text:
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Vonagebensalem, Pennsylvania United States of America
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WHAT a rip off! I can't even BEGIN to tell you just how PISSED off I am about Vonage!
Several weeks ago I was PROMISED a REFUND of my 2 year renewal free of some $323, which NEVER took place!
That charge is STILL on my Discover, DESPITE promises that this amount would be refunded within a few days.
This report was posted on Ripoff Report on 03/28/2010 07:21 AM and is a permanent record located here: http://www.ripoffreport.com/reports/vonage/bensalem-pennsylvania-19020/vonage-phone-service-rip-off-bensalem-pennsylvania-586414. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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Snowboarding Forum - Snowboard Enthusiast Forums (http://www.snowboardingforum.com/forum.php)
- Snowboarding General Chat (http://www.snowboardingforum.com/snowboarding-general-chat/)
- - What is the lowest temperature you can snowboarding comfortably? (http://www.snowboardingforum.com/snowboarding-general-chat/40230-what-lowest-temperature-you-can-snowboarding.html)
What is the lowest temperature you can snowboarding comfortably?
I feel myself quite warm till -35 C.
i was in in -25c with no wind. Was ok because i have good gear, but goggles kept icing up
I went out in -40 F temps made some laps I wasn't uncomfortable but the plastic on my bindings and in my boots stiffened up to the point it was either going to break or not flex.
It depends on the humidity and the wind, but below -25c you wouldn`t sit on a chair lift.
Coldest I've ridden was around -15F with -30F windchill. They actually put up a sign at the lift to check for frostbite because people were getting their faces blasted on the way up. The temperature itself isn't so bad, what makes it fucking cold is the wind. The pow that day was worth risking the frostbite though :thumbsup:
When it gets below -20F or so, the snow gets so damn sticky that I usually bail due to shitty riding conditions before I bail because I get too cold.
When it's that cold, even cold weather wax leaves you sticking to the snow like it's fly paper.
33 Attachment(s)
I've been out in -25C that felt like -30C with the wind chill. The only thing that sucks is any tiny gap in your gear (the tiny space between the helmet and goggles) feels so damn cold when the wind gets in.
I was in breck in 08 for the dew tour in December.. cold as ice.. i think it was near -40 with the wind.. not fun for me. definitely wasn't prepared for that.
-20 to -25C before windchill is relatively normal around here.
Below -25C requires a re-think on layering, masks, gloves, etc. but it can be comfortable with a bit of planning (more gondola, less chair, more sheltered runs, etc.) and usually less crowded.
For me though, below -35C isn't worth spending for lift tickets. If I'm already there, can't put it off until the next day and can't get a refund, then I'll do some runs, but otherwise....meh
I dont think it got that cold down here. I think we were in the negatives maybe once or twice with a wicked wind chill but being in SoCal we dont usually have to worry about the cold too much. We usually accept cold with open arms.
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text:
Up in Waldo, authorities say, a new member of the local volunteer fire department couldn't wait for the next call so he set a couple blazes himself earlier this year.
Andrew M. Edler, 17, told investigtors he and a friend torched a barn in January and a shed in March, because he hadn't been on a call lately and thought it would be cool, the Sheboygan Press reports. Edler did respond to both fires, neither of which injured anyone or any animals.
Now he's charged with two counts of arson, and one count of manufacturing a Molotov cocktail, all felonies.


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Warrington Economic Forum. Room to grow! - Business growth opportunities in Warrington
Tuesday 28th February 2012
Venue: De Vere Village, The Village Hotel, Centre Park, Warrington, WA1 1QA
Timings: 7.30 Breakfast and registration, 8.00-9.00 Meeting with tea and coffee afterwards
Warrington is a hotbed of business growth across a number of business sectors including - logistics, business services & nuclear industries. It enjoys a strong list of development and investment opportunities across the borough including Birchwood Park and there are further opportunities to attract town centre occupiers and regenerators. Warrington always prides itself on delivering a well qualified work force, a well connected transport network and being a great place to live.
With the election of Tony O'Neill, a very commercially driven council leader, Warrington is now taking the opportunity to the business world.
Insider is therefore delighted to present an Economic Forum breakfast event in Warrington to focus on growth and opportunities.
Speakers confirmed to date:
Matt Crompton, managing director, MUSE Developments
Terry O'Neill, leader, Warrington Council
Why attend?
Meet other companies looking to expand and develop their business in the North West.
Meet leading industry figures that may help develop opportunities for you.
Learn from a panel of experts who can explain how to unleash Warrington's full potential.
This event will create an opportunity for major employers and businesses in the Region to listen, learn and understand the way forward.
If you need any more information, please contact Lianne Sunderland on firstname.lastname@example.com
Our events are regularly over-subscribed therefore please register your interest as soon as possible. If you have been successful you will receive a confirmation email one week prior to the event.


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Shanghai's Suburbanization Plan
To cope with future growth in Shanghai, planning authorities have adopted a strategy of suburbanization for moving people out of ageing low-rise buildings in the dense urban core and relocating them to newly built suburbs farther out of town.
"The plan defines the 600-square-kilometre area within Shanghai's outer ring road as central Shanghai. Outside the ring road, according to the plan, nine new towns with a combined population of 5.4 million and 60 new small towns with populations of around 50,000 each will be built."
"But while the economic and strategic reasons for this exodus make sense, and hundreds of thousands of families have benefited from improved living conditions as a result of moving, the strategy has not been without controversy."


text:
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Product weights and dimensions are approximate.
Due to the price fluctuation in gold & diamonds, we reserve the right to adjust prices accordingly without notice.


