text:
|Publication number
|Publication type
|Application number
|Publication date
|15 Apr 2008
|Filing date
|18 Dec 2003
|Priority date
|7 Mar 2002
|Fee status
|Also published as
|Publication number
|Brian P. Watschke
|Original Assignee
|Ams Research Corporation
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (108), Non-Patent Citations (98), Referenced by (31), Classifications (20), Legal Events (7)
|External Links: USPTO, USPTO Assignment, Espacenet
The present application is a continuation in part of U.S. Utility application Ser. No. 10/386,897, filed Mar. 11, 2003 now abandoned and U.S. Utility application Ser. No. 10/306,179, filed Nov. 27, 2002 now U.S. Pat. No. 7,070,556; which '897 and '179 applications claim the benefit of U.S. Provisional Application Ser. No. 60/362,806, filed Mar. 7, 2002; and U.S. Provisional Application Ser. No. 60/380,797, filed May 14, 2002; and U.S. Provisional Application Ser. No. 60/402,007, filed Aug. 8, 2002; and U.S. Provisional Application Ser. No. 60/414,865 filed Sep. 30, 2002. The entire contents of all of the previous patent applications are herein incorporated by reference.
There are a wide variety of surgical instruments used in procedures for treating pelvic floor disorders. Needles, suture passers and ligature carriers are commonly available in surgical centers and hospitals. Examples of such surgical instruments include Stamey needles, Raz needles, and Pereyra needles. See Stamey, Endoscopic Suspension of the Vesical Neck for Urinary Incontinence in Females, Ann. Surgery, pp. 465-471, October 1980; and Pereyra, A Simplified Surgical Procedure for the Correction of Stress Incontinence in Women, West. J. Surg., Obstetrics & Gynecology, pp. 243-246, July-August 1959.
Handles used with surgical instruments for treating pelvic floor disorders vary in size and shape. U.S. Pat. Nos. 5,112,344; 5,899,909; 6,605,097 and 6,612,977 show various handles for use with surgical instruments for treating pelvic floor disorders such as incontinence. Published U.S. Pat. Application No. 2002 0099259-A1 discloses a handle for use with a needle useful in a variety of procedures, including a sling procedure for treating incontinence. Other handles are disclosed in published U.S. Pat. Application Nos. 2002 091298-A1 and 2001 0053916-A1.
Emmett needles are used in procedures for treating incontinence. An Emmet needle is depicted in Dargent et al., Pose d'un ruban sous uretral oblique par voie obturatrice dans le traitement de l'incontinence urinaire feminine, Gynecol. Obstet. Fertil 2002; 30:576-82. The Emmet needle includes a handle, a curved portion with a tip and what can be described as a short, straight portion between the curved portion and the handle. However, the needle is generally not meant to be rotated about the axis of the straight portion while it is within the body.
Some suture passers have straight and curved portions. These suture passers are typically reusable devices with a relatively sharp tip. These devices typically are cast from a relatively heavy metal, such as stainless steel, with no plastic component. As a result, a large proportion of the weight of the reusable suture passers resides in their handle portions.
In one aspect, the present invention comprises a handle for a surgical instrument having a needle with a substantially straight portion and a curved portion. The handle comprises an elongate body having a proximal end region, a distal end region, a top portion and a bottom portion. The straight portion of the needle is adapted to project from a distal end of the body. The top portion has a substantially flat surface in the distal end region.
Preferably, the proximal end region is non-cylindrical with the width being greater than the height. The proximal end region preferably has generally convex surfaces. At least the top portion preferably has a surface that is sized and shaped to receive a user's thumb in the distal end region. In a preferred embodiment, the proximal end region has a maximum height that is larger than the height of any portion of the distal end region. Also preferably, the body has side portions with a plurality of grasping ribs.
In a preferred embodiment, the distal end region has a maximum width that is greater than the width of any portion of the proximal end region. This structure preferably forms fins.
The handle preferably includes a surface that is sized and shaped to receive a user's thumb. However, it is noted that different surgeons may grasp and use the surgical instrument according to individual preference and the present invention is not limited if a particular surgeon does not utilize a particular surface as a thumb rest.
The elongate body has an elongate axis, and the straight portion of the needle has an elongate axis, and the axis of the elongate body is at least parallel to the axis of the straight portion of the instrument, preferably they are coaxial.
In another aspect, the present invention comprises a handle for a surgical instrument. The surgical instrument has a needle with a substantially straight portion and a curved portion. The handle comprises a proximal end region, a distal end region, and a transition region between the proximal and distal end regions. The maximum height of the transition region is less than the maximum height of the proximal end region. The maximum width of the transition region is less than the maximum width of the proximal end region. The maximum width of the transition region is less than the maximum width of the distal end region.
In another aspect, the present invention comprises a surgical instrument for treating pelvic floor disorders. The surgical instrument comprises a metallic needle portion having a substantially straight portion and a substantially curved portion. The instrument includes a handle portion constructed at least in part from a polymeric material, the handle portion comprising a proximal end region, a distal end region, and a transition region between the proximal and distal end regions. The transition region is reduced in width relative to the proximal and distal end regions.
Preferably, the metallic needle portion has a tip portion that is at least substantially blunt and is constructed from stainless steel. Also preferably, the proximal end region has a maximum height that is greater than the maximum height of the transition region and the maximum height of the distal end region. The transition region has a maximum width that is preferably less than the maximum width of the distal region and the maximum width of the proximal region.
Preferably, the transition region has a substantially concave surface. Also preferably, the length of the proximal region is longer than the combined lengths of the transition region and distal end region. In a preferred embodiment, the distal end region comprises a pair of fins projecting from sides of the handle.
Other features and advantages of the present invention will be seen as the following description of particular embodiments progresses in conjunction with the drawings, in which:
The following description is meant to be illustrative only and not limiting. Other embodiments of this invention will be apparent to those of ordinary skill in the art in view of this description.
The present invention is directed to surgical instruments and more particularly handles for surgical instruments used in pelvic floor surgical procedures such as incontinence or stress urinary incontinence (SUI) in both men and women. Although the invention as disclosed herein generally refers to SUI, the surgical instruments may be used for treatment of other urological or gynecological disorders, such as prolapse (e.g. vaginal and uterine), enteroceles (e.g. of the uterus or small bowel), rectoceles, cystoceles and other disorders are also included within the scope of the present invention. The present invention is particularly suitable for use in conjunction with concomitant procedures, such as, but not limited to, procedures for addressing cystocele, rectocele, vaginal prolapse and anatomic corrections. Various pelvic floor procedures and implants for use in such procedures are disclosed in Staskin et al., U.S. patent application Ser. No. 10/423,662 filed, Apr. 25, 2003.
The handles of the present invention are particularly suitable for use with a surgical instrument (e.g. a needle) having a straight portion 2 and a curved portion 4. Such instruments are disclosed in Pelosi II, et al., New Transobturator Sling Reduces Risk of Injury, OBG Management, Pps. 17-38 (2003). In use, the curved portion of the needles are preferably passed around the inferior aspect of the ischiopubic ramus. For example, the distal end 5 of the needle may begin tissue passage with penetration of the skin (or incision) and subcutaneous tissue near the patient's obturator foramen. After moving through superficial perineal fascia, the needle may cross adductor muscles of the thigh near their pubic bone origin and below the insertion point of the adductor longus tendon. The needle may then penetrate the obturator membrane, obturator internus muscle, and periurethral endopelvic fascia. After passing the level of the white line, either over or under the puborectalis section of the levator, the distal end 5 of the needle may exit through a vaginal incision. Suitable needles are also disclosed in U.S. Pat. Application Nos. 2003 0212305-A1, 2003 0176875-A1 and 2003 0171644-A1. Preferably the curved portion 4 is helical or spiral shaped and has a tip 5. As an example, not intended to be limiting, to form a right handed helix, a bending mandrel with a groove may be used with dimensions of about 1.56 inches diameter, pitch about 1.85, and a degree of wrap to a bending pin on the mandrel of about 350 degrees. These dimensions are only an example and the present invention contemplates widely varying dimensions. These dimensions are prior to any spring back of the metal, and are believed suitable for a 17-4 stainless steel rod with a circular cross sectional diameter of 3.2 mm. The straight portion of the needle may be, for example, about 20 degrees off the axis of helix axis.
Also as an example not intended to be limiting, the overall maximum width of the finished curved portion may be about 2.15 inches and the bent portion of the needle may have an axial length of about 2 inches.
The tip 5 may be slightly sharpened or blunt. The region near the end of the tip may include an eyelet or it may include surfaces sized and shaped to engage with complementary surfaces on a connector and/or a sling assembly.
Notably, the handles and surgical instruments according to the present invention may be utilized with needles and surgical approaches that initially pass a needle tip through a vaginal incision and then through an incision generally adjacent a patient's obturator foramen. Also, the handles and surgical instruments according to the present invention may be utilized with instruments designed for a specific side of the patient's body (e.g. right or left) or with universal instruments designed for use on either side of the patient's body. Also, the handles and surgical instruments according to the present invention may be utilized with instruments designed for use by a surgeon's dominant hand (e.g. right or left handed). Additionally, the handles may be used with instruments that are initially inserted into the body in one general direction (i.e. a forward or insertion direction), and then removed from the body in a generally opposite direction (i.e. a reverse or removal direction). Alternatively, the surgical instrument may be used as a guide for a sling assembly.
The cross section of the needles may be of any suitable shape, preferably circular. The diameter of the circle is preferably less than about 4.5 mm, more preferably about 3.2 mm or less. The diameter of the needle may be substantially uniform along its length or it may vary. For example, the diameter may be increased at positions of greater stress or rotational bending moment, to increase the resistance of the needle to bending during use.
The tip region 5 preferably includes a reduced diameter portion, but a slightly enlarged portion with an eyelet is also within the scope of the present invention. The tip region optionally has structure for associating the instrument with another surgical article (e.g. a connector, dilator, sling assembly, sling, insertion sleeve or suture). Optionally, the tip region may incorporate specially designed surfaces for cooperating with complementary surfaces on another surgical article, such as the structures described in U.S. Pat. No. 6,641,525 or U.S. Pat. Application Publication No. 2002/0099259, published Jul. 25, 2002 (U.S. patent application Ser. No. 09/917,445, filed Jul. 27, 2001), or U.S. Pat. Application Publication No. 2002/0147382 published Oct. 10, 2002. In an alternative embodiment, an eyelet may be provided in the distal tip region.
A variety of different materials may be used to construct the straight 2 and curved portions 4 of the surgical instrument including, but not limited to medical grade plastics and metals. The straight 2 and curved portions 4 are preferably constructed from a metal. Suitable materials include titanium, stainless steel, other medical grade alloys. Suitable stainless steels include AISI types 316, 3161, 17-4 (e.g. PH H900), 302, 303 and 304.
Referring now to
The handle 10 has an elongate body with a proximal end region 12 having a width W, height H and a proximal end 11. The body also has a distal end region 14 with a width W′, height H′ and a distal end 15, a top portion 22 and a bottom portion 24.
Preferably, the straight portion 2 of the needle projects from the distal end 15 of the body 10, preferably along its longitudinal axis A. Also preferably, the axis A of the elongate body of the handle 10 is substantially coaxial with the axis A′ of the straight portion 2 of the needle. A user of the needle may manually place a moment about the axis A′ of the needle in a convenient fashion. The handle is particularly suitable for affording passage of the distal end 5 of the needle with a natural wrist rotation. As a result, the position of the tip 5 of the needle may be conveniently controlled. As can be seen by comparing
