shaft, the force transducer having a proximal portion, a distal portion, a plurality of radial ribs, and a strain gauge positioned over each of the plurality of radial ribs, the radial ribs forming a plurality of through passages. The instrument further includes a wrist mechanism coupled to the distal portion of the force transducer, an end effector coupled to the wrist mechanism, and a flush manifold that receives a liquid from the proximal portion of the shaft and directs the liquid along a first subset of through passages of the force transducer toward the distal portion of the force transducer. A plenum at the distal portion of the force transducer collects the liquid from the first subset of through passages and redirects the liquid back toward the proximal portion of the shaft along a second subset of through passages different from the first subset of through passages.
|POLARIZATION AND TEMPERATURE INSENSITIVE SURGICAL INSTRUMENT FORCE TRANSDUCER - A force sensor apparatus, operatively mounted in a surgical instrument includes the force transducer. The force transducer includes a transducer body having a coefficient of thermal expansion, and at least one optic fiber, fixedly attached to the transducer body, including a Bragg grating; and having a coefficient of thermal expansion matched to the coefficient of thermal expansion of the transducer body to mitigate polarization and calibration drift effects on the force transducer. The transducer body comprises a metal transducer body, and the metal transducer body is selected from a group of metal bodies including an aluminum alloy transducer body, a stainless steel alloy transducer body, a maraging steel alloy transducer body, and a titanium alloy transducer body. The at least one optic fiber comprises an optic fiber having a negative thermo-optic coefficient, such as a phosphate glass optic fiber reducing the thermal sensitivity of the transducer.
|REMOTE MANIPULATOR DEVICE - A system for operating a catheter having a distal end adapted to be navigated in the body, and a proximal end having a handle with a translatable control and a rotatable control for acting on the distal end of the device includes a support for receiving and engaging the handle of the catheter; a translation mechanism for advancing and retracting the support to advance and retract a catheter whose handle is received in the support; a rotation mechanism for rotating the support to rotate a catheter whose handle is received in the support; a translation operator for engaging the translatable control of a catheter whose handle is received in the support and operating the translatable control to act on the distal end of the device; and a rotation operator for engaging the rotatable control of a catheter whose handle is received in the support and operating the rotatable control to act on the distal end of the device.
|ADJUSTABLE UNIVERSAL SURGICAL PLATFORM - A surgical platform usable for performing a surgical procedure. In one embodiment, the surgical platform comprises a base portion configured to receive at least one probe; a plurality of adjustable legs configured to support the base portion, each adjustable legs having a first end portion and an opposite, second end potion defining a length therebetween; and at least one movable portion configured to adjust the length of at least one adjustable leg.
|HYDRODYNAMIC SUTURE PASSER - A hydrodynamic suturing instrument, comprises a elongated cannulated suturing needle having a distal end configured to carry a suture through tissue and a proximal end adapted to connect to a syringe barrel and a lumen extending from said proximal end to an opening at the distal end for having a size for the passage of a suture, and the opening at the distal end configured to receive a suture extending from the lumen along an outer surface of the needle wherein a sharp point extends forward of the suture. A companion instrument includes forceps having a distal end with jaws and a proximal end with a lumen extending from the proximal end to the distal end for passage of the needle, and the jaws having an opening enabling passage of the needle through tissue grasped in the jaws.
|CONTINUOUS STITCH WOUND CLOSURE UTILIZING ONE-WAY SUTURE - Continuous wound-closure techniques use one-way suture. The one-way suture has tissue-grasping surface features which allow passage of the suture in one direction through tissue, but not in the opposite direction. In closing a wound, the one-way suture is passed alternately through tissue on opposed sides of the wound. The wound-closure techniques allow approximation of the sides of the wound without knots, avoid loop stitching and reduce scarring.
|Aneurysm Clip - In accordance with the invention, in an aneurysm clip with two rotatably connected scissors-shaped clip parts, each having one clamping arm and one operating arm, wherein the two clip parts are guided in such a fashion that they can be rotated in a working rotation range between a closed and an open end position, the two clip parts are connected to each other by a push-fit rotary lock, wherein the two clip parts are axially inserted into one another in an open assembly rotation position which is located, in particular, outside of the working rotation range, and are axially locked to one another by subsequent rotation into the working rotation range.
|ATHERECTOMY CATHETER WITH ALIGNED IMAGER - An atherectomy catheter is provided for excising and imaging material in a body lumen. In one embodiment, the catheter comprises a catheter body, a cutting blade, and an imaging device. The cutting blade is mounted on the catheter body and configured to move between a first position and a second position relative to an aperture or cutting window. When the cutting blade is in the second position, the blade substantially closes the aperture on the catheter body. The imaging device which is mounted on or otherwise coupled to the cutting blade is configured to be in an imaging position when the cutting blade substantially closes the aperture or cutter window. This allows the imaging device to survey material within the cutting zone of the atherectomy catheter. By allowing the imaging device to view materials within this cutting zone, material may be imaged and then removed from the body lumen without having to reposition the catheter between each step.
|COUPLING ARRANGEMENTS AND METHODS FOR ATTACHING TOOLS TO ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument that has a waveguide that protrudes distally from the handpiece and a surgical tool that is configured to be coupled to the waveguide. The waveguide may have a distal end that is sized to be inserted into a cavity in a proximal end of the surgical tool and then selectively expanded to retain the distal end within the cavity to couple the surgical tool to the waveguide.
|Endoscopic Scissors Instrument with Friction Enhancing Tissue Stops - An endoscopic instrument includes an end effector assembly having first and second scissors blades mounted on the clevis. Laterally offset from the cutting edges a tissue stop is provided on each tissue receiving surface to hold and/or put traction on tissue. The tissue stop may include tenaculum or saw-like projections.
|Endoscopic Instrument Having Rotatably Mounted End Effector Assembly - An endoscopic instrument includes a tubular member having a proximal end and a distal end, a clevis at the distal end of the tubular member, and an end effector assembly mounted on the clevis. The clevis is rotatably coupled to the distal end of the tubular member using a bearing system. A control member extends through and is movable relative to the tubular member. The distal end of the control member is coupled to the end effector. The control member which actuates the end effectors is a composite structure that effectively transfers torque through a highly flexed instrument to rotate the clevis on the bearing.
|Endoscopic Instrument with Control Member Having Decreasing Torsional and Flexural Stiffness Along Its Length - An endoscopic instrument includes a tubular member having a proximal end and a distal end, a clevis rotatably mounted at the distal end of the tubular member, and an end effector assembly having first and second end effectors mounted on the clevis. A control member extends through the tubular and is coupled to the end effector assembly for moving at least one end effector relative to the other. The control member has decreasing torsional and flexural stiffness at different portions along its length from its proximal end to its distal end. The control member is a composite structure.
|Surgical tool arrangement and surgical cutting accessory for use therewith - A surgical tool arrangement for performing endoscopic surgical procedures which includes a powered handpiece and a cutting accessory which detachably connects to the handpiece and incorporates multiple blade configurations or styles into one accessory. The accessory includes a cutting element which rotates within an outer housing element, wherein each element has a cutting window at its distal end, and one of the cutting windows has two sides which have differently configured cutting geometries.
|LANCET DEVICE - A lancet device is configured for performing a puncture by mounting a lancet including a puncture needle to the tip of a puncture body holder. The lancet device has a simple configuration that makes it possible to strengthen the retaining force for retaining the lancet when the lancet is used. In the lancet device, an insertion portion of a puncture body that is inserted into a mounting portion of the puncture body holder is retained by means of the frictional force. A fastening member provided in a main body side makes contact with the outer peripheral portion of the mounting portion of the puncture body holder and inwardly fastens the mounting portion when the fastening member is moved in the puncture direction relative to the puncture body holder.
|Apparatus and Method for Performing Cystotomy Procedures - A cystotomy apparatus includes a sound from which an advancement device having a cutting tip creates a surgical pathway from the bladder through abdominal tissue to the external abdomen along a predetermined path. The cutting tip is captured and removed from the advancement device in a capture cup located in the predetermined path by an alignment structure. The cutting tip is removed from the advancement device while within the capture cup, to allow a dilator, cannula or catheter to be drawn through the surgical pathway into the bladder.
|METHODS AND APPARATUS FOR EXTERNAL BEAM RADIATION TREATMENTS OF RESECTION CAVITIES - Apparatus and methods for external beam radiation treatments of resection cavities are described. One embodiment of such an apparatus comprises a stabilization device having an expandable member configured to (a) be implanted in a patient and (b) move from a first position for insertion into a resection cavity within the patient to a second position for stabilizing tissue of the cavity. The apparatus further includes an active marker coupled to the stabilization device and an electrically conductive line connected to the active marker. The active marker is configured to transmit a signal. The electrically conductive line has an internal portion coupled to the stabilization device and an external portion configured to be coupled to a signal generator and/or a signal processor located outside of the patient.
|Catheter Incorporating a High Column Strength Distal Tip Region - A catheter is disclosed providing a balloon catheter having a distal tip that is flexible while additionally incorporating high column strength. The present invention additionally provides a distal tip region that accommodates for various sized guidewires. In preferred embodiments, the distal tip region is initially configured for accommodating the passage of 0.12-inch guidewires only. Through specific manufacturing processes, however, the distal tip is modified so that it also may be expanded to accommodate the passage of 0.14-inch guidewires. In additional preferred embodiments, an elastomeric sleeve is disposed over the modified distal tip to allow the tip to return to the initial 0.12-inch accommodating profile when the larger 0.14-inch guidewire is withdrawn from the catheter.