text:
Red Carpet Treatment ´2010
Watch in HD
- 0
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- Writers: Bruno Heller
- Stars: Amanda Righetti , Owain Yeoman , Robin Tunney , Simon Baker , Tim Kang
Convicted sociopath Henry Dahl is shot ten times trough the head in his San Francisco motel room shortly after his release on account of faulty DNA evidence. Patrick is openly uninterested, while the attorney general's office is in PR panic. TV host Karen Cross, once the top prosecutor whose high-profile convictions included Henry, films Jane sleeping, but her company paid Dahl's motel as scheduled guest, now replaced by his victim Jenny's widower Max Winter, who claims to have reached reconciliation years ago, to devote himself to fine son Jackson. Wayne must watch Grace date dashing FBI agent Craig O'Laughlin, which makes him cockily competitive. Henry's art study and cocaine dealing mate Arty Mock is found hiding in his halfway-house. Henry had an admirer, Sean Meyers's wife Betsy. Patrick accepts Cross's live TV dare, but has to revise his conclusion.
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Twitter. Facebook. Email. Spend any amount of time browsing the internet, and you're destined to stumble over countless social advertising and marketing schemes. In fact, while some companies do still rely on direct mail to spread the word about their products and promotions, the vast majority of marketing today happens in the far more abstract, social and intellectual space of the internet.
That's a good thing for many reasons — social media is cheap, has a broad reach, and humanizes brands — but there's something that's lost in this transition: a direct, physical connection to the consumer.
But it doesn't have to be that way. In fact, there are two concrete ways you can move your more ephemeral social campaigns into a customer's physical experience: product packaging and product design.
See, when product and packaging design is good, it's art — destined to jump off of the shelves, attract attention away from your competitors, fully express the personality and value of your brand, and establish your relevancy to the current market.
Don't believe me? Just take a look at Smirnoff Caipiroska's fruit-inspired bottles or Scanwood's earthy green packaging.
Once you view your product and packaging as a canvas, it's easy to take things a step further by integrating social campaigns directly into those designs. In fact, fresh, fun hashtag campaigns will gamify your customer's interaction with your brand, turning a purchase of your product into an engaging and memorable experience.
If design itself is what intrigues your customers, hashtags are what turn your product and your brand into a friend. Marry the two, and you'll have yourself one powerful campaign.
Let's take a look at a few brands that really get this collaboration right.
1. ASDA's #ChosenByYou Campaign
Last fall, the British grocery chain ASDA launched the ChosenByMe hashtag campaign, inviting users to submit comments about and photos of their favorite ASDA products to Facebook and Twitter. With the hashtag attached, the company collects these posts onto its own website, encouraging users not only to document their experiences with the brand but also to see firsthand what other consumers think.
With the consumer's permission, the best posts are even printed onto in-shop materials as well as onto product packaging, as is the term, "Chosen By You."
In this way, the company completes the marketing circle from product to conversation to product again, so it's all one and the same.
What This Means for You
To do hashtag marketing effectively, you need to consider every platform upon which customers seek engagement. Social media may be the most obvious place, but so, too, is product packaging, as long as the hashtag is well placed and taps into a wider campaign. Given their search functionality, hashtags also make curation easier on the backend, as they enable you to pull hashtag search results directly into your website through Facebook and Twitter's APIs. So choose your hashtag, consider how and where you'll feature your results, and get this thing launched!
2. Indie Hair's Unique Product Hashtags
Indie Hair is a beauty products line with an independent feel. That's something you can see in their packaging design, which features solid fonts and big, bold colors. You can also see it in the unique hashtags included on every product, like this #SuperTrim hair spray.
Search for this hashtag on Twitter and Instagram, and you'll find a wide range of customers, posting photos of their creative haircuts and styling, for which this hairspray undoubtedly proved an essential tool. This is nicely paired with the company's more general hashtag, #MyIndieHair which parallels the company's web address (myindiehair.com) and covers more general tips. The company further closes the marketing circle by offering styling tips on their website.
Together with the hashtag campaigns, this creates a dynamic community around the brand, and one that only further drives their voicing and mission home.
What This Means for You
Hashtags aren't just about branding or search: they're about creating a solid sense of community. This is especially so for products for which customers are already intrinsically motivated to search for tips and advice. For these types of products, both product hashtags or unique advice hashtags (e.g. #HairsprayHowTo) are a great way to unite your consumers, crowdsource ideas, and provide useful information, all at once.
3. J Crew's Swimsuit Hashtags
If your products and packaging are a canvas, why not let the customers decide what goes onto it? That's exactly what J Crew's hashtag campaign does. As long as they can get it into ten characters or less, customers can have any phrase they like printed on the suits of their choice.
This is a great way to empower self-expression and self-branding, both for the lone swimsuit artiste and for groups of friends or family members looking to unit around a single concept. To say it's engaging and interactive wouldn't really capture the deeper philosophy at work here: consumers today don't just want to consume; they want to produce, too. Campaigns like this allow them to do just that.
What This Means for You
Consumers will be far more invested in your product when they've contributed to at least some aspect of its design, no matter how small. A hashtag campaign is a simple, cost-effective way to do just this — all the more so if you encourage your customers to @mention your brand when proudly displaying their hashtag for all to see on social media.
4. Adidas' #TaketheStage and Nike's #MakeItCount Campaigns
In the run-up to the 2012 London Olympics, Nike and Adidas engaged in a hashtag battle to beat all hashtag battles, printing their chosen tags right on their footwear. Both hooked celebrity players into the deal, giving them customized shoes with the hashtag printed or embroidered on the side. Naturally, this was only one part of much larger campaigns.
On Adidas' side, there was an entire #TaketheStage event, where there was a #TaketheStage photobooth present, as well as a What Will You Take ad campaign:
Nike's campaign was similar, with the added gimmick of giving a pair of customized shoes to the most active hashtag users. The result: a massive social response and a fair amount of outside PR.