The top portion of the handle has a substantially flat surface 26 in the distal end region 14. The tip 5 of the needle may be required to move very short, substantially straight distances in a controlled manner. For example, the tip 5 may need to traverse a certain type of relatively tough tissue (e.g. the obturator foramen) in a substantially short, linear path just prior to moving along a more complex path. This initial motion is substantially linear and a relatively short distance of the overall intended path for the tip.
The bottom portion 24 also preferably has a substantially flat surface in the distal end region 14. The substantially flat surface on the bottom surface 24 (opposite surface 26) is preferably sized and shaped to exploit forces applied to the handle 10 by a user's thenar muscles. The thenar muscle of the thumb is one of the few power producing muscles in the hand. See Salvendy, Handbook of Human Factors and Ergonomics, Second Edition, John Wiley & Sons, Inc. (1997). The handle 10 is preferably sized and shaped to exploit the use of this muscle, for example, during the surgeon's wrist rotation. Notably, other surgeons may use the flat surfaces 26 (and flat surface opposite surface 26, on the bottom 24 of the body 10) for other purposes. The actual grasping of the handle by a particular surgeon is dictated by a variety of factors such as surgeon training, comfort, dexterity, strength, etc.
The distal end region preferably has relatively or substantially flat fins. The distal end region 14 has a maximum width W′ that is preferably greater than the width W of any portion of the proximal end region 12. This conveniently allows a user to place a thumb underneath a fin (e.g. on the bottom surface 24 of the handle 10), to rotate the handle about the axis A and place a moment about the axis A′ of the straight portion 2 of the instrument. This affords a convenient, controlled movement of the tip 5 of the instrument along its complex (i.e. non-linear) path. As an example of a preferred embodiment of the present invention, the maximum width W′ may be between about 0.8 and 1.4 inches, more preferably about 1.2 inches. The maximum width W may be between about 0.7 and 1.3 inches, more preferably about 1.1 inches.
At least the top surface of the proximal end region 12 is preferably at least slightly convex. Preferably, the proximal end region 12 is non-cylindrical. Also preferably, the maximum width of the proximal end region 12 is preferably greater than its maximum height. The proximal end region 12 has a maximum height H that is preferably larger than the height H′ of any portion of the distal end region 14. The proximal end region affords a convenient secure grasp in the palm of a user's hand. This convenient grip is believed to afford efficient power transmission to the tip 5, especially during rotation of the body 10. As an example of a preferred embodiment of the present invention, the maximum height H may be between about 0.5 and 1.5 inches, more preferably about 0.7 to 1 inches, more preferably about 0.81 inches. The maximum height H′ may be between about 0.25 and 0.65 inches, more preferably about 0.44 inches
There may optionally be a transition region between the proximal 12 and distal 14 regions, as shown in
The body has side portions 34 and 36. The surfaces of the side portions 34 and 36 are preferably substantially concave shaped in the transition region.
Referring to
The tactile surfaces 35 are believed to reduce the exertion required to adequately grasp the handle 10 during needle passage through tissue. The tactile surfaces increase the friction between the handle 10 and the user's hand, which stabilizes the instrument in the user's hand. This can lead to a reduction in the rotational motion of the instrument (e.g. rotational slippage) when the tip 5 is intended to move in a short, linear motion (e.g. when the tip punctures relatively tough tissue). This is also believed to provide leverage to afford convenient, efficient power transmission when it is desired to create a moment about the axis A′.
If the surgical instrument is designed for use on a particular side of a patient (e.g. the patient's right side or left side), then the handle 10 may conveniently have indicia 31. The indicia may be provided by a raised or embossed portion of the handle 10, or it may be printed on the handle. The indicia 31 is shown in this embodiment as a carrot shaped embossed portion of the handle 10. The carrot may be used to indicate on which side of the patient (relative to the patient's midline) the needle is intended to be used when the indicia is facing the user. Notably, other than the indicia 31, a handle for use with a needle for the patient's right side may be substantially identical to a handle for use with a needle designed for the patient's left side. This affords convenience in manufacturing, storing and shipping of the product.
As discussed above, a transition region is preferably present between the proximal region 12 and the distal region 14 of the handle 10. The transition region may comprise a groove or a scalloped shaped region. Conveniently, this structure may cradle the anatomical structure of a user's thumb.
The surface 29 may be ski-sloped shape and is preferably substantially symmetrical about axis A′. A surface similar to surface 29 is preferably found on the bottom 24 of the handle 10.
The materials of the handle 10 can comprise any suitable material for a surgical instrument. They are preferably polymeric materials such as, but not limited to polycarbonate, polyethylene, polypropylene, polyvinyl chloride (PVC), polytetrafluoroethylene (PTFE), delrin, ABS, polyurethane, nylon, acetal, urethane, polyetherimide, polysulfone or other similar sterilizable materials, including combinations thereof. Notably, a surgical instrument with a metal needle and a handle that has substantial polymeric portions will have less weight concentration in its handle compared with a fully metallic instrument in the same shape. It is believed that a surgical instrument with a handle that has substantial polymeric portions may have desirable handling characteristics.
The handle 10 preferably is permanently affixed to the needle of the surgical instrument. By permanently affixed, it is meant that the handle does not move relative to the needle (e.g. it is not manually repositionable or removable).
Molding, casting and machining processes may be utilized to construct the surgical instrument according to the present invention. The major surfaces of the handle 10 may comprise a monolithic, unitary or composite injection molded components.
The surgical instrument may be constructed using a molding process. First, case halves may be molded out of a suitable material (e.g. a polycarbonate). Next, the needle portions 2 and 4 may be placed in a base handle mold and the two case halves may be ultrasonically welded together around the needle portion 2. Next, a second injection molding process may be used to complete the structure of the handle 10. One or more slots on the portion of the needle portion 2 designed to be within the handle 10 can help lock the needle into the handle after the case halves have been molded (and prior to welding) by preventing rotation of the needle relative to the handle during the rotational pass of the needle tip 5 through tissue. The slots may also prevent pull out of the needle from the handle. The slots may also serve to orient the needle tip relative to the handle to ensure the desirable, proper orientation of the handle relative to the needle during construction of the surgical instrument.
A first base handle mold can form, for example, the portion of the handle 10 that does not include the tactile surfaces 35. Another base handle mold could form other structures such as the tactile surfaces 35. Polymeric materials for the handles can comprise any suitable polymer such as polycarbonate or a copolymer of acrylonitrile, butadiene and styrene (ABS). Suitable materials include RTP 300 Z Polycarbonate available from RTP Company or Bayer's Lustran ABS.
An insert or other portion of a first mold may be used to preserve room for a second injection molding (an overmold) of a second polymeric material. For example, the second injection molding may form the tactile surfaces 35 and sides 34 and 36. Any suitable polymeric material may be used for the overmolding process. Suitable examples include, but are not limited to Pellethane urethane, or Santoprene 8211-55B100 from Advanced Elastomer Systems. The second material may run through the handle 10, connecting the major surfaces.
The surgical instruments shown in
The surgical instrument 100 has a needle portion with a substantially straight portion 102 and a substantially curved portion 104 terminating in a tip 105. The tip 105 is preferably blunt, but it may also be sharp or substantially sharp. An eyelet may optionally be present near the tip 105.
The needle portion is preferably constructed of a metallic material. The surgical instrument 100 also has a handle portion preferably constructed at least in part from a polymeric material. The handle portion is permanently affixed to the needle portion.
The handle portion comprises a proximal end region 112, a distal end region 114, and a transition region 115 between the proximal and distal end regions. The transition region 115 is reduced in size relative to the proximal 112 and distal 114 end regions. This reduced size of the transition region 115 affords the capacity to enhance the mechanical association between a user's hand and the handle of the instrument 100. It is believed that a user's hand can more readily conform to the shape of the handle than that of a purely cylindrical handle.
As seen in
All patents, patent applications, journal articles and publications cited herein are hereby incorporated by reference in their entirety as if individually incorporated.
Although the invention has been described in terms of particular embodiments and applications, one of ordinary skill in the art, in light of this teaching, can generate additional embodiments and modifications without departing from the spirit of or exceeding the scope of the claimed invention. Accordingly, it is to be understood that the drawings and descriptions herein are proffered by way of example to facilitate comprehension of the invention and should not be construed to limit the scope thereof.
|Cited Patent
|Filing date
|Publication date
|23 Mar 1932
|14 Nov 1933
|White S Dental Mfg Co
|Surgical chisel holding and driving implement
|12 Aug 1954
|20 Mar 1956
|George P Pilling & Son Company
|Suturing instrument
|3 Jan 1961
|10 Mar 1964
|Method of repairing body tissue
|25 Jul 1962
|11 May 1965
|Shirodkar Vithal N
|Plastic prosthesis useful in gynaecological surgery
|27 Mar 1963
|26 Apr 1966
|Nosonowitz David M
|Handle for endodontic instrument
|15 Jul 1964
|28 Mar 1967
|American Cyanamid Co
|Flexible composite suture having a tandem linkage
|21 Apr 1964
|21 May 1968
|Ethicon Inc
|Surgical device for correction of urinary incontinence
|31 May 1967
|14 Oct 1969
|Abbott Lab
|Catheter insertion device
|7 Jan 1969
|25 May 1971
|Mcknight Charles A
|Surgical instrument
|26 Aug 1971
|9 Oct 1973
|H Clarke
|Laparoscopy instruments and method for suturing and ligation
|1 Sep 1972
|5 Feb 1974
|Heyer Schulte Corp
|Urethral prosthesis
|20 Nov 1972
|7 Jan 1975
|Jurasova Nina Vasilievna
|Surgical instrument for stitching up tissues with lengths of suture wire
|31 Jan 1974
|9 Dec 1975
|Cook Inc
|Apparatus and method for suprapubic catheterization
|14 Oct 1975
|7 Dec 1976
|Glatzer Stephen G
|Combination subcutaneous suture remover, biopsy sampler and syringe
|22 Apr 1976
|26 Apr 1977
|Heyer-Schulte Corporation
|Compression implant for urinary incontinence
|13 May 1975
|26 Jul 1977
|Wendorff Erwin R
|Metallic surgical suture
|8 Oct 1976
|5 Dec 1978
|Wendorff Erwin R
|7 Nov 1977
|30 Oct 1979
|Pereyra Armand J
|Surgical ligature carrier
|3 Jan 1978
|27 May 1980
|Kapitanov Nikolai N
|Surgical instrument for stitching up soft tissues with lengths of spiked suture material
|4 May 1979
|25 Nov 1980
|Olympus Optical Co., Ltd.
|Apparatus for suturing coeliac tissues
|26 Dec 1978
|27 Jan 1981
|Queen's University At Kingston
|Artificial ligament
|30 Apr 1979
|5 May 1981
|Scheller Jr Arnold D
|Curved drill attachment for bone drilling uses
|21 Oct 1982
|10 Apr 1984
|Paudler Franklin T
|Universal suture passer
|24 Feb 1983
|9 Apr 1985
|Stryker Corporation
|Ligament tunneling instrument
|29 Aug 1985
|30 Dec 1986
|Marlowe E. Goble
|Suture anchor assembly
|16 Oct 1986
|4 Oct 1988
|Seedhom Bahaa B
|Surgical replacement of ligaments
|7 May 1987
|15 Aug 1989
|National Research Development Corporation
|Urinary incontinence prostheses
|3 Oct 1988
|12 Sep 1989
|Keeffe Paul J O
|Fabric and method of use for treatment of scars
|13 Oct 1987
|1 May 1990
|Zedlani Pty. Limited
|Urinary incontinence device
|28 Sep 1990
|1 Oct 1991
|Vance Products Incorporated
|Suture guide and method of placing sutures through a severed duct
|29 Oct 1990
|4 Feb 1992
|Gerald Moss
|Surgical fastener implantation device
|4 Oct 1989
|12 May 1992
|Petros Peter E
|Surgical instrument and method of utilization of such
|10 Oct 1991
|23 Jun 1992
|Schwarz Gerald R
|Laparoscopically implanting bladder control apparatus
|7 May 1992
|23 Feb 1993
|Ethicon, Inc.
|Purse string suture instrument
|18 Jun 1992
|4 May 1993
|Surgical Invent Ab
|Method for performing a surgical occlusion, and kit and applicator for carrying out the method
|5 Nov 1990
|11 May 1993
|Bahaa Botros Seedhom
|Ligament fixation staple
|28 Oct 1992
|5 Oct 1993
|Interventional Thermodynamics, Inc.
|Peel-away introducer sheath having proximal fitting
|31 Jan 1991
|26 Oct 1993
|Spitz Robert M
|Device for correcting stress urinary incontinence
|25 Sep 1992
|25 Jan 1994
|Gimpelson Richard J
|Surgical stitching device and method of use
|19 Nov 1992
|12 Jul 1994
|Lou Ek Seng
|Method and apparatus for treating female urinary incontinence
|15 Jan 1993
|9 Aug 1994
|Gimpelson Richard J
|Surgical needle
|30 Sep 1992
|16 Aug 1994
|Reddy Pratap K