|TAPERED MULTI-CHAMBER BALLOON - A catheter for carotid artery dilatation that includes a multi-chamber balloon assembly mounted at the distal end of the elongated tube that has at least two tandem chambers. Each chamber communicates with a separate lumen and each separate lumen terminates at the proximal end at a lumen valve head. The chambers have an inflated configuration with a diameter that progressively tapers in a direction from proximal to distal, said taper extends substantially continuously from the proximal end of the balloon assembly to the distal end thereof
|Delayed Action Spring Force Element for Nasal Dilators - A nasal dilator, having a spring force that can be activated after the dilator is applied to the nose, is described. The nasal dilator has a spring force component and an adhesive component, which together act to dilate nasal tissues to help open or keep open the nasal valve to alleviate snoring and other breathing-related disorders.
|Apparatus and Methods for Dilating and Modifying Ostia of Paranasal Sinuses and Other Intranasal or Paranasal Structures - Sinusitis and other disorders of the ear, nose and throat are diagnosed and/or treated using minimally invasive approaches with flexible or rigid instruments. Various methods and devices are used for remodeling or changing the shape, size or configuration of a sinus ostium or duct or other anatomical structure in the ear, nose or throat; implanting a device, cells or tissues; removing matter from the ear, nose or throat; delivering diagnostic or therapeutic substances or performing other diagnostic or therapeutic procedures. Introducing devices (e.g., guide catheters, tubes, guidewires, elongate probes, other elongate members) may be used to facilitate insertion of working devices (e.g. catheters e.g. balloon catheters, guidewires, tissue cutting or remodeling devices, devices for implanting elements like stents, electrosurgical devices, energy emitting devices, devices for delivering diagnostic or therapeutic agents, substance delivery implants, scopes etc.) into the paranasal sinuses or other structures in the ear, nose or throat.
|METHOD, SYSTEM AND DEVICE FOR ELECTRONIC ACUPUNCTURE AND PRESSURE, MOISTURE AND VOLTAGE CONTROL THEREFOR - A method, system and device for electronic acupuncture and controls therefor, in which the device includes a main electronics unit having a display thereon and intelligence therein for providing one of diagnosis and/or treatment of a patient. A pressure sensitive search probe is operatively connected to the main unit. The search probe has a self-moistening probe tip adapted to apply pressure against the skin of a patient and to receive a current from the patient. The probe tip is subject to moisture control so that the probe tip has consistent moisture and the search probe is subject to pressure control so that the probe tip is applied with a constant pressure to a patient's skin. A grip probe is operatively connected via an electrical connector to the main unit. A patient grasps the grip probe and the search probe is applied to the patient's skin to complete an electrical circuit.
|ARTICULATING RIGID GRASPER - An articulating grasper includes an elongate shaft having an articulating distal section and a pair of jaw members on the articulating distal section. A first actuation member is coupled to the articulating distal section and is longitudinally moveable to pivot the articulating distal section. A second actuation member is coupled to at least one of the jaw members and is longitudinally moveable to pivot at least one of the jaw member between open and closed positions.
|SURGICAL TWEEZERS - The invention provides tweezers for microsurgery, in particular opthalmological surgery, the tweezers comprising a one-piece working part (
|WOUND CLOSURE SYSTEM AND METHOD OF USE - Accordingly, a wound closure system for closing a puncture wound is provided. The system includes a housing for maintaining a vacuum about a wound, a sealing assembly including a working instrument having a distal end configured to be inserted through the housing and into the wound, wherein the working instrument is further configured to close and seal the wound as the working instrument is withdrawn therefrom.
|TISSUE CONNECTOR WITH TISSUE GRASPING PROTRUSIONS EQUALLY SPACED ABOUT THE PERIPHERY OF THE CONNECTOR AT SUCCESSIVE AXIAL LOCATIONS - A tissue connector has a first end, a second end, a body with a periphery and a plurality of tissue grasping protrusions extending from said periphery of said body. The plurality of protrusions are adapted to grasp tissue in one direction of movement of the connector through tissue and are not adapted to grasp tissue in an opposite direction of movement of the connector through tissue. At axial locations of said body, three of said protrusions are about equally located about the periphery of said body. At axial locations on a cylindrical periphery of the body, protrusions are located at about 120 degree spacings.
|TISSUE CONNECTOR WITH YIELDABLE BARBS EQUALLY SPACED ABOUT THE PERIPHERY OF THE CONNECTOR AT SUCCESSIVE AXIAL LOCATIONS - A tissue connector has a first end, a second end, a body with a periphery and a plurality of barbs extending from said periphery of said body. The plurality of barbs are yieldable in one direction and are rigid in an opposite direction. At axial locations of said body, three of said barbs are about equally located about the periphery of said body. At axial locations on a cylindrical periphery of the body, barbs are located at about 120 degree spacings.
|SUTURE WITH A POINTED END AND AN ANCHOR END AND WITH EQUALLY SPACED YIELDABLE TISSUE GRASPING BARBS LOCATED AT SUCCESSIVE AXIAL LOCATIONS - A tissue connector has a first pointed end, an anchor end, a body with a periphery and a plurality of barbs projecting from said periphery of said body. The plurality of barbs are yieldable in one direction, which direction is the direction of motion of the first pointed end through tissue, and are rigid in an opposite direction, which is in the direction of the anchor end. At axial locations of said body, said barbs are about equally located about the periphery of said body. At axial locations on a cylindrical periphery of the body barbs are locate at about 120 degree spacings. The barbs are conically shaped.
|ABSORBABLE SURGICAL FASTENERS - The present disclosure provides absorbable surgical fasteners.
|SELF-RETAINING WOUND CLOSURE DEVICE INCLUDING AN ANCHORING LOOP - A self-retaining suture includes a plurality of tissue retainers which allow deployment in a deployment direction, but prevent movement in the opposite direction. The self-retaining suture has a needle at the proximal end and a tissue anchor at the distal end. The tissue anchor includes a curved portion of the suture formed into a loop which anchors the suture in the tissue. Additionally, the suture can be passed through a tissue and then passed through the loop to secure the distal end of the suture to the tissue.
|SURGICAL SUTURE MATERIAL CONSISTING OF BRAIDED THREAD - A surgical suture includes a filamentary braid including filamentary elements (
|SURGICAL SUTURE MATERIAL WITH ANCHORING ELEMENTS - A surgical suture material having a surface with anchoring elements made of a shape-memory polymer.
|SUTURES WITH BARBS THAT OVERLAP AND COVER PROJECTIONS - A barbed suture with a first end and a second end and a body with a plurality of barbs extending from the body. Each barb causes the suture to resist movement in an opposite direction from which the barb faces. Projections extend from said suture. The projections can also engage tissue. The barbs cover the projections when the first end of the suture is moved in tissue and exposes the projections in order to engage tissue when the suture is moved in the direction of the second end through tissue.
|SELF-RETAINING SUTURES HAVING EFFECTIVE HOLDING STRENGTH AND TENSILE STRENGTH - A barbed suture with a first end and a second end and a body with a plurality of barbs extending from the body. Each barb causes the suture to resist movement in an opposite direction from which the barb faces. Projections extend from said suture. The projections can also engage tissue. The barbs cover the projections when the first end of the suture is moved in tissue and exposes the projections in order to engage tissue when the suture is moved in the direction of the second end through tissue.
|SELF-RETAINING SUTURES HAVING EFFECTIVE HOLDING STRENGTH AND TENSILE STRENGTH - A barbed suture with a first end and a second end and a body with a plurality of barbs extending from the body. Each barb causes the suture to resist movement in an opposite direction from which the barb faces. Projections extend from said suture. The projections can also engage tissue. The barbs cover the projections when the first end of the suture is moved in tissue and exposes the projections in order to engage tissue when the suture is moved in the direction of the second end through tissue.
|Recombinant Spider Silk Proteins - The present invention is directed to recombinant spider silk proteins, nucleic acids, coding for these recombinant spider silk proteins, as well as hosts suitable for expressing those nucleic acids. Furthermore, the present invention is directed to a method of aggregation of spider silk proteins and the use of the proteins in the field of biotechnology and/or medicine and other industrial fields, in particular in the manufacture of automotive parts, in the aircraft construction, in the processing of textiles and leather, as well as in the manufacture and processing of paper and the like.
|DOUBLE ENDED BARBED SUTURE WITH AN INTERMEDIATE BODY - A suture system has a double ended barbed suture with a first plurality of barbs located adjacent to a first end and a second plurality of barbs located adjacent to a second end, and a body located between the first plurality of barbs and the second plurality of barbs. The body provides an anchor that can hold tissue relative to the first end and the second end of the suture. The body can slide and be positioned on said suture.
|SUTURE WITH AN INTERMEDIATE BARBED BODY - A suture system has a suture with a first plurality of barbs located adjacent to a first end and a second plurality of barbs located adjacent to a second end, and a body located between the first plurality of barbs and the second plurality of barbs. The body provides an anchor that can hold tissue relative to the first end and the second end of the suture. The body can slide and be positioned on said suture.
|ANASTOMOSIS METHOD USING SELF-RETAINING SUTURES - An anastomosis procedure utilizes a self-retaining suture to secure one vessel to another vessel. One or more self-retaining sutures are deployed around the interface between the vessels. The self-retaining sutures have tissue-grasping surface features which allow passage of the sutures in one direction through tissue, but not in the opposite direction. The self-retaining sutures may be deployed using a needle attached to the end of the sutures. The anastomosis technique may be performed without using knots.
|SYSTEMS AND METHODS FOR VERTEBRAL STABILIZATION - Systems and methods for vertebral stabilization are provided. In one embodiment, a system includes a bone anchor with a threaded portion positioned opposite a post portion. A connector is provided including a pair of oppositely positioned branches defining a receptacle structured to receive the post portion. The receptacle is positionable between an open configuration and a closed configuration, wherein the connector is positionable along and about the post portion in the open configuration. The system also includes an elongate support member defining a passage structured to receive and engage a portion of the connector. As the connector is received in the passage, the branches of the connector move toward one another and force the receptacle toward the closed configuration wherein the connector is fixed relative to the post portion. Other systems, apparatuses and methods for vertebral stabilization are also disclosed.
|Multi-Axial Cross Connector - A cross connector for attachment between two spinal implants comprises a first element having one end and an opposite end configured for engaging one of the two spinal implants, a second element having one end and an opposite end configured for engaging the other of the two spinal implants, an engagement mechanism between the one end of each of the first and second elements, and a locking element for locking the two elements together at the respective one end. The engagement mechanism includes an interface configured to permit relative pivoting between the first element and the second element about at least two non-parallel axes.