What This Means for You
If you can find a unique and relevant angle, it always makes sense to find hashtag inspiration in current events — and it never hurts to have a little healthy public rivalry with a competitor.
Still, in order to make it work you have to capture that hashtag in every medium. Product design is an essential place to do just that, especially if you have a celebrity endorsement to back you up.
Product design and product packaging are two of the only ways you can draw consumers back into your online campaigns as they navigate the physical world. A social campaign may get the ball rolling, but a single hashtag or slogan on your packaging will encourage users to engage more deeply both in person and online.
In this way, physical hashtag marketing works to promote an immediate sale while also fostering a much deeper relationship with the brand at large.
So choose your hashtag, make your campaign, get it printed, and enjoy the benefits of a completely integrated marketing campaign.


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Thanks for a very timely post. These movies will be worth checking out.
Was at a loss for what to do this weekend, but this sounds like just the ticket. Thanks to the Women You Should Know staff for keeping us readers in the loop about such interesting and exciting topics.


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It only takes a minute to get started. Fill out our simple sign up form and login to the website.
This step is discretionary but will seriously boost your chances of your profile getting read by other members. Write a little something about yourself, your hobbies and upload any nice photographs of yourself.
Utilise our website's cutting-edge search to spot members who meet your criteria. Or just scan through listings and spot folks that interest you.
Found someone who looks interesting? Drop them a line or just a wink and see if anything develops. With a little luck you'll be on your way to a lifetime of happiness.
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Get an overview of this hotel3-star bed & breakfast in Waldoboro with free breakfast
Popular property highlights
Situated in Waldoboro, this bed & breakfast is 10.4 mi (16.8 km) from Frances Perkins Center and within 20 mi (32 km) of Rockland Harbor Park and Maine Lighthouse Museum. Carver Hill Gallery and Strand Theater are also within 20 mi (32 km).
Property Features
Free breakfast, free self parking, and free WiFi in public areas are available at this bed & breakfast.
Room Amenities
This bed & breakfast has 3 rooms. Bathrooms are shared.Information missing or incorrect? Tell us!Opens in a new window
Bed & Breakfast Amenities
Bed & Breakfast Amenities
Guests can enjoy a complimentary breakfast. Wireless Internet access is complimentary. Limited complimentary onsite parking is available on a first-come, first-served basis.
- Free WiFi
- Parking (limited spaces)
- Total number of rooms - 3
- Free breakfast
- Front desk (limited hours)
- Free self parking
Available in some public areas: Free WiFi
Free self parking, Parking (limited spaces)
Room Amenities
- Shared bathroom
- Hair dryer (on request)
- Shower/tub combination
- Iron/ironing board (on request)
Where to Eat
Guests are offered complimentary continental and full breakfasts.
Bed & Breakfast Policies
Check-in time starts at 4 PM
Check-in time ends at 8 PM
Special check-in instructions:
Check-out time is 11 AM
Children and extra beds
- Children are welcome.
- Pets not allowed
You need to know
Extra-person charges may apply and vary depending on property policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
Bed & Breakfast Name
- Le Vatout
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- Le Vatout Waldoboro
- Vatout
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- Vatout B&B Waldoboro
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- Vatout Waldoboro


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Tap Milwaukee Exclusive Video: Ed Sheeran answers fan questions
What were you doing this morning? For many of you, it was probably work. Or maybe having breakfast or getting coffee.
For some diehard Ed Sheeran fans, they were sitting right outside the Pabst Theater, waiting for tonight's sold out show.
Who is Ed Sheeran, you ask? He's an up-and-coming British singer-songwriter that dips into pop and hip-hop (a la Jason Mraz). His debut full-length album "+" was huge in England, getting him gigs at the Queen's Jubilee and the Olympics this summer. This fall he'll be contributing to One Direction's album and perform a duet with Taylor Swift on her highly anticipated "Red."
But today in Milwaukee, he answered some fan questions backstage at the Pabst. Check it out. And check out Tap Milwaukee late tonight for a review of the show.
- Top of the Charts: Sia takes over No. 1 spot
- Top of the Charts: Drake makes nine weeks at number one
- Top of the Charts: Drake reaches eight weeks on top
- Sunday Summerfest country pick - Jana Kramer
- Saturday Summerfest country pick - Cam
- Friday Summerfest country pick - Phil Vassar
- Thursday Summerfest country pick - Frankie Ballard
- Wednesday's Summerfest country pick: Hunter Hayes
- Tuesday Summerfest country pick - Michael Ray
- Sunday Summerfest country pick - Kane Brown
Piet Levy is the Journal Sentinel's music writer. He has also been published in USA Today, the Chicago Tribune and the Washington Post.
Erik Ernst is a freelance music writer for the Milwaukee Journal Sentinel. He blogs for Tuned In about country, folk, jam and American roots music.


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FT journalist resigns to join investment bank
20th December 2007
The Financial Times' assistant editor, companies, Charlie Pretzlik, is leaving journalism for banking.
Pretzlik, who has spent nine years at the FT, will join JP Morgan Cazenove as a vice-president in its investment banking division early next year.
[lnk|http://www.featuresexec.com/publications/info_features.php?pubid=353|_self|Financial Times]


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Rolling Stones revisit their days in "Exile"
By Christine Kearney
NEW YORK (Reuters) - The Rolling Stones are revisiting their creative heights by releasing one of their greatest albums with 10 extra tracks, and reminiscing about their chaotic days in a grainy new documentary.