|Method of using a laparoscopic retractor
|25 Sep 1992
|8 Nov 1994
|Seitzinger Michael R
|Sling for positioning internal organ during laparoscopic surgery and method of use
|6 Sep 1990
|29 Nov 1994
|United States Surgical Corporation
|Implant assist apparatus
|13 Oct 1992
|24 Jan 1995
|United States Surgical Corporation
|Stiffened surgical device
|9 Jul 1993
|7 Feb 1995
|Zedlani Pty Limited
|Urinary incontinence device
|3 Feb 1993
|4 Apr 1995
|United States Surgical Corporation
|Surgical apparatus and method for suturing body tissue
|15 Jul 1994
|9 May 1995
|C. R. Bard, Inc.
|Vascular graft
|17 Jun 1993
|8 Aug 1995
|Vesica Medical, Inc.
|Suture passer
|10 Nov 1993
|28 May 1996
|Technion Research & Development Foundation, Ltd.
|Stapler device particularly useful in medical suturing
|7 Jun 1993
|28 May 1996
|Essig; Mitchell N.
|Laparoscopic deschamp and associated suturing technique
|16 May 1994
|13 Aug 1996
|Benderev; Theodore V.
|Method of advancing a suture through tissue
|16 Sep 1994
|8 Oct 1996
|General Surgical Innovations, Inc.
|Surgical instrument for placing suture or fasteners
|8 Feb 1995
|8 Oct 1996
|United States Surgical Corporation
|Apparatus and method for applying and adjusting an anchoring device
|19 May 1995
|5 Nov 1996
|Jenkins, Jr.; Joseph R.
|Bidirectional suture anchor
|14 Jun 1995
|7 Jan 1997
|Incont, Inc.
|Apparatus and method for laparoscopic urethropexy
|5 Apr 1993
|18 Mar 1997
|Boston Scientic Corporation
|Bladder neck suspension procedure
|29 Jul 1996
|13 May 1997
|Smith & Nephew Richards Inc.
|Knotted cable attachment apparatus formed of braided polymeric fibers
|11 Aug 1994
|27 May 1997
|Applied Elastomerics, Inc.
|Gelatinous elastomer articles
|22 Aug 1995
|2 Sep 1997
|Ortho Helix Limited
|Open helical organic tissue anchor and method of facilitating healing
|28 Jul 1995
|23 Sep 1997
|Ethicon, Inc.
|One-way suture retaining device for braided sutures
|12 Dec 1995
|4 Nov 1997
|Valleylab Inc
|Laparoscopic dissection tension retractor device and method
|26 Mar 1996
|15 Sep 1998
|Technion Research And Development Foundation, Ltd.
|Medical anchor device with suture thread and method for implantation into bone
|20 Dec 1996
|22 Sep 1998
|Origin Medsystems, Inc.
|Surgical helical fastener with applicator and method of use
|6 Jun 1996
|17 Nov 1998
|Boston Scientific Technology, Inc.
|Surgical treatment of stress urinary incontinence
|27 Aug 1996
|17 Nov 1998
|Boston Scientific Technology, Inc.
|Method of tensioning a suspended tissue mass
|27 Aug 1996
|1 Dec 1998
|Boston Scientific Technology, Inc.
|Method of securing a bone anchor
|26 Jan 1996
|19 Jan 1999
|Boston Scientific Technology, Inc.
|Bladder neck suspension procedure
|29 Sep 1997
|23 Mar 1999
|Sdgi Holdings, Inc.
|Minimally invasive spinal surgical methods and instruments
|25 Feb 1997
|4 May 1999
|Medscand Medical Ab
|Surgical instrument for treating female urinary incontinence
|4 Nov 1997
|18 May 1999
|Ethicon, Inc.
|Spiral surgical tack
|23 May 1995
|6 Jul 1999
|Prosthetic fabric
|15 Apr 1997
|10 Aug 1999
|Uroplasty, Inc.
|Pubovaginal sling device
|1 Aug 1997
|10 Aug 1999
|Endovascular Technologies, Inc.
|Dual valve, flexible expandable sheath and method
|24 Sep 1997
|10 Aug 1999
|Ethicon, Inc.
|Spiral needle for endoscopic surgery
|27 Aug 1997
|31 Aug 1999
|Medical Components, Inc.
|Subcutaneous tunnelling device and methods of forming a subcutaneous tunnel
|18 Oct 1996
|26 Oct 1999
|Influence Medical Technologies, Ltd.
|Non-linear anchor inserter device and bone anchors
|26 Jun 1997
|23 Nov 1999
|Influence Medical Technologies, Ltd.
|Methods and devices for the treatment of airway obstruction, sleep apnea and snoring
|20 Nov 1997
|30 Nov 1999
|Puig; Ramon Brucart
|14 Mar 1997
|7 Dec 1999
|Medworks Corporation
|Surgical template and surgical method employing same
|31 Jul 1998
|4 Jan 2000
|Kardjian; Paul M.
|Bladder sling
|15 Sep 1998
|29 Feb 2000
|Corlew; Earvin L.
|Needle and procedure for relieving urinary incontinence
|2 Apr 1993
|29 Feb 2000
|W. L. Gore & Associates, Inc.
|Implantable bioabsorbable article
|13 Feb 1998
|28 Mar 2000
|Scimed Life Systems, Inc.
|Stabilization sling for use in minimally invasive pelvic surgery
|13 Aug 1998
|28 Mar 2000
|Contimed, Inc.
|Bladder sling
|10 Apr 1998
|11 Apr 2000
|Scimed Life Systems, Inc.
|Transvaginal suturing system
|21 Sep 1998
|18 Apr 2000
|Benderev; Theodore V.
|Surgical tension/pressure monitor
|8 Nov 1996
|25 Apr 2000
|Boston Scientific Corporation
|Transvaginal anchor implantation device
|17 Feb 1998
|30 May 2000
|Bruckner; Norman I.
|Pubo-urethral support harness apparatus for percutaneous treatment of female stress urinary incontinence
|24 Sep 1996
|6 Jun 2000
|Compton; Jeffrey Spencer
|Surgical clip set
|2 Feb 1999
|8 Aug 2000
|T.A.G. Medical Products
|Set of surgical tools and surgical method for connecting soft bone parts to one another or to connective tissue
|16 Apr 1998
|22 Aug 2000
|Axya Medical, Inc.
|Suture tensioning and fixation device
|23 Mar 1999
|29 Aug 2000
|Conticare Medical, Inc.
|Bladder sling
|11 Aug 1998
|12 Sep 2000
|Gil-Vernet; Josema
|Device for the height-adjustable fixing and support of internal anatomical organs
|8 Sep 1999
|2 Jan 2001
|Syed Rizvi
|Suturing needle assemblies and methods of use thereof
|7 Sep 1999
|24 Apr 2001
|Norman I. Bruckner
|Pubo-urethral support harness apparatus for percutaneous treatment of female stress urinary incontinence with urethal hypemobility
|9 Mar 2000
|14 Aug 2001
|Ethicon, Inc.
|Surgical instrument and method for treating female urinary incontinence
|24 Feb 2000
|16 Oct 2001
|Theodore V. Benderev
|Surgical monitor
|7 Dec 1999
|23 Oct 2001
|Arnaldo F. Trabucco
|Mesh pubovaginal sling
|30 Dec 1999
|11 Dec 2001
|American Medical Systems, Inc.
|Bone suturing device
|7 Apr 1999
|1 Jan 2002
|American Medical Systems, Inc.
|Medical sling procedures and anchor insertion methods and devices
|18 Jul 1997
|5 Mar 2002
|Gore Enterprise Holdings, Inc.
|Stent-graft deployment apparatus and method
|17 Feb 1999
|9 Apr 2002
|Ramon Brucart Puig
|Multipurpose screw
|22 Apr 1999
|7 May 2002
|American Medical Systems, Inc.
|Methods and apparatus for correction of urinary and gynecological pathologies including treatment of male incontinence and female cystocele
|5 Sep 1991
|31 Aug 1993
|Origin Medsystems, Inc.
|Handle for a pneumoneedle
|14 Apr 1992
|13 Sep 1994
|Dlp, Inc.
|Introducer handle for medical cannula
|29 Feb 1996
|11 Mar 1997
|Becton Dickinson And Company
|Needle inserter
|27 Apr 1995
|27 May 1997
|Xomed Surgical Products, Inc.
|Medical instrument handle
|"Advantage A/T-Surgical Mesh Sling Kit", Boston ScientificCorp., Marketing Material (2002) 1 page.
|"Durasphere-Injectable Bulking Agent", Boston ScientificCorp., Marketing Material (2002) 1 page.
|"Precision SpeedTac-Transvaginal Anchor System", Boston ScientificCorp., Marketing Material (2002) 1 page.
|"Safyre and Transobturator", DVD, American Medical Systems, Inc., Created Aug. 6, 2001, Modified Sep. 11, 2002.
|"Swiss LithoClast Ultra-Combination Ulrasonic and Pneumatic Urological Lithotriptor", Boston ScientificCorp., Marketing Material (2002) 1 page.
|"T-Sling (Totally Tension-free) Urinary Incontinence Procedure" Herniamesh USA Inc., Marketing Material (Jan. 2000), 2 pages.
|A. Ingelman-Sundberg, et al., "Surgical Treatment of Female Urinary Stress Incontinence" Contr. Gynec. Obstet. vol. 10, pp. 51-69 (Karger. Basel 1983).
|AMS Monarc subfascial hammock Instructions for Use, Nov. 2003, English version, 9 pages.
|Andrew Korda, et al., "Experience with Silastic Slings for Female Urinary Incontinence" Aust NZ J Obstet Gynaecol,1989, vol. 29, pp. 150-154.
|Arieh Bergman, M.D. et al., "Three surgical procedures for genuine stress incontinence: Five-year follow-up of a prospective randomized study", Am. J. Obstet Gynecol, vol. 173 No. 1, pp. 66-71, Jul. 1995.
|Armand J. Pereyra, M.D., F.A.C.S., "A Simplified Surgical Procedure for the Correction of Stress Incontinence in Women" West J. Surg. Obst. & Gynec. pp. 223-226, Jul.-Aug. 1959.
|Bjarne C. Eriksen, et al., "Long-Term Effectiveness of the Burch Colposuspension in Female Urinary Stress Incontinence" Acta Obstet Gynecol Scand 1990; 69 pp. 45-50.
|Boston Scientific Microvasive, "Polaris-Dual Durometer Percuflex Ureteral Stent with HydroPlus Coating", Boston ScientificCorp., Marketing Material (2001) 1 page.
|Boston Scientific Microvasive, "Precision Tact Transvaginal Anchor System-The Precise Approach to Transvaginal Sling Procedures" Boston Scientific Corp., Marketing Material (1998), 4 pages.
|Boston Scientific Microvasive, "Precision Twist Transvaginal Anchor System-Low Profile Design for Precise Anchor Placement" Boston Scientific Corp., Marketing Material (2000), 2 pages.
|Boston Scientific Microvasive, "Stone Cone-Nitinol Urological Retrieval Coil", Boston ScientificCorp., Marketing Material (2002) 1 page.
|Boston Scientific Microvasive, "Vesica Sling Kits with Press-In Percutaneous Anchor System-Simplifying Sling Procedures" Boston Scientific Corp., Marketing Material (1998), 4 pages.
|C. Falconer, et al., "Influence of Different Sling Materials on Connective Tissue Metabolism in Stress Urinary Incontinent Women" International Urogynecology Journal, (2001) (Supp. 2) pp. S19-S23.
|C. Paul Hodgkinson, M.D., et al., "Urinary Stress Incontinence in the Female-III. Round-ligament technic for retropubic suspension of the urethra" Obstetrics and Gynecology, vol. 10, No. 5, Nov. 1957, pp. 493-499.
|Charles F. McKlel, Jr. et al., "Marshall-Marchetti Procedure: Modification" 1st Journal in Urology, vol. 96, pp. 737-739, Nov. 1966, The Williams & Wilkins Co.
|Chester C. Winter, M.D., "Peripubic Urethropexy for Urinary Stress Incontinence in Women" Urology vol. XX, No. 4, Oct. 1982.
|David A. Richardson, M.D., et al., "Delayed Reaction to the Dacron Buttress Used in Urethropexy" The Journal of Reproductive Medicine, vol. 29 No. 9, Sep. 1984, pp. 689-692.
|David H. Nichols, MD, FACOG, "The Mersilene Mesh Gauze-Hammock For Severe Urinary Stress Incontinence" Obstetrics and Gynecology, vol. 41, No. 1, pp. 88-93, Jan. 1973.
|Edward J. McGuire, et al., "Experience With Pubovaginal Slings for Urinary Incontinence at the University of Michigan" The Journal of Urology, vol. 138, pp. 525-526, Sep. 1987.
|Edward J. McGuire, et al., "Pubovaginal Sling Procedure for Stress Incontinence" The Journal of Urology, vol. 119, pp. 82-84, Jan. 1978, The Williams & Wilkins Co.
|Edward J. McGuire, M.D., "Abdominal Procedures for Stress Incontinence" Symposium on Female Urology, Urologic Clinics of North America-vol. 12, No. 2, pp. 285-290, May 1985.
|Fred E. Bryans, M.D., F.R.C.S.(C.), "Marlex gauze hammock sling operation with Cooper's ligament attachment in the management of recurrent urinary stress incontinence" Am. J. Obstet. Gynecol., vol. 133, No. 3, pp. 292-294, Feb. 1, 1979.
|G. A. J. McIndoe et al., National Women's Hospital, Auckland, "The Aldridge Sling Procedure in the Treatment of Urinary Stress Incontinence" Aust NZ J Obstet Gynaecol, 1987; 27: 238.
|G. Narik, M.D., "A simplified sling operation suitable for routine use" The Am J. Obst. & Gynec., vol. 84, No. 3, pp. 400-405, Aug. 1, 1962.
|George D. Webster, et al., "Voiding Dysfunction Following Cystourethropexy: Its Evaluation and Management" The Journal of Urology, vol. 144, Sep. 1990,pp. 670-673, American Urological Association, Inc.
|Gynecare TVT, "Tension-Free Support for Incontinence" Marketing Material, Gynecare Worldwide (Feb. 2002), 6 pages.
|H. Enzelsberger et al., "Urodynamic and Radiologic Parameters Before and After Loop Surgery for Recurrent Urinary Stress Incontinence" Acta Obstet Gynecol Scand 1990; 69 pp. 51-54.
|Henry Roberts, M.D., M.R.C.O.G., "Cystourethrography in Women" Ethel Bovce University Fellowship vol. 25 No. 293, pp. 253-259, May 1952, University of Liverpool.
|Irvin L. Lichtenstein, M.D., et al., "The Tension-Free Hernioplasty" The American Journal of Surgery, vol. 157, Feb. 1989, pp. 188-193.
|J. Chassar Moir, "The Gauze-Hammock Operation (A Modified Aldridge Sling Prcedure)" The Journal of Obstetrics and Gynaecology of the British Commonwealth, vol. 75 No. 1, pp. 1-9, Jan. 1968.
|J. E. Morgan, M.D., "A sling operation, using Marlex polypropylene mesh, for treatment of recurrent stress incontinence" Amer. J. Obstet. Gynec. vol. 106, No. 3, Feb. 15, 1970, pp. 369-377.
|J. Kersey, "The gauze hammock sling operation in the treatment of stress incontinence" British Journal of Obstetrics and Gynaecology, vol. 90 pp. 945-949, Oct. 1983.
|Jeffrey P. Norris, M.D., et al., "Use of Synthetic Material in Sling Surgery: A Minimally Invasive Approach" Journal of Endourology, vol. 10 No. 3, pp. 227-230, Jun. 1998, Mary Ann Liebert, Inc.
|Jeffrey R. Woodside, et al., "Suprapubic Endoscopic Vesical Neck Suspension for the Management of Urinary Incontinence in Myelodysplastic Girls" The Journal of Urology, vol. 135, pp. 97-99, Jan. 1986.
|Jerry G. Blaivas, et al., "Pubovaginal Fascial Sling for the Treatment of Complicated Stress Urinary Incontinence" The Journal of Urology, vol. 145, Jun. 1991, pp. 1214-1218, American Urological Association, Inc.
|John C. Burch, M.D., "Urethrovaginal fixation to Cooper's ligament for correction of stress incontinence, cystocele, and prolapse" Am. J. Obstet. & Gynecol., vol. 81 No. 2, pp. 281-290, Feb. 1961.
|John O. L. DeLancey, M.D., "Structural support of the urethra as it relates to stress urinary incontinence: The hammock hypothesis" Am. J Obstet Gynecol, pp. 1713-1723, Jun. 1994.
|Jong M. Choe, et al., "Gore-Tex Patch Sling: 7 Years Later" Urology, 54 (4) pp. 641-646, Apr. 1999, Elsevier Science Inc.
|Julie R. Spencer, et al., "A Comparison of Endoscopic Suspension of the Vesical Neck With Suprapubic Vesicourethropexy for Treatment of Stress Urinary Incontinence" The Journal of Urology, vol. 137, pp. 411-415, Mar. 1987.
|Kevin R. Loughlin, et al., "Review of an 8-Year Experience With Modifications of Endoscopic Suspension of the Bladder Neck for Female Stress Urinary Incontinence" The Journal of Urology, vol. 143, pp. 44-45, Jan. 1990 The American Urological Association, Inc.
|L. Henriksson, M.D. et al., "A urodynamic evaluation of the effects of abdominal urethrocystopexy and vaginal sling urethroplasty in women with stress incontinence" Am. J. Obstet. Gynecol, May 1, 1978, pp. 77-82.