|Load Bearing Flexible Spinal Connecting Element - Devices and methods for spinal stabilization include first and second anchor assemblies engageable to respective ones of first and second vertebrae and a connecting element engageable to the first and second anchor assemblies. The connecting element includes opposite first and second end members and a bumper assembly between the end members that flexibly connects the end members so the connecting element can provide dynamic stabilization of the spinal column when engaged to the anchor assemblies.
|Polyaxial Auxiliary Connector - A polyaxial auxiliary connector assembly and method includes a first component comprising a base comprising at least one female socket; and a member connected to the base, wherein the member comprises at least one aperture. A second component is operatively connected to the base and comprises a seat portion; a pair of upright arms extending from the seat portion and defining a first channel therebetween; an outwardly protruding and expandable bulbous male end positioned adjacent to the seat portion and in the female socket of the base; and a second channel positioned through the seat portion and the male end, wherein the first and second channels each comprise a longitudinal axis that are positioned orthogonal to one another; a pin positioned through the second channel causing the bulbous male end of the second component to outwardly expand in the female socket; and a blocker mechanism engaged with the second component.
|FIXATION-BASED SURGERY - A stabilization system includes one or more leverage members configured to be mounted to a vertebra. The one or more leverage members are further configured to allow a user to manipulate the vertebra to a desired position. The stabilization system also includes a mounting bracket configured to mount to the one or more leverage members such that the one or more leverage members are immobilized. The mounting bracket is mounted to a support.
|Contact Device for Osteosynthesis - The invention relates to a contact device for a bone screw, wherein, in an implanted end state of the arrangement of bone screw and contact device, a first part of the contact device is arranged outside a cavity and a second part is arranged inside the cavity of the bone screw, the parts forming counterelectrodes, and the second part electrically contacts the bone screw while the first part is isolated from the bone screw, wherein the contact device has a cavity with a voltage source whose poles electrically contact each of the first part and second part directly or indirectly. In order to improve such a contact device, particularly in respect of the volume available for electrical components, it is proposed that the first part of the contact device is arranged proximally in an implanted end state of the arrangement of bone screw and contact device.
|Cannulated surgical screw bone filler adapter - An adapter attached between a dispenser containing a bone void filler and the head of a cannulated surgical screw allows the cannulated surgical screw to be used as a port to inject bone void filler into a bone void during the course of a surgical repair which would use a surgical screw to attach broken or separated bone fragments providing a more secure bone anchor matrix within which the surgical screw is set.
|Tissue Repair Assembly - The present disclosure relates to a fixation device. The fixation device includes a base portion including a first leg, a second leg, and a groove located between the first and second legs and a top portion extending from the base portion. A tissue repair device and a method of tissue repair are also disclosed.
|BONE SCREW - A bone screw has a screw head and a threaded shank. An axial bore into which a plurality of radial bores set at a distance from each other open, extends through the threaded shaft. The axial bore is open at the screw head side end, and the radial bores are also open at the radially outer end. The axial bore is closed in an axial direction in the area of the end of the screw shank that lies opposite the screw head.
|MONO-PLANAR PEDICLE SCREW METHOD, SYSTEM AND KIT - A pedicle screw assembly (
|Bone anchors with longitudinal connecting member engaging inserts and closures for fixation and optional angulation - Polyaxial bone anchors include a retainer for holding a shank within a receiver, the retainer being in at least two discrete pieces and cooperating with a variety of inserts, some of which independently lock the polyaxial mechanism. Polyaxial and mono-axial bone anchor assemblies include pivot and/or pressure inserts or pads that cooperate with longitudinal connecting members to provide a desired degree of continued control of angulation of the longitudinal connecting member in the sagittal plane or to hold the connecting member in place. Pressure pads for deformable rods may also be made from a deformable plastic material.
|PEDICLE SCREW ASSEMBLY HAVING A RETRACTABLE SCREW TIP FOR FACILITATING THE SECUREMENT OF THE PEDICLE SCREW ASSEMBLY TO A SPINAL VERTEBRA - A pedicle screw assembly has a retractable screw tip that facilitates the securement of the pedicle screw assembly to a spinal vertebra in a minimally invasive fashion during an orthopedic surgical procedure. The pedicle screw assembly includes a body portion including a head and a shank. The shank includes an outer surface with a thread provided thereon, an end having a cutting tip provided thereon, and a bore extending inwardly from the end and having an internally threaded region provided therein. The pedicle screw assembly also includes a tip portion including a body having a cutting edge and a shank extending from the body. The shank has an externally threaded region provided thereon that cooperates with the internally threaded region of the bore to permit movement of the tip portion relative to the body portion between extended and retracted positions.
|Pelvic Cable Solution - A device for treating bone fractures, comprises an actuating mechanism removably coupleable to a clamping mechanism including a clamp defining a cable receiving channel extending therethrough and a compression member coupled to the clamp for movement relative thereto, movement of the compression member relative to the clamp in a first direction moving the clamping mechanism into a clamping configuration in which at least a portion of the clamp is compressed into the channel to fix a cable received therein relative to the clamping mechanism. The actuating mechanism includes a first member and a second member removably engagable with a clamping mechanism so that, when engaged, relative movement between the first and second members causes relative movement between the clamp and the compression member to move the clamping member between the clamping configuration and a release configuration, the actuating mechanism further including a tensioning mechanism.
|Patient-Specific Joint Arthroplasty Devices for Ligament Repair - Disclosed herein are methods, compositions and tools for repairing, replacing or otherwise treating bone ligaments using devices designed from patient-specific information, including without limitation, surgical alignment instruments that have a surface that conforms to at least a portion of a patient's bone, cartilage or other component of the joint or ligament being treated.
|SYSTEMS, METHODS, AND DEVICES USING STRETCHABLE OR FLEXIBLE ELECTRONICS FOR MEDICAL APPLICATIONS - System, devices and methods are presented that integrate stretchable or flexible circuitry, including arrays of active devices for enhanced sensing, diagnostic, and therapeutic capabilities. The invention enables conformal sensing contact with tissues of interest, such as the inner wall of a lumen, a nerve bundle, or the surface of the heart. Such direct, conformal contact increases accuracy of measurement and delivery of therapy.
|Selection of Cardiac Capture Verification Modes - Systems and methods provide for selection of automatic capture verification modes. A number of capture verification modes are evaluated, wherein at least one of the capture verification modes has a distinct temporal relationship between delivery of a pacing pulse and detection of capture of heart tissue by the pacing pulse than the other capture verification modes. One or more capture verification modes are selected based on the evaluation. Capture verification is implemented using the selected one or more capture verification modes.
|INTEGRATED HIGH VOLTAGE OUTPUT CIRCUIT - An apparatus includes a cardioversion or defibrillation therapy energy source coupled to a bridge circuit. The bridge circuit includes a first switch for connection to a first implantable electrode, a second switch for connection to a second implantable electrode, a third switch coupled for connection to the first implantable electrode, and a fourth switch coupled for connection to the second implantable electrode. The first and second switches are formed on a shared first IC, the third and fourth switches are formed on a shared second IC, and the second IC is stacked substantially superjacent to the first IC such that a cathode of the first switch is coupled to an anode of the third switch and a cathode of the second switch is coupled to an anode of the fourth switch.
|BAROREFLEX ACTIVATION FOR ARRHYTHMIA TREATMENT - An aspect of the present subject matter relates to a system for providing baroreflex stimulation. An embodiment of the system comprises an adverse event detector to sense an adverse event and provide a signal indicative of the adverse event, and a baroreflex stimulator. The stimulator includes a pulse generator to provide a baroreflex stimulation signal adapted to provide a baroreflex therapy, and a modulator to receive the signal indicative of the adverse event and modulate the baroreflex stimulation signal based on the signal indicative of the adverse event to change the baroreflex therapy from a first baroreflex therapy to a second baroreflex therapy. Other aspects are provided herein.
|WEARABLE MEDICAL TREATMENT DEVICE - At least one aspect is directed to a wearable treatment device that includes a cardiac sensing electrode, a treatment electrode, a user interface, and a sensor. The cardiac sensing electrode detects cardiac information, and the treatment electrode applies treatment to the subject. The user interface receives quality of life information from the subject, and the sensor detects subject activity and wellness information. A controller coupled with the cardiac sensing electrode, the treatment electrode, the user interface, and the sensor receives the detected cardiac information, the quality of life information, and the detected subject activity and wellness information, and determines that treatment is to be applied to the body of the subject based upon the detected cardiac information. The controller can also adjust the treatment based on at least one of the detected subject activity and wellness information and the quality of life information, and an alarm module provides an alarm after the cardiac information is detected and before the treatment is applied to the body of the subject.
|CARDIAC PACEMAKER WITH TABLE-BASED PACING MODE IMPLEMENTATION - A device and method for implementing a bradycardia pacing mode are disclosed which is mostly hardware-based but still allows the flexibility for making major changes in brady behavior normally found only in firmware-based implementations. The brady behavior of the device is encapsulated by a table in an area of RAM referred to as brady RAM, and the brady behavior can be changed by re-loading the brady RAM with a different table.
|IMPLANTABLE MEDICAL DEVICE FOR CARDIAC ELECTRICAL STIMULATION - A method and apparatus for reducing a patient's heart rate or blood pressure. The apparatus provides stimulation to the patient's atrial and/or nodal tissue within the associated refractory period of the ventricle but outside of an associated refractory period of the stimulated atrial an/or nodal tissue, responsive to detecting an occurrence of a ventricular depolarization following a preceding atrial depolarization.