The British rockers have remastered "Exile on Main Street," a 1972 double album that boasts such concert favorites as "Tumbling Dice" and "Rocks Off." It comes out on Tuesday on the United States, and a day earlier everywhere else.
The new documentary, "Stones in Exile," released on June 22, offers snapshots and voice-overs of current and former band members and friends from the time when the band left Britain and its crippling income taxes for France, and recorded in the dank basement of Richards' French villa.
The period was rich with old material that was easily salvaged and turned into new songs, Mick Jagger and Keith Richards told Reuters in New York this week.
"We forgot about them," Richards said, laughing about why the band had waited so long to dig up the material. "And answer B is when we did finally get them, we said, 'We should finish them off,'... without touching the intrinsic sound of the tracks."
The bonus new songs that keep the rhythmic mix of rock, blues, soul, gospel and country sounds the album was famed for include "Following the River," "Dancing in the Light" and "Plundered My Soul," -- a song Rolling Stone magazine recently reviewed as "the real deal."
Jagger explained the new songs had been in raw form.
"Most of them didn't have any vocals, any top line melodies," he said. "So I just put those tracks through the process that the old ones were put through." Continued...


text: WOONSOCKET, R.I. and SAN ANTONIO, Nov. 15, 2012 /PRNewswire/ -- MinuteClinic, the retail health care division of CVS Caremark (NYSE: CVS), and UT Medicine San Antonio, the academic medical practice of the School of Medicine at The University of Texas Health Science Center at San Antonio, have entered into a clinical affiliation to enhance access to high-quality, affordable health care services in the region. MinuteClinic walk-in medical clinics are open seven days a week inside select CVS/pharmacy stores in San Antonio. The clinics are staffed by nurse practitioners and physician assistants who provide treatment for common family illnesses and administer wellness and prevention services, including health condition monitoring. Under the agreement, UT Medicine physicians will serve as medical directors for MinuteClinic locations in San Antonio. In addition, MinuteClinic and UT Medicine will collaborate on patient education and disease management initiatives and will inform patients of the services each offer. UT Medicine will accept patients who need a level of care that is not provided at MinuteClinic. "We look forward to building on UT Medicine's more than 40 years of serving patients by helping to expand access to high-quality, affordable health care services in the San Antonio community," said Andrew Sussman, M.D., President, MinuteClinic and Senior Vice President/Associate Chief Medical Officer, CVS Caremark. "Through this agreement, we will collaborate with UT Medicine on information connectivity and a broad range of programs to provide the highest level of care at the lowest overall cost." "We are very excited to be partnering with MinuteClinic. It is recognized that ready access to quality care and preventive services are essential for the well-being of our community. Our association brings those key elements of the MinuteClinic concept together with our expertise in comprehensive primary care and in the full spectrum of medical and surgical specialties," said Carlos Rosende, M.D., Executive Director of UT Medicine and Vice Dean for Clinical Affairs at the School of Medicine. "Our collaboration will extend superb medical care to a greater segment of our population." MinuteClinic and UT Medicine will begin to work toward fully integrating electronic medical record systems to streamline communication around all aspects of their patients' care. With patient permission, MinuteClinic will electronically share medical histories and visit summaries with UT Medicine locations. In the meantime, MinuteClinic will continue its standard practice of sending patient visit summaries to primary care providers via fax or mail, typically within 24 hours.


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Chapter 1
Tyrell finds out that he is supposed to be a superhero and protect the bay area.
One bright day at beautiful San Francisco in June, Tyrell Thompson walked outside to go to his job at the DELL but little did he know that his life would be changed forever. In DELL he would always say hi to Ally, a sweet girl with straight blonde hair and red lips and blue sparkling eyes. For some reason every time he went to work everyone thought he was just someone and just nothing but muscular guy with short hair and smart. But he knew he was someone he just didn't know yet. So his day ended the same way. But he ran into Ally and had a loss of words and Ally said," You want to go to dinner sometime?" Tyrell said," (manly voice) umm sure?!?!" and continued to walk home. On his walk back he was saw a raven. It looked exhausted and out of breath with a broken wing and somehow the color blue. He brought it back to his house and in some awkward reason it was breathed normally and the wing was not even broken. The raven took Tyrell and picked him up and the bird used his beak to open the door. The only thing Tyrell could do was yelp. That raven took him all the way to the desert where he fell in to quicksand which showed a layer with a hologram of his dad. His dad said" you are finally here son, I've been waiting for you and we finally get to talk. I made this raven bring you because I pass on the super hero generation and make you the blue raven. As a blue raven before it's your job to protect the bay area and you don't go without a loyal trustee. This bird is yours for its named Anubis because it's most powerful. Do you accept this mission?" Tyrell said," Yea dawg, I do. His dad said," Now that u accepted this mission, you get this motorcycle that turns into a Lamborghini called the rave. And this is your secret hiding spot home of your entire weapon and needs. Now that you know, the bay is in your hands. Now Anubis, take him back! Anubis took him back home and when he was home a costume appeared. It had blue, purple and black colors with glasses and a top hat and tight suit like other superheroes. He also had the motorcycle in his backyard. He had enough for the day so the day so he kept the bird on the couch and went the bed.


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Breaking Bad News in Veterinary Medicine
Giving bad news is a crucial part of what we do. It's an art, and those who excel in it are born, not made. But any veterinarian can learn to do a better than average job of it with a little effort. Indeed, not to try is probably a kind of sin Dante reserved a cusp of hell for.
I got to thinking about this while researching pet health blogs for last week's post on blogging in the veterinary profession. Along my meandering way, I came across a slew of great MD bloggers I couldn't help but envy for their honesty, their brio, their eff-it-all flair. This blogger, in particular, unnerved me with his honest account of how to break bad news in a blog post titled, "Bad News."