|M. Asmussen, et al., "Simultaneous Urethro-Cystometry With a New Technique" Scand J Urol Nephrol 10, pp. 7-11, 1976.
|Mickey M. Karram, M.D. et al., "Patch Procedure: Modified Transvaginal Fascia Lata Sling for Recurrent or Severe Stress Urinary Incontinence" Obstetrics & Gynecology, vol. 75, No. 3, Part 1, Mar. 1990, pp. 461-646.
|Nicollette S. Horbach, "Suburethral Sling Procedures" Urolgynecology and Urodynamics Theory and Practice, Fourth Edition, Chapter 42, pp. 569-579, 1996, Williams & Wilkins.
|P. E. Papa Petros "Development of Generic Models for Ambulatory Vaginal Surgery-Preliminary Report" International Urogynecology Journal, 9 pages (1998).
|Pat D. O'Donnell, M.D., "Combined Raz Urethral Suspension and McGuire Pubovaginal Sling For Treatment of Complicated Stress Urinary Incontinence" Journal of The Arkansas Medical Society, vol. 88, No. 8, pp. 389-392, Jan. 1992.
|Pelosi II, et al., "New transobturator sling reduces risk of injury", Jul. 2003, 10 pages.
|Peter E. Papa Petros et al., "An analysis of rapid pad testing and the history for the diagnosis of stress Incontinence" Acta Obstet Gynecol Scand 71, pp. 529-536 (1992).
|Peter E. Papa Petros et al., "An Integral theory of female urinary incontinence-Experimental and clinical considerations" Acta Obstet Gynecol Scand, vol. 69, Suppl. 153, pp. 7-31 (1990), The Scandinavian Association of Obstetricians and Gynecologists.
|Peter E. Papa Petros et al., "Bladder Instability in Women: A Premature Activation of the Micturition Reflex" Neurology and Urodynamics, vol. 12, pp. 235-238 (1993).
|Peter E. Papa Petros et al., "Cough Transmission Ratio: An Indicator of Suburethral Vaginal Wall Tension Rather Than Urethral Closure?" Acta Obstet Gynecol Scand, vol. 69 Suppl. 153. pp. 37-39 (1990).
|Peter E. Papa Petros et al., "Cure of Stress Incontinence by Repair of External Anal Spincter: Two Case Reports" Acta Obstet Gynecol Scand, vol. 69 Suppl. 153, p. 75 (1990).
|Peter E. Papa Petros et al., "Cure of Urge Incontinence by the Combined Intravaginal Sling and Tuck Operation" Acta Obstet Gynecol Scand, vol. 69 Suppl. 153, pp. 61-62 (1990).
|Peter E. Papa Petros et al., "Further Development of the Intravaginal Slingplasty Procedure-IVS III-(with midline "tuck")" Scand J Urol Nephrol, Suppl. 153, pp. 69-71 (1993).
|Peter E. Papa Petros et al., "Non Stress Non Urge Female Urinary Incontinence-Diagnosis and Cure: A Preliminary Report" Acta Obstet Gynecol Scand, vol. 69 Suppl. 153. pp. 69-70 (1990).
|Peter E. Papa Petros et al., "Part II: The Biomechanics of Vaginal Tissue and Supporting Ligaments With Special Relevance to the Pathogenesis of Female Urinary Incontinence" Scand J Urol Nephrol, pp. 29-40, Suppl. No. 153, 1990.
|Peter E. Papa Petros et al., "Part III: Surgical Principles Deriving From the Theory" Scand J Urol Nephrol, pp. 41-52, Suppl. No. 153, 1993.
|Peter E. Papa Petros et al., "Part IV: Surgical Applications of the Theory-Development of the Intravaginal Sling Plasty (IVS) Procedure" Scand J Urol Nephrol, pp. 53-54, Suppl. No. 153, 1993.
|Peter E. Papa Petros et al., "Pinch Test for Diagnosis of Stress Urinary Incontinence" Acta Obstet Gynecol Scand. pp. 33-35, 69 Suppl. 153, 1990.
|Peter E. Papa Petros et al., "Pregnancy Effects on the Intravaginal Sling Operation" Acta Obstet Gynecol Scand. pp. 73-78, 69 Suppl. 153, 1990.
|Peter E. Papa Petros et al., "The Free Graft Procedure for Cure of the Tethered Vagina Syndrome" Scand J Urol Nephrol, pp. 85-87, Suppl. No. 153, 1993.
|Peter E. Papa Petros et al., "The Further Development of the Intravaginal Slingplasty Procedure: IVS IV-(with "double-breasted" unattached vaginal flap repair and "free" vaginal tapes)" Scand J Urol Nephrol, pp. 73-79, Suppl. No. 153, 1993.
|Peter E. Papa Petros et al., "The Intravaginal Slingplasty Procedure: IVS VI-further development of the 'double-breasted' vaginal flap repair-attached flap" Scand J Urol Nephrol, pp. 81-84, Suppl. No. 153, 1993.
|Peter E. Papa Petros et al., "The Posterior Fomix Syndrome: A Multiple Symptom Complex of Pelvic Pain and Abnormal Urinary Symtoms Deriving From Laxity in the Posterior Fomix of Vagina" Scand J Urol Nephrol, pp. 89-93, Suppl. No. 153, 1993.
|Peter E. Papa Petros et al., "The Role of a Lax Posterior Vaginal Fomix in the Causation of Stress and Urgency Symptoms: A Preliminary Report" Acta Obstet Gynecol Scand., 69 Suppl. 153, pp. 71-73, 1990.
|Peter E. Papa Petros et al., "The Tethered Vagina Syndrome, Post Surgical Incontinence and I-Plasty Operation for Cure" Acta Obstet Gynecol Scand. pp. 63-67, 69 Suppl. 153, 1990.
|Peter E. Papa Petros et al., "The Tuck Procedure: A Simplified Vaginal Repair for Treatment of Female Urinary Incontinence" Acta Obstet Gynecol Scand, 1990, pp. 41-42, 69 Suppl. 153.
|Peter E. Papa Petros, "Medium-term Follow-up of the Intravaginal Slingplasty Operation Indicates Minimal Deterioration of Urinary Continence With Time" International Urogynecology Journal and Pelvic Floor Dysfunction, Reprinted from vol. 7, No. 3, pp. 133-137, (1996).
|Peter Papa Petros et al., "Anchoring the midurethra restores bladder-neck anatomy and continence" The Lancet, vol. 354, pp. 997-998, Sep. 18, 1999.
|Peter Papa Petros et al., "The Autogenic Ligament Procedure: A Technique for Planned Formation of an Artificial Neo-Ligament" Acta Obstet Gynecol Scand, vol. 69 Suppl 153, pp. 43-51 (1990).
|Peter Papa Petros et al., "The Combined Intravaginal Sling and Tuck Operation. An Ambulatory Procedure for Cure of Stress and Urge Incontinence" Acta Obstet Gynecol Scand, vol. 69 Suppl 153, pp. 53-59 (1990).
|Peter Papa Petros et al., "Urethral Pressure Increase on Effort Originates From Within the Urethra, and Continence From Musculovaginal Closure" Neurourology and Urodynamics, vol. 14, pp. 337-350 (1995).
|Porges U.K. Ltd., "Uratape Perineal Hammock Urethral Support Tape-New Generation of Tape Perineal Implantation" Mentor, Marketing Material (Jan. 2002), 6 pages.
|R. O. Parra, et al., "Experience with a Simplified Technique for the Treatment of Female Stress Urinary Incontinence" British Journal of Urology, vol. 66, pp. 615-617 (1990).
|Rafael F. Nickel et al., "Evaluation of a Transpelvic Sling Procedure With and Without Colposuspension for Treatment of Female Dogs With Refractory Urethral Sphincter Mechanism Incompetence" Veterinary Surgery, vol. 27, pp. 94-104, (1998), The American College of Veterinary Surgeons.
|Robert F. Zacharin, "The suspensory mechanism of the female urethra" Journal of Anatomy, vol. 97, Part 3, pp. 423-427, (1963).
|Robert F. Zacharin, FRCS, FRCOG, et al, "Pulsion Enterocele: Long-Term Results of an Abdominoperineal Technique" Obstetrics & Gynecology, pp. 141-148, vol. 55, No. 2, Feb. 1980, The American College of Obstetricians & Gynecologists.
|Ross M. Decter, "Use of the Fascial Sling for Neurogenic Incontinence: Lessons Learned" The Journal of Urology, vol. 150, pp. 683-686, Aug. 1993, American Urological Association, Inc.
|Sabre, "Generation Now" Mentor, Marketing Material (May 2002), 4 pages.
|Safyre, "The Essence of a Contemporary Synthetic Sling-Self-Anchoring Complete Adjustability Elastic" Promedon, Marketing Material (Jan. 2002), 4 pages.
|Sender Hershorn, M.D. et al., "Gynecare TVT With Abdominal Guides Early Clinical Experience" Gynecare TVT, Marketing Material, Gynecare Worldwide (May 2002), 12 pages.
|Shlomo Raz, M.D., "Modified Bladder Neck Suspension for Female Stress Incontinence" Urology, vol. XVII, No. 1, pp. 82-85, Jan. 1981, University of California Health Sciences Center, Los Angeles, CA.
|Stuart L. Stanton, FRCS, FRCOG, "Suprapubic Approaches for Stress Incontinence in Women" JAGS, vol. 38, No. 3, pp. 348-351 (1990), The American Geriatrics Society.
|Tohru Araki, et al, "The Loop-Loosening Procedure for Urination Difficulties After Stamey Suspension of the Vesical Neck" The Journal of Urology, vol. 144, pp. 319-323, Aug. 1990, American Urological Association, Inc.
|U. Ulmsten, "Female Urinary Incontinence-A Symptom, Not a Urodynamic Disease. Some Theoretical and Practical Aspects on the Diagnosis and Treatment of Female Urinary Incontinence" The International Urogynecology Journal, vol. 6, pp. 2-3 (1995).
|U.S. Appl. No. 09/661/620, filed Sep. 27, 2002, Suslaine et al.
|U.S. Appl. No. 60/356,697, filed Feb. 14, 2002, Kammerer.
|Ulf Ulmsten et al., "Different Biochemical Composition of Connective Tissue In Continent and Stress Incontinent Women" Acta Obstet Gynecol Scand, vol. 66 pp. 455-457 (1987).
|Ulf Ulmsten et al., "The unstable female urethra" Am. J. Obstet. Gynecol., vol. 144 No. 1, pp. 93-97, May 3, 1982.
|Valenzio C. Mascio, M.D., "Therapy of Urinary Stress Incontinence in Women Using Mitek GII Anchors" Mitek Surgical Products, Inc., 5 pages (1993).
|Victoria L. Handa, M.D. et al., "Banked Human Fascia Lata for the Suburethral Sling Procedure: A Preliminary Report" Obstetrics and Gynecology, vol. 88, No. 6, May 20, 1996, pp. 1045-1049.
|W. R. Sloan et al., "Stress Incontinence of Urine: A Retrospective Study of the Complications and Late Results of Simple Suprapubic Suburethral Fascial Slings", The Journal of Urology, vol. 110, pp. 533-536, Nov. 1973.
|W. R. Sloan, et al., "Stress Incontinence of Urine: A Retrospective Study of the Complications and Late Results of Simple Suprapubic Suburethral Fascial Slings" The Journal of Urology, vol. 110, pp. 533-536, Nov. 1973.
|Citing Patent
|Filing date
|Publication date
|25 Sep 2006
|5 Jul 2011
|Ams Research Corporation
|Sling assembly with secure and convenient attachment
|3 Aug 2006
|28 Feb 2012
|C.R. Bard, Inc.
|Pelvic implant systems and methods
|12 Nov 2008
|26 Jun 2012
|C. R. Bard, Inc.
|Adjustable tissue support member
|26 Oct 2007
|5 Mar 2013
|Ams Research Corporation
|Surgical articles and methods for treating pelvic conditions
|26 Oct 2009
|7 May 2013
|Scalpal Llc
|Handle for writing instruments
|9 Apr 2010
|28 May 2013
|Davinci Biomedical Research Products Inc.
|Stoma stabilitating device and method
|22 Jun 2007
|11 Jun 2013
|Ams Research Corporation
|Adjustable tension incontinence sling assemblies
|25 Jan 2011
|18 Jun 2013
|Isuturing, Llc
|Devices and methods for continuous surgical suturing
|12 Sep 2007
|9 Jul 2013
|C. R. Bard, Inc.
|Urethral support system
|25 Jul 2006
|17 Sep 2013
|Ams Research Corporation
|Methods and systems for treatment of prolapse
|15 Jun 2012
|5 Nov 2013
|C. R. Bard, Inc.
|Adjustable tissue support member
|19 Sep 2008
|29 Apr 2014
|Ams Research Corporation
|Pelvic floor treatments and related tools and implants
|31 Jul 2009
|20 May 2014
|Ams Research Corporation
|Methods and implants for treating urinary incontinence
|18 Nov 2009
|10 Jun 2014
|Scalpal Llc
|Gripping sleeve device for precision instruments
|4 Feb 2013
|15 Jul 2014
|Ams Research Corporation
|Surgical articles and methods for treating pelvic
|25 May 2011
|22 Jul 2014
|Ams Research Corporation
|Sling assembly with secure and convenient attachment
|28 Mar 2012
|19 Aug 2014
|Ams Research Corporation
|Implants, tools, and methods for treatment of pelvic conditions
|15 Jun 2007
|16 Sep 2014
|Ams Research Corporation
|Surgical implants, tools, and methods for treating pelvic conditions
|6 Jan 2012
|30 Sep 2014
|C. R. Bard, Inc.
|Sling anchor system
|21 Nov 2008
|7 Oct 2014
|Scalpal Llc
|Ergonomic handle
|20 Jun 2006
|21 Oct 2014
|Ams Research Corporation
|Methods and apparatus for securing a urethral sling to a pubic bone
|27 Oct 2009
|3 Feb 2015
|Ams Research Corporation
|Surgical needle and anchor system with retractable features
|18 May 2009
|10 Feb 2015
|Ams Research Corporation
|Surgical articles and methods for treating pelvic conditions
|22 Dec 2011
|28 Apr 2015
|Ams Research Corporation
|Minimally invasive implant and method
|27 Mar 2014
|5 May 2015
|Ams Research Corporation
|Methods and implants for treating urinary incontinence
|13 Sep 2013
|23 Jun 2015
|Ams Research Corporation
|Methods and systems for treatment of prolapse
|21 May 2007
|21 Jul 2015
|Ams Research Corporation
|Method and articles for treatment of stress urinary incontinence
|28 Mar 2012
|28 Jul 2015
|Ams Research Corporation
|Implants, tools, and methods for treatment of pelvic conditions
|4 Oct 2010
|27 Oct 2015
|Dionysios Veronikis
|Surgical systems and methods for transvaginal apical suspension
|18 Aug 2014
|10 Nov 2015
|Ams Research Corporation
|Implants, tools, and methods for treatment of pelvic conditions
|15 May 2008
|20 Nov 2008
|Generic Medical Devices
|Needle instruments and implantable sling assembly; kits comprising these components; and methods for use
|U.S. Classification
|International Classification
|Cooperative Classification
|European Classification
|18 Dec 2003
Owner name: AMS RESEARCH CORPORATION, MINNESOTA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:WATSCHKE, BRIAN P.;REEL/FRAME:014825/0684
Effective date: 20031218
|22 Jul 2011
Owner name: MORGAN STANLEY SENIOR FUNDING, INC., AS ADMINISTRA
Free format text: SECURITY AGREEMENT;ASSIGNOR:AMS RESEARCH CORPORATION;REEL/FRAME:026632/0535
Effective date: 20110617
|23 Sep 2011
|Fee payment
Year of fee payment: 4
|3 Mar 2014
Owner name: AMS RESEARCH CORPORATION, MINNESOTA
Free format text: RELEASE OF PATENT SECURITY INTEREST;ASSIGNOR:MORGAN STANLEY SENIOR FUNDING, INC., AS ADMINISTRATIVEAGENT;REEL/FRAME:032380/0053
Effective date: 20140228
|20 Mar 2014
Owner name: DEUTSCHE BANK AG NEW YORK BRANCH, AS COLLATERAL AG
Free format text: GRANT OF SECURITY INTEREST IN PATENTS;ASSIGNORS:ENDO PHARMACEUTICALS SOLUTIONS, INC.;ENDO PHARMACEUTICALS, INC.;AMS RESEARCH CORPORATION;AND OTHERS;REEL/FRAME:032491/0440
Effective date: 20140228
|6 Aug 2015
Owner name: LASERSCOPE, CALIFORNIA
Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:DEUTSCHE BANK AG NEW YORK BRANCH;REEL/FRAME:036285/0146
Effective date: 20150803
Owner name: AMS RESEARCH, LLC, MINNESOTA
Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:DEUTSCHE BANK AG NEW YORK BRANCH;REEL/FRAME:036285/0146
Effective date: 20150803
Owner name: AMERICAN MEDICAL SYSTEMS, LLC, MINNESOTA
Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:DEUTSCHE BANK AG NEW YORK BRANCH;REEL/FRAME:036285/0146
Effective date: 20150803
|24 Sep 2015
|Fee payment
Year of fee payment: 8