text:
ANCHORAGE - Anchorage Police say a man and woman crashed in a car early Monday near Eagle River and were trapped inside for two hours.
The driver, 42-year-old Steven McNeill, and passenger Sharla Kuhlmann were extricated from the overturned car by the Anchorage Fire Department and were transported to local hospitals by ambulance.
Both had serious injuries.
Police took a call just after 5:30 a.m. of a crash off Hiland Road east of the intersection with Eagle River Loop. The call came from a passer-by who saw a car upside down in woods.
Officers found McNeill and Kuhlman inside the inverted Audi A4.
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subset: commoncrawl


text:
17 schools surveyed
A DUNDALK woman secured a place at a top international physics conference after conducting a study on 17 schools in Co Louth.
Originally from Newtownbalregan, Sanda currently lives in Windmill Court, Dundalk, and works as a physics teacher in Ardee Community School.
Sandra, who also lectures once a week in NUI Maynooth on physics methods, was chosen to join the Irish team at the 4th International Conference on Women in Physics.
The international conference took place in Stellenbosch, South Africa from April 5-8. Sandra had to assist in the preparation and presentation of a paper on women in physics in Ireland.
"I had to carry out research on the physics departments of 17 secondary schools in Co Louth and examine the impact of the gender of the teacher," said Sandra.
"I studied the influence of the educators on the prevalence of girls studying physics in Louth. Five of the schools were co-ed with male physics teachers.
"Five co-ed schools had a female physics teacher. The study revealed that girls are more likley to do physics if the school has a female physics teacher."
Sandra added: "The survey shows that a female role model is of great influence as strong female role models lead to an increase in girls' participation in physics."
The study carried out by Sandra in Louth schools has subsequently been used as a model to examine the impact of female lecturers in universities.
The studies on six Irish unversities revealed that male supervisors of research students had 18% female postgraduates, whereas female academics had an average of 38% postgraduates.
"It was a great honour to have been selected for the conference in South Africa," she said.