Here's an excerpt from the blog, Musings of a Distractible Mind (interestingly subtitled, "Thoughts of a moderately strange [yet not harmful] primary care physician"):
It's that part of the job that I've never gotten used to. I hope I never do.
I saw a man recently with an unexpected finding on his exam — a "lesion" that should not have been there. I was seeing him for his diabetes and blood pressure, and was doing my "ritual" physical exam, when the "lesion" blared into my vision.
I got a sick feeling in my stomach when I saw it. I like to make people better, I like to make them happy; now I had to give some bad news.
When broadsided like this by an unexpected finding, it's work to keep a calm composure. I was surprised and very worried, but I tried not to show it on my face. Why do I feel the need to keep calm? My visceral reaction would be to exclaim, "Oh, no! What is that??" but even a small amount of shock and surprise could have a negative impact. I suppose it's because people need to face hard things with confidence, and my reaction will have a big influence on his own outlook and perhaps even the outcome of his disease. I am sending him off toward one of the hardest things in his life, and I want him to go with the best possible mindset.
We physicians are not made differently than other people; we don't have a stronger emotional reserve or innate knowledge on how to handle difficult situations. I want people to like me. I want people around me to be happy. I don't enjoy throwing emotional grenades into the lives of people I've cared for over many years. Yet this is part of what I must do, and in doing so I have learned a number of things.
Here's where the distractibly-minded doc outlines his six-step method, paraphrased here for brevity's sake:
1. Stay calm. (Don't go freaking out like an intern who's just seen a maggot in a wound for the first time.)
2. Stick to facts. (Why project your fears when you don't yet fully know what the lesion is?)
3. Don't cloud things. (Be straightforward. Use the words, "possible cancer" when you have to.)
4. Give a clear next step. (Indeed, give a ladder-full of them if you have to. People need to know there's a plan.)
5. No delays. (Help make a scary situation better by helping the client/patient take the first step so fears don't end up delaying urgent care. This doc calls the specialist immediately while the owner is in the exam room. I do the very same thing. Sometimes it conveys the urgency of the situation better than anything else you could say.)
6. Personal after professional. (Even though my human instinct is to convey bad news as gently as possible, I know I can't. Facts, clarity, steps, direct assistance … they all come first. After that I can be soothing. Until I get my point across … it wouldn't be fair.)
So when I told this week's client that the lesions I'd found in her young dog's X-rays looked more like lymphoma than anything else, I couldn't help but remember this fantastic blog post. I actually went back to check that I had covered all its bases. Thankfully, I had. In my own way, of course. This bit that Dr. Strange and Distractible leaves us with is exactly how I always feel after breaking bad news successfully:
Yes, it's "just my job," but at one moment I have the opportunity and responsibility to play a huge role in one of the most important moments of a person's life. That is a great honor as well as a big responsibility that I accepted when I agreed to be their doctor. If I do my job right, they leave me with an understanding of the situation, with a clear plan of action, with knowledge that I know they are hurting, and most importantly, with hope."
Dr. Patty Khuly
Pic of the day: "cool dog skull xray" by Olathe Animal Hospital in Olathe, KS


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|26th week of 2011 patent applcation highlights part 61
|Patent application number
|Capacitive Medical Electrode - Medical electrodes in embodiments of the teachings may include one or more of the following features: (a) a metallic conductor, (b) the metallic conductor sandwiched between a first dielectric layer adjacent a top surface of the metallic conductor and a second dielectric layer located on a bottom surface of the metallic conductor, (c) a conducive gel coating on at least one of the first and second dielectric layers, (e) the metallic conductor, the dielectric layers, and the conductive gel being wrapped to form a multi-tiered electrode having a plurality of conductive surfaces, (f) an adhesive adhering the metallic conductor with the dielectric layers, (g) a tab connector to provide a connection to electrical monitoring equipment and (h) an attachment connector to provide electrical connection with a patient.
|Pressure sensor apparatus, system and method - An implantable pressure sensor system having a sensor assembly configured and adapted to measure pressure in a volume, the sensor assembly including at least a first MEMS pressure sensor, an application-specific integrated circuit (ASIC) having memory means, temperature compensation system, drift compensation system, and power supply means for powering the sensor assembly, the first MEMS pressure sensor having a pressure sensing element that is responsive to exposed pressure, the pressure sensing element being adapted to generate a pressure sensor signal representative of the exposed pressure, the temperature compensation system being adapted to correct for temperature induced variations in the pressure sensor signal, the drift compensation system being adapted to correct for pressure and temperature induced pressure sensor signal drift.
|SYSTEM, DEVICE, AND METHOD FOR DETERMINATION OF INTRAOCULAR PRESSURE - A system for determination of intraocular pressure includes: an intraocular pressure sensor; a light source illuminating the sensor with one or more wavelengths of light; and a detector that measures emitted light from the sensor. The sensor includes a substrate member, a spacer member, and a flexible membrane, which define a sealed cavity. The flexible membrane moves in response to intraocular pressure changes. A device for measuring intraocular pressure includes: the sensor; an anchoring member attached to the sensor for immobilizing the sensor in an eye; and a protective member attached to the anchoring member and covering the sensor to prevent contact between the flexible membrane and the eye. A method for determination of intraocular pressure includes: placing the sensor in an eye; illuminating, with a light source, the sensor with one or more wavelengths of light; and detecting, with a detector, a resultant light that contains information about intraocular pressure.
|Methods and Systems for Detection of Retinal Changes - An image analysis system allows users to import digital color fundus images over time, and group such images for processing so as to generate analyses. Analyses are information modules based on a selected group of images and, optionally, related information. An analysis tool allows users to view and manipulate the analyses via a graphical user interface for aid in identifying and classifying microaneurysms and other symptoms related to retinopathy and, more generally, to allow for the detection of retinal changes over time.