text:
213 So Fly LyricsArtist: 213
Publishers: ©EMI Music Publishing, Sony/ATV Music Publishing LLC, Universal Music Publishing Group, MASS CONFUSION
Popularity : 11 users have visited this page.
Length: 4:07
sponsored links
[Snoop Dogg]
"Welcome to tha Church: Volume II"
Exclusive 213
(Uh hah hah, uh hah hah)
Got my nephew Nate Dogg in da house
Nate Dogg holla at 'em
Where you at?
[Chorus (Nate Dogg):]
Ridin in my car
And I'm listening to the radio
I'm listening to a sad girl sing
Sing about how she got her heart broke
You were reaching for stars
I just want me something natural
When you're alone it gets mighty cold
Don't act as if you did not know
She let me play with her heart
I'm working late I said I'll soon be home
All the while the girl was home alone
Let me tell you what she crying for (Why?)
'Cause I'm fly
[Snoop Dogg]
Yeah he super sly
[Nate Dogg]
Ohh ohh ohh I'm fly, yaaaa
[Snoop Dogg]
You know he super sly
But me I'm supa dupa and I'm supa dupa fly
I'd be the great at this I know you waited this
And I wanted this to be elaborate and so strenuous
And then you just slide by and wiz-ave
You on another piz-age
Is that the way you gon be-hiz-ave?
I know you're feeling all hurt inside
But won't you talk to a playa?
Let me help out your pride
I'm like a counselor, a pastor, a priest or a psychologist
A shrink...on a freak
Peep (my) my technique
And I wear minks, gator boots
And I'm the rip that gets the loot
And I ain't afraid to shoot
And I love to toot toot
Beep beep as I slide up the street
I'm from the LBC and I don't know what y'all done heard about me
But I'm a C-R-I-P with some P-I-M-P too
I'm a real pimp playa from the 213 crew
Now look here boo
If you gonna bang or hang with tha dogg
You best to get in
Holla at her Nate Dogg (Holla, holla)
[Snoop Dogg]
Yeah he super sly
NATE DOGG! (Yeah)
[Nate Dogg]
Ohh ohh ohh I'm fly, yaaaa
[Warren G]
Warren G...
Three piece with a mink
Gotta think my **** stinks
Stacy Adams with a drink
Pockets pad up, they come from Brinks
So what the ladies wink
You the one in the Mercedes
Shotgun with the thing
Coat chillin watchin "The Lion King"
Crying and thangs
Cus I'm with Snoop and Nate, singing, rhyming and things
I'm out late cus I'm rhyming for change
I ain't with dime for dames
Hop back and I'm trying to aim...
At everything, that be hating my fame
Since regulating, been lacing the game
Ain't no mistake in the game
Two-one mother ****in dwizzle sippin on the sizzle
And that's for shizzle
Four times for da riddles
You know these bars
Everywhere we go...you know who us are
You could tell by the car
Champagne caviar
Bubble bath, I say I love you..
And I laugh
[Snoop Dogg]
Yeah he super sly (super fly)
[Nate Dogg]
Ohh ohh ohh I'm fly, yaaaa
The hottest lyrics from 213
- So Fly Lyrics
- Appreciation Lyrics
- Joystick Lyrics
- Another Summer Lyrics
- Ups & Downs Lyrics
- MLK Lyrics
- Mary Jane Lyrics
- Groupie Luv Lyrics
- Gotta Find a Way Lyrics
- Lil Girl Lyrics