text:
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On the quiet side of Branson at Indian Point, Table Rock Lake. One-, two- and three-bedroom lakefront cottages with king or queen beds, fully equipped kitchens and decks with lake views.
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text:
Natasha Gammon
Hey, I'm Natasha in Virginia Beach, VA..... I'm a very passionate person, a proud mom & I live a healthy life style. I ♥ the Red Sox & New York Jets!
Im a single mom. It is the best job ever, and one of my biggest accomplishments. My son is the most amazing little boy! He has so much personality in him and at only five, makes me think I might be in trouble down the road! :o) I also work full-time, so when Im not doing that I try to spend as much time with my little man as possible.
I try to be a silver-lining, see-the-bright-side-of-things kinda girl. My positive disposition and forgiving nature are qualities I appreciate in myself but have not always worked in my favor. Respect is a huge thing to me... the respect I have for myself, the people around me, and the respect I get from others. People these days are too self-involved sometimes to even be mindful of how they are treating those around them... How can any few words in such a small space really paint a picture of who a person is anyway???


text:
Mina UK was first established as a brand in 2005, and has fast become an inspirational leader of women's fashion in the UK, as well as receiving fond attention from boutiques and department stores across the world.
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text:
Plastic Twin Sliding Roller
|FOB Price:
|US $0.2-2.5 / Piece
|Min. Order:
|500 Pieces
|Min. Order
|FOB Price
|500 Pieces
|US $0.2-2.5/ Piece
|Ningbo, China
|Production Capacity:
|20000 Piece/Pieces Per Day
|Payment Terms:
|L/C, T/T, D/P, Western Union, Paypal, Money Gram
Request a custom order and have something just for you!Send Customized Request
- Model NO.: HS102
- Splittable: Splittable
- Usage: Window, Door
- Application: Shower Door Parts
- Delivery Packing: Carton
- Sample: Offered
- Load-Weight: 50kg
- Transport Package: According to Client′s Requirement
- Material: Plastic
- Certification: CE, Tu
- Color: White,Grey
- Service: Prompt Delivery
- Dimensions: 19mm-27mm
- Delivery Date: 3days to 15 Days
- Trademark: WEIHENG
- Origin: Zhejiang, China (Mainland)
Plastic twin sliding roller with bearing
1. Specifications
|Brand Name
|Products code
|304 stainless steel micro-bearing POM PA
|Glass thickness
|Delivery date
|Within 20 days
|Payment terms
30% T/T in advance .70% against copy of B/L
High quality with competitive price,wheels will never rust; Quality TUV
|According to customer requirements
2. Service
1.Reply enquiry in 24 working hours.
2.Rich experience in producing door&window accessories for more than 20 years.
3.Customized design is available.
4.Direct manufacturer price, we are not trading company.
5.High quality,we got TUV and CE certificates.
6. Prompt delivery ,we provide samples within 1 week, strictly follow your lead time.
7.Welcome OEM and ODM.
8.Production line including plastic injection, zamak die casting,metal processing, making mould etc.
3. Picture
Ningbo Yinzhou Hengsheng Bearing Factory is a professional manufacturer specializing in producing
shower door wheels, shower door handles, shower door hinges,shower heads and other shower door parts.
Our factory has rich experience in producing shower door parts for more than 20 years.
Our products got TUV and CE Certification, this is really uncommon in this field in China.
"Being Credit-worthy and always providing with best service" is main principal for our business operation.
We keep long-term cooperation with several global leaders of shower manufacturer all over the word.
Look forward to working with you.
Welcome to contact us,Welcome to visit our factory!