|DIAGNOSTIC SKIN MAPPING BY MRS, MRI AND OTHER METHODS - This invention pertains to improved methods of classifying skin types as well as improved methods for determining the appropriateness of products and evaluating methods for treating particular skin. The methods typically utilize a "skin type" database containing one or more quantitative measures (e.g., NMR data) of skin properties. The database can optionally include various qualitative measures of skin as well (e.g., Glogau scale and/or Fitzpatrick scale values).
|SYSTEM AND METHOD FOR MAGNETIC RESONANCE IMAGING - A magnetic resonance imaging method comprises performing imaging where more than one polarizing magnetic field strength is used during scanning and processing at least one image resulting from the scanning to yield an enhanced contrast image.
|DETECTING PROXIMITY TO MRI SCANNER - A plurality of separate indications of a scanner field can be received using a corresponding plurality of scanner field sensors of an implantable medical device (IMD). In an example, the IMD can be switched from a first therapy mode to a second therapy mode using one or more of the plurality of scanner field sensors, and from the second therapy mode back to the first therapy mode using each of the plurality of scanner field sensors. In certain examples, shock therapy can be terminated or inhibited using a detected proximity of the IMD to a magnetic resonance imaging (MRI) scanner, or antitachycardia pacing (ATP) can be terminated or inhibited using a detected active scan of the MRI scanner.
|MRI AND ULTRASOUND GUIDED TREATMENT ON A PATIENT - A method is provided for guiding a procedure on a region of interest in a body part of patient, where the body part moves within the patient by breathing, cardiac or other action. The procedure includes radiation therapy, or guidance of a probe for example for biopsy or brachytherapy. The method includes using an MRI system to obtain an MR image of the body part, during the procedure on the body part of the patient, obtaining real time ultrasound images of the body part of the patient as the body part moves within the body of the patient, registering the MR image of the body part with the ultrasound image of the body part so as to locate the region of interest in the ultrasound image of the body part and using the registered images to target the action to the region of interest as the body part moves.
|FUNCTIONAL MRI CARDIAC OPTIMIZATION - An implantable or other ambulatory device, such as a pacer, defibrillator, or other cardiac function management device, can use imaging information, such as one or more of cardiac functional magnetic resonance imaging (fMRI) information or cardiac magnetic resonance imaging (MRI) information, such as for helping optimize one or more parameters of the implantable or other ambulatory device.
|Lead Tracking and Positioning System and Method - Image data can be obtained with an imaging device. A location of the imaging device relative to a subject can be determined. A location of an instrument can be tracked relative to the subject using a tracking system. Also, the tracked location of the instrument can be illustrated relative to the image data.
|SYSTEM AND METHOD FOR REAL-TIME SURFACE AND VOLUME MAPPING OF ANATOMICAL STRUCTURES - A method and system for mapping a volume of an anatomical structure includes a processor for computing a contour of a medical device as a function of positional and/or a shape constraints, and to translate the contour into known and virtual 3D positions. The processor is configured to determine a spatial volume based on a virtual position, and to render a 3D representation of the spatial volume. A method and system of mapping a surface of an anatomical structure includes a processor configured to obtain an image of the structure. The processor is further configured to receive a signal indicative of a medical device contacting the surface of the anatomical structure, and to determine a position of the device upon when contact has been made. The processor is configured to superimpose marks on the image indicative of a contact points between the device and the structure.
|PROLAPSE DETECTION AND TOOL DISLODGEMENT DETECTION - A tool dislodgement detection apparatus includes an MPS outputting position and orientation (P&O) readings for determining tool motion. A control generates an alarm based on the tool motion and dislodgement criteria. The criteria includes whether the tool motion meets a condition based on the type of medical procedure or tool, the tool parking position, a patient characteristic (e.g., age, weight, gender) or a physician preference. The criteria includes when the correlation between the tool motion and the cardiac, respiration and patient motion changes abruptly. In a prolapse detection apparatus, guidewire tip P&O readings determine a tip motion vector. The control generates an alarm using the motion vector and predetermined criteria. The criteria include a substantial change in the tip orientation not accompanied by a corresponding position change and a change in the motion vector by about 180° accompanied by a corresponding position change no greater than a threshold.
|TOOL SHAPE ESTIMATION - A medical tool includes a location sensor at a distal end. While the tool is being maneuvered to a desired region of interest, a control unit records a first location reading obtained according to an output from the sensor when requested by a user, indicative of when a patient's anatomy constrains free movement of the tool in at least one degree of freedom. Once the tool has reached the region of interest, the control unit records a second location reading according to the sensor output indicative of a current location. A relaxation shape of the tool forms a shape constraint on the tool shape reconstruction. The control unit determines a reconstruction representing the current shape of the tool based on the positional constraints and the shape constraint. The reconstruction is graphically superimposed on an image of the region of interest.
|DISPOSABLE WAND AND SENSOR FOR ORTHOPEDIC ALIGNMENT - A disposable tool suitable for use in orthopedic alignment comprises a sensor (
|Radiopaque Marking of Lead Electrode Zone in a Continuous Conductor Construction - A cardiac transvenous defibrillation lead has a continuous coil conductor within a layer of insulation. A portion of the coil conductor is exposed as a defibrillation electrode. In order to enhance fluoroscopic visualization of the exposed electrode during implant, the end of the exposed electrode is marked with a radiopaque element. The element may be in the form of an adhesive filled with radiopaque material that is used to backfill under the layer of insulation. Alternatively, a tube made of radiopaque material may be installed between the layer of insulation and the coil conductor.