subset: commoncrawl


text:
** Lionel ** O Gage Post War Flat Car Semi Truck Load.
- Sold for: Start Free Trial or Sign In to see what it's worth.
- Item Category: Toys, Dolls, Games & Puzzles
- Source: eBay
- Sold Date: Apr 09,2012
- Channel: Online Auction
This car comes from my friends fathers collection that past away recently. I am not an O gage collecter normally, so hopefully my pictures answer alot of questions. They were wrapped and boxed 15 years ago, but you be the judge of their condition. Thank you for looking.
Similar Items
More Items From eBay
- Atlas BNSF #871 H3 Swoosh Logo Dash 8-40CW Diesel Locomotive QSI DCC Sound
- Atlas Santa Fe ATSF #2308 EMD GP38 Low Nose Diesel Locomotive QSI DCC Sound
- Kato Santa Fe ATSF #3356 EMD GP35 Phase 1 w/ DB Diesel Locomotive DCC Installed
- Kato Santa Fe ATSF #5300 EMD SD45 Diesel Locomotive DCC Installed HO Scale


text:
Now to the question, what is the story on Prism and MEF? I am getting asked this now several times a day, more so than the IoC question.
I am happy to say we're working with p&p to come up with a good answer.
Note: This is still a work-in-progress, but here's the thinking on this so far.
There is some obvious overlap but also a clear delineation. In particular when it comes to UI composition. MEF can be used for UI composition for sure, however it doesn't have specific UI composition bits like RegionManager, Composite Commands, EventAggregator. Something like EventAgg will come in the future, but it is highly unlikely we will ever deliver some of the Prism UI-specific bits as part of MEF. That could change, but at least today that is the case.
In general though here are the differences.
There are two primary use cases we hear from customers who want to use MEF and Prism together.
Note: You can also use MEF for some aspects of UI composition, particularly for pull-style regions which import their UI elements.
The first angle is primarily for customers who have existing applications that use Prism and want to use MEF. The second is for customers who are building new apps in SL4/FX4, that want to use MEF for providing the foundation, and pull in CAL libraries where appropriate. I think both make equal sense depending on customer needs.
In terms of which to use when, my advice is it depends on your situation.


text:
More from the Ric Bucher Q&A
ESPN the Magazine's Ric Bucher told me during a Q&A that the Thunder is his new favorite team.
Here's more from the chat I had with Bucher….
Elaborating on the Blake Griffin/Ricky Rubio debate: I've heard a lot of promising things about Blake. But for me it's not even close, and I like Rubio. People saw him play in the Olympics and kind of went ga-ga. Well, he was playing on an All-Star team. Wherever he goes in the NBA, chances are he's not going to be playing with that caliber of talent. And my question is, beased on what I've seen in Eurpoean games, can he be that same guy when people can focus on him? As good as he is, people didn't focus on him in the Olympics. They weren't game planning for him. And he got a lot of things done. But when he gets here and he goes to a lottery team, chances are people are going to game plan for him a lot more. And I'll be interested in seeing if he can make that jump. I don't have any questions about whether Blake can make that jump.
DM: Do you sense that Oklahoma City and the Thunder specifically is starting to develop its own identity nationally and distancing itself from the whole Seattle situation?
RB: Oh yeah. I do. I don't really associate this team with the Seattle team. That was a different personality and by and large I still think of Seattle as Ray Allen and Rashard Lewis. These guys weren't there long enough to establish a connection with Seattle. I think this is where Sam (Presti) was wise in making the coaching change after the team had already gotten to Oklahoma City. Because Scotty's just a totally different animal than P.J. So he brings in a flavor now where now you feel like, 'OK, this is the Oklahoma City flavor' as opposed to that transition flavor.
DM: Do you like what you've seen out of Scott Brooks so far as a coach?
RB: I really like the job he's done. Obviously, I don't cover the team on a daily basis. So the ins and outs of how he handles guys, his communication with the front office and how he handles the media and the public, I don't have a feel for all of that. But I'm always kind of looking for who are the assistant coaches that I think could be head coach material. And I've long felt that Scotty was one of those guys.


text: I bought a very nice and clean looking Agfa Record III with the sought after Solinar lens. With the camera came the original hood and a nice pair of original b&w filters, all packaged in their individual leather compartments. As soon as I got the camera in my hands I could see the bellows need a replacement and the shutter needs cleaning. A good DIY project for the long and dark winter nights, I guess.


text:
Reading My Eyes tab by Linkin Park, added: September 19th, 2007
Profile History
WARNING: You are trying to view content from Ultimate-Guitar.com in an unauthorized application, which is prohibited. Please use an official Ultimate Guitar Tabs application for iPhone, iPad or Android to access legitimate chords, guitar, bass, and drum tabs from Ultimate-Guitar.com database. Type "ultimate guitar tabs" in Apple App Store's or Android Market's search to find the application.
+ --------------------------------------------------------------------- + | Ultimate Guitar Tabs Archive - your #1 source for tabs! | | http://www.ultimate-guitar.com/ | | | | Over 800,000 guitar, guitar pro and bass tabs! Also lessons, news, | | columns and guitar forums! | + --------------------------------------------------------------------- +
Linkin park Reading My Eyes This is the underground song..pretty kool Note: On the Xero tape, this was recorded in Drop D (DADGBE). This is tabbed from LP's recent live version, and they tune down half a step nowadays. The first breakdown is probably played on the 2nd and 3rd strings instead of how I've tabbed it, but there isn't any good video to tell for sure, so I just tabbed it the easier way, using the first 3 strings. Verses (First chord is distorted, rest is clean) Eb|----------------| Bb|----------------| Gb|------------2---| Db|-10-----0-------| Ab|-8--------------| Db|-8---0----------| Choruses (Palm mute all) Eb|----------------------------| Bb|----------------------------| Gb|-----------------9/10-------| Db|-0-7-12-0-7-10-0-x-x--0-7-3-| Ab|-0-7-12-0-7-10-0-7/8--0-7-3-| Db|-0-7-12-0-7-10-0------0-7-3-| Breakdown (Light palm mute all) Eb|---------------1-1-1-1-1---------| Bb|-3-3-3-3-1-1-1-------------------| Gb|-------------------------3-3-3-3-| Db|---------------------------------| Ab|---------------------------------| Db|---------------------------------| Bridge (The strumming on the first part is probably wrong but it's close) Eb|--------------------------------------------------------- --------| Bb|--------------------------------------------------------- --------| Gb|--------------------------------------------------------- --------| Db|-0-1-1-0-1-0-1-0-0-1-1-0-1-0-1-0-3-3-3-3-3-3-3-3-5-5-5-5- 5-5-5-5-| Ab|-0-1-1-0-1-0-1-0-0-1-1-0-1-0-1-0-3-3-3-3-3-3-3-3-3-3-3-3- 3-3-3-3-| Db|-0-1-1-0-1-0-1-0-0-1-1-0-1-0-1-0-3-3-3-3-3-3-3-3-3-3-3-3- 3-3-3-3-| PM . . . . . . . . . . . ........ Heavy Breakdown: Play the chorus riff again but with some weird flanger-like effect the first 2 times. End: Eb|----------| Bb|----------| Gb|----------| Db|-12---12\-| Ab|-12---12\-| Db|-12---12\-| well thats it...enjoy! any corrections lemme know,,,,.... plz leave a comment or a rating thx ;) XD
tight dude, ive been looking for this song like, forever!...good job tabbing it out! 5*
this song is tightizzle


text: Entertainer Shawn "Jay-Z" Carter smiles during a news conference at the Philadelphia Museum of Art, Monday, May 14, 2012, in Philadelphia. The rapper announced plans for a two-day music festival in Philadelphia's at Fairmount Park, featuring nearly 30 acts "that embody the American spirit" on Labor Day weekend, Sept. 1 and Sept. 2, 2012. (AP Photo/Matt Rourke)


text:
Since it is now possible to have mutiple filter chains in the namespace, may be more convenient to use different AuthenticationManager configurations for each filter chain, or even to implement the AuthenticationManager interface and not have to deal with AuthentiationProvider implementations. It would make sense to provide a hook in the namespace elements to facilitate this.
- All
- Comments
- Work Log
- History
- Activity
- Transitions
Hi Luke,
I saw that you fixed this recently. I downloaded and compiled the latest snapshot of Spring Security in order to use a different Authentication Manager for each http tag but as this is not documented I am not sure how should I handle this.
Could you please explain a little about it?
I currently have this:
<!-- Realm for administrators -->
<http pattern="/admin/**" auto-config="true" disable-url-rewriting="true" >
<intercept-url pattern="/admin/**" access="ROLE_AGENCY" />
<form-login login-page="/loginAdmins.htm" default-target-url="/" login-processing-url="/loginProcessing" authentication-failure-url="/loginAdmins.htm?error" />
<logout invalidate-session="true" logout-success-url="/" logout-url="/logout" />
<!-- Realm for standard users -->
<http auto-config="true" disable-url-rewriting="true">
<intercept-url pattern="/user/**" access="ROLE_USER" />
<form-login login-page="/login.htm" default-target-url="/" login-processing-url="/loginProcessing" authentication-failure-url="/login.htm?error" />
<logout invalidate-session="true" logout-success-url="/" logout-url="/logout" />
<remember-me key="*****" user-service-ref="userDetailsService" />
with a single:
<!-- Auth Manager -->
<authentication-manager alias="authenticationManager">
<authentication-provider user-service-ref="userDetailsService" >
<password-encoder ref="passwordEncoder"/>
How can I create a new one and assign each of them to each http tag?
Thank you very much in advance,
Hi All,
I'm having a problem in configuring differents authentication managers to two http elements. If I try to configure authentication-manager-ref in http element, ocurr the follow exception: org.xml.sax.SAXParseException: cvc-complex-type.3.2.2: Attribute 'authentication-manager-ref' is not allowed to appear in element 'security:http'.
In header of my security xml, I'm using http://www.springframework.org/schema/security/spring-security-3.1.xsd. If I put it in browser, the xsd loaded declare the attribute authentication-manager-ref to http element, but the xsd in spring-security-config-3.1.0.RC3.jar doesn't.