text: On Fri, Apr 06, 2001 at 07:42:39PM -0500, Rob Healey wrote: > > Is there a document somewhere that can blatently show how to get > the Zoularis package for a BSD environment going on Solaris from > scratch? Sorry, not that I know of. I haven't even looked at Zoularis for over 9 months now, but you could ask Matthias Scheler (tron) who has recently picked up the torch and is running with it. If you have specific queries, I could try to answer them, but Matthias will have a much better idea. Regards, Alistair


text:
Author has written 28 stories for Fantasy, Love, Horror, General, Mythology, Religion, Fantasy, and Life.
Hi, I'm Issa Rune or so I like to be called, a 18 year old writer. I live in Northern Kentucky, but I'm not a hill billy and I speak (and write) in perfectly good English. My hair and eyes are brown.
I also have stuff at fanfiction.net (Malthen Tinu). More to come here and there.
I play flute in symphonic band and piccolo in marching band. I read at 200 words an hour. Too bad I don't type or write that fast. I like mostly fantasy and sci-fi. And I'm a hopeless romantic, but I don't read many romance novels b/c they are too depressing. I mean I don't really want to read about how this girl got the guy of her dreams. Very depressing.
Well, you are probably tired of hearing about me, so go ahead and read my work.
Unless you are really devoted and want all sorts of random lists about me...and you really have no life.


text:
Well, the water soluble oil is specifically made as a coolant for machining operations. The CNC and Machining instructor also used a similar oil for grinding opertions including lathe cutters (tool steel). Supposedly it draws the heat away bettter. It also won't rust your tools.
Again, I try to do my grinding with a very light touch when I approach the fine edge of the tool.
My question is why would you want a fast quench, won[t that make the edge brittle?


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Roast Beef Side Dish
Mashed cauliflower. Put it in your food processor with butter, salt and pepper, and you have a simple mashed potato alternative. Add some cheddar cheese, heavy whipping cream, sour cream, and chives or bacon bits for a richer flavor.
Sweet potatoes, either baked or mashed would also be good.
Twice-baked Non-potato casserole
- 1 head cauliflower, steamed until very tender and then mashed with butter, salt and pepper
- 1 1/4 to 1 1/2 c. full fat sour cream
- 1 to 2 green onions, sliced
- 8 oz. shredded cheddar cheese, divided
- 8 oz. bacon, cooked & crumbled
Mix cauliflower, sour cream, green onions, 1 c. cheddar cheese, and bacon. Pour into baking dish. Top with remaining cheddar cheese and bake at 375° for 25 minutes.
Roasted Vegetables
- your choice of veggies, cut into bite sized pieces
- olive oil
- garlic powder
- salt
- pepper
Place veggies in a resealable plastic bag or in a bowl with a tight-sealing lid. Drizzle with 1 to 2 Tbsp. olive oil, seal bag or bowl, and gently shake until veggies are coated with olive oil. Pour onto an oiled cookie sheet in a single layer, sprinkle with desired seasonings, and bake at 375° - 400° until veggies are fork-tender. The time will vary with the kind of veggie and the size of the pieces, but generally this takes 25 to 40 minutes.
Mockaroni & cheese
- 1 head cauliflower or 16 oz. frozen cauliflower
- 4 oz. cream cheese
- 2 Tbsp. heavy cream (milk will work)
- 8 oz. shredded cheddar (divided)
- 2 green onions, finely chopped
- 1/4 to 1/2 tsp. salt
- 1/2 tsp. pepper
Cook the cauliflower until tender; drain well. In a 1 1/2 quart casserole, mix cream cheese, 4 oz. cheddar, and cream. Stir well until cream cheese is creamy and smooth. Stir in the green onions, salt and pepper. Add the cauliflower and gently fold into the cheese sauce to coat well. Adjust the seasonings if needed. Top with the remaining 4 ounces cheese and bake at 350º for 35 minutes, until bubbly and brown on top.
Makes 4-6 servings
Grandma's Dilled Carrots
When I was a little girl, I remember visiting my Grandma and watching her make Dilled Carrots. So simple is this recipe that you really can not believe how good it is and how well it complements so many entrees.
Dilled Carrots Ingredients
- 1 lb. carrots
- 1/2 cup water
- 2 tablespoons butter
- 1/2 teaspoon dried dill
Simmer carrots in water for 30 minutes or until tender. Drain water. Toss carrots in butter and dill. Serves 4.
This recipe for my Grandma's Dilled carrots is one of my go-to recipes because I always have the ingredients on hand. It is simple enough for last minute family meals and elegant enough for the finest cocktail party.
6 pieces bacon, chopped
1/2 cup onion, chopped
4 ounce can mushrooms, drained
16 ounce bag frozen whole green beans, thawed
Salt, to taste
In a large skillet, cook the bacon until crisp; set aside and reserve 2 tablespoons drippings in the pan. Sauté the onion in the drippings until tender. Add the mushrooms; cook and stir 2 minutes over medium heat. Stir in the beans and salt to taste. Go easy on the salt because the bacon will add salt. Cover and cook 10 minutes on low until the beans are done, stirring occasionally. Toss in the bacon.
Makes 6 servings
Can be frozen
Per Serving: 113 Calories; 8g Fat; 3g Protein; 7g Carbohydrate; 3g Dietary Fiber; 4g Net Carbs
Layered Party Slaw (this is a favorite of ours)
- 1 small head cabbage, shredded
- 1/2 medium head cauliflower, cut into bite size pieces
- 8 strips bacon, cooked and crumbled
- 2 c. frozen green peas, thawed
- 2 c. fresh mushrooms, sliced
- 1/2 c. green onion, sliced
- 1/2 c. grated Parmesan cheese
- 1 1/4 c. Marzetti slaw dressing (I make my favorite low-carb slaw dressing)
- 1 tomato
In a large glass serving bowl layer the first 7 ingredients, using only 1/2 of the bacon. Top with slaw dressing and remaining bacon. Cover and refrigerate several hours or overnight. Cut tomato into wedges and arrange on top of the salad before serving.
Broccoli & Cauliflower Salad
- 3 cups fresh broccoli & cauliflower flowerets
- 1 cup mayonnaise
- 1 small white or red onion, diced
- 1 cup finely shredded Cheddar cheese
- 1/4 lb. bacon, cooked and crumbled
- Salt and pepper to taste
Mix all ingredients except veggies in a bowl. Stir in veggies. Store in refrigerator


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Natalie Danford's exquisitely written novel Inheritance asks a simple question: How well do we know our parents? One half of the story begins after the death of Luigi Bonocchio, an Italian immigrant whose daughter, Olivia, discovers a mysterious deed among his possessions. The deed is to a house in Urbino, Italy---the hometown he barely spoke of. Intrigued, Olivia travels there. At first she is charmed by the historic city, the relatives she's not met before, and the young lawyer she's hired to help her investigate the claim. But when Olivia tries to sort out the deed, she is met with a puzzling silence. Everyone in the town remembers her father, but they are not eager to tell his story. However, Luigi tells his part of the tale directly to the reader as the chapters alternate between Olivia's search for the truth and Luigi's account of his history. By the end of this skillfully constructed book, the reader understands both sides of a heartbreaking yet ultimately satisfying love story.
About Natalie DanfordSee more books from this Author
A young woman travels to Italy and discovers her father's secret past.Jun 24 2010 | Read Full Review of Inheritance
Natalie Danford's first novel is a mystery involving an old key and a story about Italian Jews in the Holocaust.Mar 25 2007 | Read Full Review of Inheritance
An aggregated and normalized score based on 15 user ratings from iDreamBooks & iTunes


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In a daily article on the Creation Ministries International website, Carl Wieland uses a common young earth argument based on the diet of animals. To read this short article, click here.
NOTE: Anyone can comment without registering. All comments are held pending review, and will not be immediately visible. Off-topic comments (especially those with non-related links) will be deleted.