|CARDIAC MAPPING WITH CATHETER SHAPE INFORMATION - A non-contact cardiac mapping method is disclosed that includes: (i) inserting a catheter into a heart cavity having an endocardium surface, the catheter including multiple, spatially distributed electrodes; (ii) measuring signals at the catheter electrodes in response to electrical activity in the heart cavity with the catheter spaced from the endocardium surface; and (iii) determining physiological information at multiple locations of the endocardium surface based on the measured signals and positions of the electrodes with respect to the endocardium surface. Related systems and computer programs are also disclosed.
|MICROPOROUS BALLOON CATHETER - A method and system for delivering a medicament into tissue, for example via a balloon with small pores. Optionally, the pressure used is high enough to cause jetting, but the pore sizes, pore density, pressure and/or delivery time are such that the jetting do not cause unacceptable tissue damage. Optionally, the pores are smaller than 2 microns, are between 300 and 600 per square centimeter and the pressure is above 8 atmospheres.
|Methods, Systems and Computer Program Products for Diagnosing Conditions Using Unique Codes Generated from a Multidimensional Image of a Sample - Methods of providing a diagnosis using a digital code associated with an image are provided including collecting a multidimensional image, the multidimensional image having at least two dimensions; extracting a two dimensional subset of the multidimensional image; reducing the multidimensional image to a first code that is unique to the multidimensional image based on the extracted two dimensional image; comparing the first unique code associated with the subject to a library of reference codes, each of the reference codes in the library of reference codes being indicative of a class of objects; determining if the subject associated with the first unique code falls into at least one of the classes of objects associated with the reference codes based on a result of the comparison; and formulating a diagnostic decision based on the whether the first unique code associated with the subject falls into at least one of the classes associated with the reference code. Related systems and computer program products are also provided herein.
|LIGHT MARKER FOR INDWELT USE IN PATIENTS BODY AND FOR IDENTIFICATION OF LESIONS INSIDE PATIENTS TUBULAR ORGAN USING THE LIGHT MARKER - A lesion identification system for surgical operations has a light marker adapted for placement in the vicinity of a lesion inside an organ of an organism, and a location-identifying device detecting a light emitted from the light marker at an outside of the organ for identifying a location of the lesion. The marker includes a light emitter and an engagement member associated with the emitter to be engageable with a wall of the organ. The engagement member includes a clip. The light emitter emits light with a wavelength in a near-infrared range. The device includes an endoscope comprising an inserter section having an image pickup element picking up a reflected light, involving the light from the light marker, at an outside of the organ, and an image pickup unit allowing the reflected light, picked by the image pickup element, to be generated as an image for display on a monitor.
|REAL-TIME SURGICAL REFERENCE GUIDES AND METHODS FOR SURGICAL APPLICATIONS - Apparatus and methods are described which guide a surgeon in performing a reconstructive or cosmetic procedure. The apparatus and methods utilize three dimensional presentations of the target surgical site incorporating one or more virtual surgical guides which help attain proper alignment and orientation of the post surgical outcome.
|MICROWAVE INVESTIGATION WITH A CONTRAST MEDIUM - A device for the investigation of an object uses a microwave transmitter, a microwave receiver, a control device and a contrast medium. The microwave transmitter and the microwave receiver are controlled by the control device. In one embodiment, the following steps maybe implemented:
|Automatic Injector Ram Homing - A power injector (
|PINCH VALVE MECHANISM FOR A MEDICAL FLUID INJECTION DEVICE - In general, this disclosure relates to techniques for sealing, or pinching, high-pressure fluid tubing (e.g., braided tubing) that may be used to deliver medical fluid from a powered medical fluid injection device, such as an injector that delivers contrast media and/or saline during angiographic or computed tomography (CT) procedures. In some cases, one or more low-friction, solenoid-based pinch valve mechanisms may be used. One example powered medical fluid injection device comprises an injector head and at least one pinch valve mechanism that is coupled to the injector head. The at least one pinch valve mechanism comprises a plunger, a reciprocating arm driven by the plunger, and a tube pinching area. The at least one pinch valve mechanism, when deactivated by the injector head, is configured to cause the reciprocating arm to pinch fluid tubing that runs through the tube pinching area.
|WIRELESS ULTRASONIC SCANNING SYSTEM - A wireless ultrasonic scanning system comprises an ultrasonic sensor, a motor, an ultrasonic transceiver, a high-speed data sampling module, a motor controller and a master control module. The ultrasonic sensor, which moves in accordance with control of the motor controller, is mounted on the motor. The ultrasonic transceiver activates the ultrasonic sensor and amplifies a received ultrasonic signal. The high-speed data sampling module wirelessly transmits radio-frequency ultrasonic data to the master control module. The master control module sets a scanning mode, initiates a scanning process, and wirelessly transmits control signals and control parameters to the high-speed data sampling module.
|Orthopedic Navigation System with Sensorized Devices - A low-cost and compact electronic device toolset is provided for orthopedic assisted navigation. The toolset comprises wireless sensorized devices that communicate directly with one another. A computer workstation is an optional component for further visualization. The sensorized devices are constructed with low-cost transducers and are self-powered. The toolset is disposable and incurs less hospital maintenance and overhead. As one example, the toolset reports anatomical alignment during a surgical workflow procedure. Other embodiments are disclosed.
|Acoustic coupling for assessment and ablation procedures - Acoustic coupling systems and methods are disclosed as these can be used for assessment and ablation procedures. An exemplary acoustic assessment system for a catheter may comprise a flexible catheter shaft. At least one acoustic transducer is positioned in the flexible catheter shaft. The at least one acoustic transducer emits a generated acoustic signal for reflection by adjacent tissue. The at least one acoustic transducer receives a reflected acoustic signal from the adjacent tissue and generates electrical signals corresponding to one or more property of the tissue. An output device is electrically connected to the at least one acoustic transducer. The output device receives the electrical signals and generate output for a user for assessing the tissue.