text:
Log In
Sign Up
Introducing a cool
new way to learn!
Browse Our Dictionary Alphabetically
« Back to M
most blue black
most blue blooded
most blue chip
most blue collar
most blue eyed
most blue jeaned
most blue ribbon
most blue rinse
most blue sky
most blue water
most blue-black
most blue-blooded
most blue-chip
most blue-collar
most blue-eyed
most blue-jeaned
most blue-ribbon
most blue-rinse
most blue-sky
most blue-water
most bluebelled
most blueblack
most blueblooded
most bluechip
most bluecoated
most bluecollar
most blueeyed
most blueish
most bluejeaned
most blueribbon
most bluerinse
most bluesky
most bluewater
most bluffable
most bluish
most blushful
most blushless
most blusterous
most blustery
most board certified
most board-certified
most boardable
most boardcertified
most boardlike
most boarish
most boastful
most boastless
most boatable
most boating
most boatless
most bobbysocks
most bobbysox
most bobsox
most bobtail
most bodacious
most bodied
most bodiless
most bodily
most boding
most bodleian
most body centered
most body-centered
most bodycentered
most boehmian
most boeotian
most boer
most boethian
most boffola
most boggish
most bogomilian
most bogus
most bohemian
most boil in bag
most boil-in-bag
most boilable
most boiled
most boiler room
most boiler-room
most boilerless
most boilerroom
most boiling
most boisterous
most bokharan
most bolar
most bold faced
most bold-faced
most boldfaced
most boldhearted
most bolectioned
most bolivian
most bolometric
most bolshevist
most bolshevistic
most bolt action
most bolt-action
most boltaction
most boltless
most boltlike
most bombable
most bombacaceous
Copyright ©
2015 Dictionary.com, LLC
. All rights reserved.


text:
After five years renovation, San Francisco's de Young Museum reopened on October 15. The transformation is dramatic; the Pritzer Prize winning architects Herzog & de Meuron (along with SF-based Fong & Chan Architects) have created a state-of-the-art facility out of this landmark cultural institution. (The nifty facade is comprised of dozens of unique copper panels!) The de Young has occupied the same beautiful space of Golden Gate Park since 1895. Collections include American art from the 17th through the 20th centuries, and art of the native Americas, Africa and the Pacific.
Castle Hotel and Spa
Tarrytown, United States
Situated on sprawling hilltop acres overlooking the Hudson... more >>
CopperWynd Resort and Club
Fountain Hills, United States
CopperWynd Resort and Club, a boutique Arizona resort property... more >>
Rusty Parrot Lodge And Spa
Jackson, United States
The Rusty Parrot Lodge and Spa offers the finest in Jackson Hole... more >>
Opus Hotel Vancouver
Vancouver, Canada
More than somewhere to stay, OPUS Vancouver is somewhere to be.... more >>
Wentworth Mansion
Charleston, United States
Welcome to the Wentworth Mansion. To step through the doors is... more >>


text:
8 Genius Holiday Entertaining Ideas From A-list Caterers
Party-planning powerhouses Matt Poley and Tara Maxey of Heirloom LA serve up their go-to hosting moves for the season.
The Ultimate (Illustrated) Guide to Hanging Christmas Lights
Add some twinkle without the tangle.
3 Dazzling Holiday Outfits for Any Dress Code
Whether you're hosting this year's holiday party or you're lucky enough to be an invitee, toeing the sartorial line between "basically pajamas" and "uncomfortably overdressed" can be as tricky as getting dinner on the table while it's still hot. Here, three levels of easily-accomplished, comfortable ensembles—from laid-back to fancifully festive—that will earn you the title of best-dressed, no matter if you're the hostess or a guest.
How to Politely Dodge Hot Button Topics at Your Holiday Table (Without Help From Adele)
No one wants to talk politics over pumpkin pie.
10 Thanksgiving Foods the TSA Will Take Away From You
Best to leave that gravy for the checked baggage.
The Best Cyber Monday Deals
This handy guide will help you shop strategically so you can get the best discounts this year.
How to Decorate a Small Space for the Holidays
A small home doesn't mean you have to ditch the seasonal décor—you just have to be a little more creative with your space. Here are 10 designer tips for turning your space into a holiday haven.
How to Decorate for Christmas Without a Tree
If your space is too small for a Douglas Fir, or you just want to try something out-of-the-ordinary this year, give one of these clever DIY ideas a go.
7 Easy Holiday Crafts to Make Your House More Festive
Decorating for the holidays doesn't have to be stressful. Deck the halls with these effortless (yet impressive) Christmas crafts.
The Amazingly True-Life Tale of Santa Claus
We know him as the chubby guy from the North Pole. But the real Saint Nick was a slim Mediterranean. Here's how he evolved.
8 Brilliant New Year's Eve Decorations You Can Make
End the year on a high note. Set the scene for an unforgettable bash with these DIY New Year's Eve party crafts.


text:
Nothing less than a systemic transformation of our societies, our economies, and our world will suffice to solve the climate crisis and close the ever-increasing inequality gap.
After over 20 years of stunted and ineffective action to reduce climate pollution by governments – particularly in wealthy countries that have failed to meet their legal and moral responsibilities – only urgent and transformative and systemic change that can address the root causes of the crisis and deliver what is needed to keep global temperature rise below 1.5 degrees Celsius, the limit beyond which climate impacts will become potentially catastrophic.
The urgency to keep temperatures down is not just about the planet and the environment. It is about people, and our capacity as humanity to secure safe and dignified lives for all.


text:
Toronto 2012: 'On the Road' Makes Its First North American Pitstop
Toronto 2012: 'On the Road' Makes Its First North American Pitstop
TORONTO -- On Thursday night, Walter Salles's big screen adaptation of Jack Kerouac's classic 1957 novel On the Road had its North American premiere here at the 37th annual Toronto International Film Festival, with stars Sam Riley, Garrett Hedlund, and Kristen Stewart in attendance. I caught the film's second TIFF screening on Friday morning, going directly from the airport to the theater with my massive suitcase in tow, and then hopping into a ticketholders line that curled around six city blocks. The high level of interest in the film is due, perhaps in equal parts, to the popularity of the novel and of Stewart, who became the star of the blockbuster Twilight franchise shortly after being cast in this long-gestating project.
Over the years, many began to wonder if Kerouac's 320-page novel, widely regarded as among the finest works produced by the Beat Generation, was actually unadaptable. Kerouac himself had tried to recruit Marlon Brando to star in a film version in the '50s; Francis Ford Coppola desperately wanted to direct it in the '70s; and many others made similar efforts that failed. Ironically, it took a Brazilian -- Salles, who is best known for another road movie, The Motorcycle Diaries (2004), and who shot a not-yet-released doc about the Beats before commencing production on this feature -- to round up a suitable script (penned by Jose Rivera), a mid-range budget ($25 million), and a worthy cast.
PHOTOS: The Making of On the Road
The plot of On the Road is familiar to many of us. Sal Paradise (Riley) -- a surrogate for Kerouac -- recounts the years that he spent in the late 1940s, after the death of his father, driving across the country with his close friend Neal Cassidy (Hedlund), a dashing free-spirit who divides his time between jails, pool halls, and libraries, and Marylou (Stewart), a young girl with whom they both come to enjoy a sexual relationship, who says that she wants a conventional life but engages in practices that are anything but conventional (threesomes, watching others have sex, etc.). He also shares bits and pieces about some of the colorful characters they met along the way -- among them Old Bull Lee (Oscar nominee Viggo Mortensen), Jane (Oscar nominee Amy Adams), Camille (Kirsten Dunst), Galatea (Elisabeth Moss), a jazz musician (Oscar nominee Terrence Howard), a sexual opportunist (Steve Buscemi), and the list goes on.
There are two strong points about the film that deserve particular mention.
First and foremost, the casting: Hedlund, heretofore best known for Country Strong and TRON: Legacy (both 2010), is clearly a star, a masculine guy with a megawatt smile who is able to walk into a scene and immediately takes it over; Riley has the less colorful male part, but does a nice job narrating the action in a film-noir style, just as he did in Brighton Rock (2010); and Stewart actually seems to be having fun, which is more than one can say about many of her other performances, however talented she may be. (I must say, though, that I found it surprising that she was willing to go topless for several scenes of the film, considering how closely she has guarded her privacy when it comes to other aspects of her life, and rightfully so.)


text:
Later this week I'll be posting more analysis of the current, very interesting melting season, but here's something that popped up in my mail box via Google Alerts.
It's an article from Alaska Dispatch News on a scientific paper by Linette Boisvert from the University of Maryland and the NSIDC's Julienne Stroeve, based on AIRS (Atmospheric Infrared Sounder) satellite data for the 2003-2013 period, which reveal that the Arctic has become warmer and wetter, lengthening the melting season. I had a short chat with Dr. Boisvert during a poster presentation at this year's EGU General Assembly. This is one of the few papers analyzing AIRS data in relation to changes in the Arctic.
Here's the article:
As sea ice shrinks, the Arctic gets warmer and wetter, study finds
The Arctic is getting warmer and wetter, changes linked to melting sea ice and more persistent open-water conditions - NASA Earth Observatory
The Arctic became warmer and wetter since the beginning of the 21st century, a self-reinforcing trend likely to continue because it is linked to sea-ice melt and more persistent open-water conditions in the world's northern ocean, a newly published study concludes.
Data from NASA shows that average surface temperatures across the Arctic Ocean increased an average of 0.16 degrees Celsius per year from 2003 to 2013, and air temperatures rose 0.09 degrees Celsius annually over the same period, says the study, published online in Geophysical Research Letters.
The changes weren't evenly distributed, though. They were dominated by large increases in the November-to-April period,during which Arctic-wide surface temperatures rose 2.5 degrees Celsius and air temperatures rose 1.5 degrees Celsius from 2003 to 2013.


text:
|Brassicaceae (brass-ih-KAY-see-ee) (Info)
|Brassica (BRAS-ee-ka) (Info)
|oleracea var. italica
Average Water Needs; Water regularly; do not overwater
12-18 in. (30-45 cm)
12-15 in. (30-38 cm)
Not Applicable
Full Sun
Bright Yellow
Mid Summer
6.6 to 7.5 (neutral)
7.6 to 7.8 (mildly alkaline)
From seed; winter sow in vented containers, coldframe or unheated greenhouse
From seed; sow indoors before last frost
From seed; direct sow after last frost
Bag seedheads to capture ripening seed
Allow pods to dry on plant; break open to collect seeds
Properly cleaned, seed can be successfully stored
This plant has been said to grow in the following regions:
Jacksonville, Illinois
Ottawa Lake, Michigan
Tulsa, Oklahoma
Lenoir City, Tennessee
No details have been posted.


text:
Consumers opting for big-ticket items like cars instead of garment, impulse purchases
Americans' cautious spending on clothing extended into August, capping a weak back-to-school selling season for retailers.
Several retailers including clothiers Cato and L Brands on Thursday posted disappointing revenue during the month, which falls in the middle of the second-biggest shopping period of the year.
The results raise questions about whether Americans will spend during the winter holidays in November and December, a time retailers can make up to 40 percent of their revenue for the year. While the back-to-school season, which runs from mid-July through mid-September, isn't an absolute predictor of how Americans will spend during the winter holidays, it does offer insight into consumers' mindset.
"Overall, the month was mediocre for sales," said Michael P. Niemira, chief economist at the International Council of Shopping Centers. "The back-to-school season started late and it never had momentum."
Overall, revenue at stores opened at least a year — a key measure of a retailer's health — rose 3.6 percent in August, according to a tally of 10 retailers by the International Council of Shopping Centers. That's up a tad from July's 3.5 percent gain, but below the 6 percent gain in August last year.
Only a sliver of retail chains report monthly sales figures, and the list doesn't include Walmart, Macy's and many other large chains. In total, the retailers that report monthly data represent about 6 percent of the $2.4 trillion in U.S. retail industry sales.
But Thursday's tally adds to evidence that while jobs are easier to get and the turnaround in the housing market is gaining momentum, the improvements have not been enough to sustain higher levels of spending for most Americans. Most still are juggling tepid wage gains with higher costs of living.
As a result, Americans in recent months have been shifting their spending to big-ticket items like cars and home improvement, which has left little room for clothing and impulse purchases. Indeed, last month, a number of retailers, including Macy's, Target and Walmart, lowered their expectations for the rest of the year, citing a more challenging environment than they had expected.
Many stores stepped up discounting in August to get shoppers to buy. Teen retailer Aeropostale offered 50 percent discounts on its entire merchandise over Labor Day weekend. Ann's low-priced Loft cut prices by 50 percent on select full-price items and added another 50 percent off on sale items.
Gap, which operates stores under its namesake, Old Navy and Banana Republic, announced late Thursday that its revenue at stores opened at least a year rose 2 percent. Analysts had expected a 2.2 percent gain.
Conversely, automotive retailer AutoNation on Thursday issued a report that new vehicle sales climbed 32 percent in August, led by strong sales of premium luxury vehicles. The report from AutoNation followed robust August sales from companies in the auto industry, which had its best month in six years.
Roxanne Meyer, an analyst at UBS, wrote the "overall retail environment remains choppy" in a note published earlier this week.