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How he did likely depends on your view of the debated validity of his Christian faith and the role of fundamentalist religion in modern, global terrorism.
Here's an excerpt from the AP story:
Obama, a Christian who was born in Hawaii, moved to Indonesia as a 6-year-old and lived with his mother, Stanley Ann Dunham, and Indonesian stepfather, Lolo Soetoro. He attended public and Catholic schools while in Indonesia and returned to Hawaii when he was 10 to live with his grandparents. Obama took care in his remarks to note that he is Christian; back home in the U.S., he continues to fight erroneous perceptions that he is Muslim.
Obama occasionally studied the Quran and visited a local mosque when he lived here. But he spent hardly any time in the speech discussing Islam or his religious background, except to describe Islam as a "great world religion."
The story went on to point out how he urged the Muslim world to engage the U.S. and other democratic countries in building mutual trust based on mutual values, especially safety in fighting terrorism.
Islam and Christianity and Judaism have core values in common, many people have said for many years. And members of these faiths get along well abroad and here in San Antonio. And they also don't get along well both here and in San Antonio.
Seems to me the issue does come down to building trust, especially when it comes to people of different faiths. And finding a starting point to even talk. Judging from the huge void in any real talks about this since the 9-11 attacks, I'm not sure much will change in building this kind of interfaith trust and dialogue in the foreseeable future.
What do you think?


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"I am genuinely more pleased for us that we have picked up a point," said the Latics boss.
"Of course, the phone in the pocket is going off repeatedly and there are a few friends in Manchester who will be absolutely delighted but I am very pleased for our supporters and players.
"The plan was if we could get to 20 minutes from the end, we knew we had people who could deliver something.
"I think no matter how times you've been in it, whether you are at the top or bottom, then there is going to be an edginess to it.
"The plan was to match them in every department and then we knew it became edgy. Then the crowd become edgy because they expect Chelsea to roll us over.
"You have to overcome that edginess whoever you are but the plan was to keep them edgy.
"I more pleased for us than my mates in Manchester. Fergie texted me before the game and he has phoned me four times in four months - twice before playing Arsenal and twice before we played Chelsea."


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This week
Zumba at JHS
This week
Crafts program at library
The Shelby County Public Library will sponsor crafts for preschoolers to teens at 10 a.m. and 2 p.m. today. A variety of crafts will be available. For more information, call 633-3803.
Project Linus Make-a-Blanket day
This week
Shelby County Fair
The Shelby County Fair will continue through Saturday at the Shelby County Fairgrounds.
Cambo the clown at library
Cambo the Clown, a professional clown, will visit the Shelby County Public Library at 11 a.m. and 1 p.m. today. He will have magic tricks, juggling, laughing and balloon animals. For more information, contact 633-3803.
Turtle power at park
This week
Dig into reading at library
Tom Sparough, known as "Space Painter," a professional entertainer, will be the guest at 10 a.m. and 2 p.m. today at the Shelby County Public Library. The "Dig into reading" special event will have jugging, storytelling and fun. For more information, contact 633-3803.
Shelby County Fair
The Shelby County Fair will be Thursday through June 22 at the Shelby County Fairgrounds.
This week
Tractor driving contest
Test driving skills and knowledge of safety procedures on the farm with a tractor driving contest today at Shelby County High School (beside the area tech school). The event, for ages 12 to 19, is sponsored by Shelby County Cooperative Extension offices. For more information, contact Jonathan Scott at 502-321-3245.
History camp
This week
Democratic Jefferson-Jackson Day dinner
This week
Blood drives in Shelby
Blood drives in Shelby County will be 1 to 5 p.m. today at the Stratton Community Center, 215 Washington St.; 2 to 6 p.m. Tuesday at Clay Street Baptist Church, 1940 Midland Trail; 1 to 5 p.m. on Thursday at Kroger, 311 Boone Station Road; 1 to 6 p.m. on May 30 at Cornerstone Christian Academy, 3850 Frankfort Road; 3 to 7 p.m. June 4 at Graefenburg Baptist Church, 11288 Frankfort, Waddy; and 11:30 a.m. to 4:30 p.m. on June 4 at Martinrea Heavy Stamping, 1000 Old Brunerstown Road.
Wingate Lodge
This week
Princess and pirate tea at library
A princess and pirate tea party will be at the Shelby County Public Library. Preschool-aged children will be from 11 a.m. to noon on Friday and preschool-through-third-grade on May 18. Children may wear princess or pirate clothing or Sunday dress. Registration is required, with a maximum of 50 children. For more information or registration, call 633-3803.
Blood drives in Shelby
This week
Blood drives in Shelby
Blood drives in Shelby County will be from 9 a.m. to 2 p.m. Thursday at Whitney M. Young Jr. Job Corps Center, 8460 Shelbyville Road in Simpsonville; noon to 4 p.m. on Saturday at Walmart, 500 Taylorsville Road; and from 3 p.m. to 7 p.m. on May 13 at Simpsonville Baptist Church, 7208 Shelbyville Road.
'American El Dorado' presentation
This week
Home repair seminar for women
"Fix it for women" will be presented by Ron Manno of Shelby Hardware from 6 to 7 p.m. Thursday at the Shelby County Public Library. Learn how to check and fix things around the home yourself. Registration is required for adults 18 years and older. For more information, call 633-3803.
National Day of Prayer
Copyright © 2018
The Sentinel-News is your source for local news, sports, events and information in Shelby County and Shelbyville, KY, and the surrounding area.


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Keep dancing All aspects of fitness are important in ballroom, according to Strictly Come Dancing's Anton du Beke. "Endurance is important because you need to be able to perform well, dance after dance, but ballistic fitness also comes into play because the dances are short and energetic. Interval training combined with longer sessions of cardio is good to do off the dance floor, but nothing really beats just dancing itself."
Heads up Looking down at your feet while dancing is like staring at the bonnet of your car while driving, says du Beke. "You need to look where you're going. Plus, your head is heavy and plays a vital role in counterbalancing the rest of your body. Looking down will ruin your shape, posture and balance."
Get flexible "Flexibility in the hips, back and shoulders will give you a much greater range as a dancer," says du Beke, "and good body strength, especially in the core, helps with balance."
Lead like a gentleman Leading a dance should feel weightless. "Someone once said to me, 'The perfect partner follows what he leads,' " du Beke says, "which means that, although the man initiates a new movement in the dance, he should then follow his partner through that movement."
Focus on footwork "Learning the actual dances is the smallest part of ballroom," du Beke says. "We spend hours practising the control and perfect weight transfer of good footwork. Having strong, flexible ankles really helps. You must also be sure to thoroughly stretch your achilles tendons as ballroom dancing tightens them and can cause injury."


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Hike with the GR 41 throughout Cher and Allier from Charost to Saint-Desire via St Ambroix, Corquoy, Chateauneuf-sur-Cher, Rousson, La Prairie, Les Noirats, Colombiers, Givry, La Chapelle, Villeneuve and Les Gerpins. Guest House, Bed and Breakfast, Hotel, Camping, Inn.
Hiking from Charost (Cher) to St Desire (Allier)
Distance: 129,17km, Elevation maximum: 348m, Elevation minimum: 125m, Elevation gain uphill: 901m
GR41 From Tours (Indre and Loire) to Selles-sur-Cher (Loir and Cher)
It is advisable to follow beacons throughout the itinerary and take with you the Federation Francaise de la Randonnee Pedestre topo-guide.
®Acronyms GR®PR® GRP®, and the corresponding signs of markings (white / red, yellow and yellow / red) are trademarks of the French Federation of Hiking. They may not be reproduced without permission. The French Federation of Hiking, state-approved, includes organizations that create and maintain hiking routes on GR® PR® GRP®. It publishes guides these topo hiking routes.
Old romantic Hotel, L'Etoile Guest-House is a mountain retreat in the South of France. With a beautiful park along the Allier River, L'Etoile Guesthouse is located in La Bastide-Puylaurent between Lozere, Ardeche and Cevennes. Many hiking trails like GR7, GR70 Stevenson trail, GR72, GR700 Regordane way, Cevenol, GR470 Allier river trail, Margeride, Gevaudan, Ardechoise. Many hiking loops around L'Etoile Guesthouse. The right place to relax.
Copyright © gr-infos.com


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There are penalties if you do not sign up in time.
At age 65, you signed up for Medicare Part A.
But you decided to wait on Part B.
This is fine.
In fact, many people do this.
You are still receiving health insurance from your work.
Now, the time has come for you to retire.
According to a recent Kiplinger article titled "What to Know About Enrolling in Medicare Part B," you need to sign up for Medicare Part B within eight months of retirement.
If you do not, there will be consequences.
Like what?
You could receive a gap in coverage and a lifetime penalty.
Oh, no!
You should also start the process immediately.
You cannot simply sign up online.
You will need to have your employer prove it had covered your health insurance up to your retirement.
The paperwork will need to be taken to your local Social Security office or mailed.
What forms need to be completed?
- CMS-40B Application for Enrollment in Medicare Part B
- CMS-L564 Request for Employment Information
The second form only needs to be filled out if you worked past age 65 and will be need to be completed by your employer.
What if you worked multiple jobs with health insurance after turning age 65?
Each employer will need to fill out a form.
Because this paperwork takes a while to process, you should submit these forms at least two months before you retire.
This will ensure that you receive coverage immediately upon your retirement.
If you require more coverage, the Social Security office can help educate you on Medigap policies, Medicare Advantage plans or Medicare Part D prescription plans.
The only reason you can delay this Medicare enrollment is receiving health insurance from a current employer.
File sooner rather than later to avoid missing the eight month grace period.
Remember: "An ounce of prevention is worth a pound of cure." When making your financial, tax and estate plans, do not go it alone. Be sure to engage competent professional counsel.
For more information about estate planning in Overland Park, KS (and throughout the rest of Kansas and Missouri), visit our estate planning website and be sure to subscribe to our complimentary estate planning e-newsletter while you are there.
Reference: Kiplinger (June 23, 2017) "What to Know About Enrolling in Medicare Part B"


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If you have an issue to report or need help, please visit store help.
Magic Bullet mb018 To Dream of Autumn Live on WNYU
To Dream of Autumn recorded live on WNYU. Released by Magic Bullet Records on CD in 2000.
- WNYU Intro
- TDOA Intro
- What Birds Plunge Through Is Not The Intimate Space // Perhaps We Are Going Away
- Explanation 1
- Sun And Shadow
- Explanation 2
- The Pill Versus The Springhill Mine Disaster
- Stuff Is Hard
- Explanation 3
- The Killing Fields
- WNYU Outro


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Marine Weather
Western Bass Strait Marine Weather Overview
|Swell height
|Districts with warnings
|Observed wind
most recent warnings
Western Bass Strait Current Conditions
Weather News
Tropical Cyclone Marcus: Darwin schools to close as clean-up continues
Schools across Darwin will close on Monday as emergency services work to restore power and water in the wake of Tropical Cyclone Marcus.
BOM forecasts sweltering day in Sydney with 40C in the CBD and 39C in Bondi
Total fire bans are in place across 11 regions in New South Wales, while temperatures are forecast to soar in Sydney on Sunday with the mercury predicted to reach 40C in the CBD and western suburbs.
Bushfires near Warrnambool continue to rage, houses lost in Victoria's west
Up to a dozen homes have been destroyed or damaged by bush and grass fires which continue to burn in Victoria's south-west.


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Blackstone Hotsprings is located in the historic downtown hotspring district of Truth or Consequences, New Mexico.
Our lodging guests enjoy newly remodeled luxury accomodations, with a custom tub for unlimited private soaking in each lodging room.
Both Lodging guests and walk-in bathers can use our spa - The Wet Room - a tropical paradise, with water features flowing from the hotspring for soaking, steaming, showering and massage. Two historic baths are available as well.
The courtyard at Blackstone Hotsprings is the perfect place to sit and cool after your mineral bath. You can relax in the sun or in the shade - bring along a book and a beverage, or just sit and enjoy the landscape, which evolves through the seasons.
View The Complete Tour on Google Maps
The Spa at Blackstone Hotsprings is open for walk-in bathers and tours from 9am until 9pm each day.
So...what about Spaceport America?
There's been plenty of press - but the New York Times published a great update (February 2010).


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Nice work! Enjoy the show!
Link Copied!
Krispy Kreme in KKK blunder
Opening Sequence
Congress unveils $1.3 trillion spending bill as shutdown looms
China calls the U.S. a repeat abuser of world trade rules
VERBATIM: Trump will sign spending bill - Mulvaney
Texas serial bomber was a 'challenged young man:' police
Southern California braces for second round of mudslides
Identical twins and 'carousels': Russia's election
Chinese activists fear a legal freeze under hardliner
Stocks tumble on escalating trade war fears
Zuckerberg says 'sorry' over data breach
Video shows moments before a fatal self-driving crash
INSIGHT: Shawarma gets a sweet makeover
Closing Sequence


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About this iReport
- Posted June 20, 2014 by
- AdsfromOz
Hong Kong Central, Hong Kong
Hong Kong Central, Hong Kong
A Day in HK
Using a Gopro and a monopole I set out to explore Hong Kong island and Kowloon. As it was a Sunday there were heaps of people just hanging out on the streets. In a place so small and full of high-rise buildings, when people have time outside they come out and literally hang out on the streets. People are sitting around everywhere, on the streets, in the MTR, in pedestrian malls, especially close to Central and the Star Ferry Terminal. It was fascinating to see the difference between HK island which was mainly migrant workers and Kowloon which was mainland Chinese coming to buy luxury handbags and watches. Such an interesting day and I hope this video does it some justice. Thanks for your support!! Enjoy