text:
Seneca View Camera Parts - (2) Rear Standards, (1) Front Standard, (2) Extension Rails, (1) Rear standard geared swing base. All pieces in used condition, but the hardware on the various pieces is for the most part intact. Look the photos over. This will make an excellent purchase for a Seneca restoration project or improvise and build your own camera from the pieces.
Price: $75.00 plus shipping. (Shipping via FedEx ground estimated at $15 to $20.


text:
Wet DreamsFavorites [+]
Pay-Per-Minute Viewing
You can now enjoy this movie on your iPhone®, iPad®, or compatible Smart TV & Android devices.
- 270p
- 360p
- 480p
- 720p
- 1080p
Purchase Options
Pay-Per-MinutePurchase Minutes
Streaming Rentals
Available MP4 sizes:SD 480p (2.2 GB)
HD 720p (4.11 GB)
HD 1080p (6.08 GB)
DRM-free downloads offer content that is not limited by standard Digital Rights Management (DRM) access technologies. These technologies allow hardware manufacturers, publishers, copyright holders and individuals to limit the usage of digital content.
When you purchase DRM-free downloadable content, that content is available for you to download on any computer and save to a disk whenever you like. You can also download to multiple computers. There is no timeframe associated with your purchase and the content will not expire.
Running Time: 140 minutes
Released: 05/2013
Studio Name: Wicked Pictures
Director: Jonathan Morgan
Categories: Anal Big Dick Shocking Penetration All Sex High Definition
Description: From the depraved mind of award-winning director Jonathan Morgan comes five - very unique - Wet Dreams. The one thing they all have in common? Nasty girls who like to warm up with some toys before they spread their legs for some thick dick! Even while they're getting fucked, they've got a toy nearby for some extra stimulation and "over the top" satisfaction. Wet Dreams are truly...made of these sluts!
5 Scenes from Wet Dreams
Wet Dreams: Scene 1 Free Preview
Wet Dreams: Scene 2 Free Preview
Wet Dreams: Scene 3 Free Preview
Wet Dreams: Scene 4 Free Preview
Wet Dreams: Scene 5 Free Preview
Recommended Movies


text:
November 26, 2015
SPRINGFIELD, Tenn. (AP) — The family of a missing woman and her child are still hoping for new leads in their disappearance, even though it's been 10 years since they were last seen.
Kathy Nale told WTVF-TV in Nashville that the emotional ride has been "like a roller coaster" since her daughter, Jennifer Wix, and 2-year-old granddaughter, Adrianna, went missing in Robertson County.
Three months ago new information surfaced allowing authorities to re-classify the investigation from a missing persons case to a homicide; increasing the reward to $27,000.
Organizers solicited donations on Saturday to increase the reward with the hope that someone will come forward.
Anyone with information is asked to call the Robertson County Sheriff's Office.
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or firstname.lastname@example.com.


text:
The extensive changes and features included in Exchange 2016 are enough to keep most Exchange Administrators busy these days - and quite possibly losing sleep! Be sure to join Exchange MCM/MVP Michael Van Horenbeeck as he covers the announced changes for Exchange 2016 and what it all means for you... Read More
Migrating to Office 365 offers many substantial benefits, but it also represents a significant undertaking. It is filled with potential landmines, particularly when it comes to managing emails and electronic information that can put the entire project at risk... Read More
Virtualization offers significant benefits, including improving availability, lowering costs, and increasing IT productivity. But IT Managers and Administrators must be confident they will still have the required functionality, security, and control before making the move to virtualize this critical piece of IT infrastructure... Read More
Social media has grown from being a curiosity to a mission-critical business application in a very short time. Unfortunately, the increased use of social media and corporate reliance on it is not always accompanied by sufficient IT oversight, sound policy management, or content control – putting companies at enormous risk... Read More
Despite the rise of other communications channels like social media, email and the messaging system remain the heartbeat of almost every organization today. IT and Exchange professionals are charged with ensuring quality backups and fast recoveries of the messaging system. Yet, in smaller organizations IT must make do with less resources and can be on the hot seat if there... Read More
A recent Osterman Research survey indicates that 54% of organizations will migrate to hybrid environment over the next few years. Join Microsoft Exchange MVP Michael Van Horenbeeck for an informative discussion on how to avoid pitfalls in a hybrid environment and how to keep your system tuned and running smoothly... Read More
PST files present a serious risk to the success of your next IT project, whether you are planning an onsite Exchange or Office 365 migration, system consolidation, desktop refresh, BYOD, or VDI project. Be sure your well-laid plans don't get derailed by your legacy PST!... Read More
Are you tired of having to having to wake up at odd times of the night to manage a mish-mash of products and vendors to meet your security, compliance and storage management needs? Have you been mandated to come up with innovative ways to cut IT costs while simplifying the lives of your IT staff? Are you planning an email... Read More


text:
- Platform heels
- Peep toe
- Net on the side
- Flame effect design with stone details
- Stiletto heel
- Heel height: 14.2cm
- Comes with a box
- Brand: I Love Shoes
- Material: textile/leather
- Origin: Turkey
Souq.com is getting a new look! Please upgrade your browser to proceed.
Please upgrade your browser in order to navigate the new Souq.com Update my browser now


text:
Modern designer villa with pool and great lakeview
From $6,477 / week
Description from the manager
Description from the manager
Bedrooms: 4/
Bathrooms: 4/
Sleeps: 8/
Type: Villa
Newly built villa in Stresa offering a luxurious blend of design, space and style, with private pool and magnificent views over Lake Maggiore, Italy. It's set in a peaceful residential area on the hillside just above Stresa overlooking the three Borromean Islands (Isola Bella, Isola Madre and Isola Pescatori).
The holiday villa has flat roofs planted with greenery and is built over two floors (each 200m²). The part of the villa positioned towards the road is covered in local stone to give it a characteristic appearance. The other parts are painted in soft pastel colors to blend in with the surrounding landscape. The villa is designed in a modern ...Read more
About the manager
About the manager
- Response rate: 60%
- Response time: Within a day
- Calendar updated: 2 months ago
Overall rating:
Additional Location Information
This luxury villa is conveniently located near Stresa (1,5km) with its narrow streets featuring cafés, restaurants and small boutiques. There's a lovely lakefront promenade and a ferry station from where you can hop on any ferry to visit the Borromeo Islands and explore other villages and wonders of Lake Maggiore. Stresa's railway station connects you easily with Milan, where you can shop, sightsee, or simply sip a coffee and watch the world go by in the famous Piazza del Duomo.
More About This Location
Lake nearby


text:
Sweetness Bakeshop & Cafe offers free coffee throughout December
Sweetness Bakeshop & Cafe offers free coffee throughout December
South Miami gets a bit sweeter this December as Sweetness Bake Shop & Cafe offers up free coffee all month long. Sip free plain brews, coladas, frappes, and caramel macchiatos all month long - a holiday gift that keeps on giving. 9549 Sunset Dr, South Miami
Dining Deals
- Kids Eat Free July 1-31: Feast on Munchkin Eats
- Eat & drink for less at Oceanaire Thursday, April 24
- Cafe Prima Pasta celebrates National Garlic Day April 19
- Bread + Butter launches happy hour & Frita Fridays in the Gables
- Weston's D'Angelo Pizza launches 12 for $12 lunch special
- Christy's dishes out $9 martinis Wednesdays
- Sweeten March Madness with food & drink deals
- Tsukuro launches "Lucky You" happy hour
- Tongue & Cheek hosts locals a la carte lunch
- Devon Seafood + Steak launches weekday happy hour in Kendall


text:
Over the past few years it's seemed that every time a position opens up on the judging panels of either the 'X Factor' or 'American Idol', pop diva Mariah Carey is one of the names linked to taking over the post. Ultimately those reports have always come to nothing, but this time round, with 'American Idol' needing two judges to replace the outgoing Steven Tyler and Jennifer Lopez - and having seen the revitalising effect the show has had on the latter's career in particular - Carey suddenly seems to fit the part more than she might've previously. And it's looking like this time she might take it.
Deadline is reporting that the multi-octaved warbler is set to sign a deal worth a whopping $17 million with Fox to appear as a judge on the next season of 'Idol', with the show seeking a huge revamp following falling ratings and a failure to gain an Emmy nomination in the Best Reality-Show category for the first time in its history.
If Carey signs she'll set the record for the most paid to a judge to appear on a reality show, beating the $15 million Lopez was previously receiving, with Britney Spears rumoured to be on a similar amount over on 'X Factor'. The move could be just what the star needs; her last album 'Memoirs Of An Imperfect Angel' sold only 500,000 copies and made only third spot in the US Album Charts in 2009 - only the fourth time in ten attempts that she's missed the top spot.


text:
I am unable to login after this Better WP Security installed. I've searched the support forum and found this bellow link maybe useful. But I'm not sure, anybody please help me.
To generated the problem:
1. Start a fresh installation of WordPress.
2. After first login to WP, install Better WP Security immediately.
3. Activate Better WP Security, goto the setting page.
4. Answer "No thanks. I already have a backup."
5. Answer "Do not allow this plugin to change WordPress core files."
6. Goto "Intrusion Detection".
7. Enable "File Change Detection", and click the "Save Options".
8. Now, you're logged off and unable to log in.
I've tried several times and the results are same. For your information:
- I'm using WordPress 3.4.2 and Better WP Security 3.4.4
- When try to login, it said "Invalid username."
- When try to request new password, it said "Invalid username or e-mail."
- I can login if I delete the "better-wp-security" folder.
- If I reinstall the plugin, same problem appear.
I also use this Better WP Security on my other sites, it works properly no matter I enable/disable the "File Change Detection" feature.


text:
Top Definition
A teenager most likely to become a member of the NACS (North American Cougar Society). The "fingerslut" preys on weak nerdy teenagers by imasculating her victims with promises of sex and public displays of rape.
"Oh my god, look how she is always touching him even though they aren't dating."
"She is such a fingerslut."
"She is such a fingerslut."
by HathemEnyo May 11, 2010


text:
- Detail Images
The dusty trail dries up lizards like raisins in the mid-day sun. Without the Icebreaker Nazomi Cap blocking the rays, your head would cook in no time. The soft merino wool cap also helps to wick the moisture off your head to evaporate sweat and cool your whole body in the process. An adjustable strap fits the cap to most heads, and perforated mesh sides increase breathability so you can feel the wind in your hair without a lobster-red scalp.
Share your thoughts
How deep is the Nazomi? I like a deep hat...
How deep is the Nazomi? I like a deep hat that comes down to my ears, not one that sits really high. I have a largish head.
I wear a 7 5/8 to 7 3/4 in fitted baseball caps, and this fits snuggly, down to my ears. I have a oval shaped head so it works well. Hope that helps. This cap is comfy, soft and breaths well. It is replacing all of my other caps.
Perfect Hat for Active Lifestyles
Love my Icebreaker Nazomi Cap! The side vents keep me cool while the bill keeps my face shaded while I'm out hiking, gardening, camping, etc. Great quality merino wool, like all Icebreaker items. Doesn't stink after months of active wear! Can easily be washed and dries quickly.