|ULTRASOUND FOR NAVIGATION THROUGH PSOAS MUSCLE - Imaging technology may be used to navigate highly innervated tissue, such as the psoas muscle, while maintaining the neural structures intact. An ultrasound transducer may be introduced into the tissue and an image may be consulted to assess the proximity of the transducer to neural structures. Alternate embodiments contemplate an expanded array of surgical applications and alternate imaging technologies.
|SYSTEMS AND METHODS FOR MULTI-FREQUENCY IMAGING OF PATIENT TISSUE USING INTRAVASCULAR ULTRASOUND IMAGING SYSTEMS - A method for imaging patient tissue using an intravascular ultrasound image includes inserting a catheter into a patient blood vessel. The catheter includes at least one transducer configured and arranged for insertion into a lumen of the catheter. Acoustic signals are transmitted from the at least one transducer along a series of scan lines towards patient tissue between incremental rotations of the at least one transducer. The transmitted acoustic signals include first acoustic signals having first frequency bandwidths centered at a first center frequency and second acoustic signals having second frequency bandwidths centered at a second center frequency. Corresponding echo signals reflected from patient tissue are received, transformed, processed, and displayed.
|VOLUMETRIC MEASUREMENT AND VISUAL FEEDBACK OF TISSUES - Apparatus and methods for assessing tissue characteristics such as the dimensions and volume of an osteolytic lesion are disclosed. The apparatus may utilize ultrasound to provide visual and volumetric feedback related to a lesion or other tissue. Further the apparatus may be utilized to determine whether the lesion has been completely removed and filled with the appropriate amount of graft material.
|ULTRASOUND IMAGE DISPLAY APPARATUS AND ULTRASOUND IMAGE DISPLAY METHOD - An ultrasound diagnostic apparatus includes a control section that performs control such that an ROI is displayed on a screen upon input of a predetermined command. The ROI is for displaying a flow mode image of a region including a start point and an end point of a puncture path of a puncture needle that appears on a screen of an ultrasound image when the puncture needle is protruded from an ultrasound probe.
|DYNAMIC TRACKING OF SOFT TISSUE TARGETS WITH ULTRASOUND IMAGES - Apparatus and methods of dynamically tracking a soft tissue target with ultrasound images are described. An apparatus includes an ultrasound imager coupled to a robotic arm. A method includes acquiring a first ultrasound (US) image of a patient with an ultrasound imager, determining a quality metric of the first US image, and adjusting one or more imaging parameters of the ultrasound imager if the quality metric of the acquired first US image is less than a quality threshold.
|ULTRASONIC DIAGNOSTIC APPARATUS AND METHOD OF DISPLAYING ULTRASONIC IMAGE - Provided is an ultrasonic diagnostic apparatus that constructs and displays a 3-dimensional elastic image showing the hardness or softness of a biological tissue of an object to be examined, and a method of displaying an ultrasonic image. The ultrasonic diagnostic apparatus is characterized by being provided with an elastic image constructing unit (
|FETAL HEART RATE MONITOR WITH WIDE SEARCH AREA - A continuous, non-invasive fetal heart rate measurement is produced using an ultrasound probe positioned on the abdomen of the mother. The ultrasound probe includes a plurality of ultrasound transducers that are positioned within a housing having a transmission surface. The transmission surface is configured to defocus the individual ultrasound beams created by the plurality of ultrasound transducers. The transmission surface defocuses the ultrasound beam and creates a wider area of coverage for the ultrasound probe. The controller contained within the heart rate monitor selectively activates different combinations of the plurality of ultrasound transducers to reduce the signal-to-noise ratio while allowing the ultrasound probe to locate the fetal heart beat and subsequently increase the signal-to-noise ratio during continuous heart rate monitoring.
|ECHOGENIC MEDICAL NEEDLE - There is disclosed a medical needle comprising a needle shaft that defines a longitudinal axis, a tip formed at one end of the shaft, and an ultrasonic reflector formed in an outer surface of the needle shaft. The reflector comprises a first reflector surface that is at an angle of no more than 35° to the longitudinal axis of the shaft and that faces towards the tip, and at least one additional reflector surface that forms an angle to the first reflector surface within the range of 75° to 105°, and that is substantially concave in a direction towards the first reflector surface.
|INTRACARDIAC IMAGING SYSTEM UTILIZING A MULTIPURPOSE CATHETER - A three dimensional physiological mapping system utilizing an intracardiac echo catheter capable of being located in six degrees of freedom by a visualization, navigation, or mapping system. An echocardiography image of the intracardiac echo catheter may be projected within a geometric model of the visualization, navigation, or mapping system where the location of the projected image is adjusted in response to user input identifying a structure present in the echocardiography image and the geometric model.
|Method for Testing Substances or Substance Mixtures and the Use Thereof - The present invention relates to a method for testing a substance or a substance mixture and the use thereof for identifying and/or characterizing the mode of action of the substance or the substance mixture or for determining the biochemical and/or metabolic state of an organism or group of organisms or part(s) thereof after exposure to the substance or the substance mixture.
|MEDICAL INSTRUMENT WITH PROBE, PROBE COVER, AND METHODS OF USING THE SAME - A medical instrument including a probe adapted to be inserted into an orifice of an animal's body. The instrument includes an emitter of electromagnetic radiation that is sensed by a sensor mounted on the probe. The sensor can then determine, by variations in the amount of radiation received from the emitter, whether a probe cover is mounted over the probe. A sensor can also be used to determine whether the walls of the body orifice block the radiation received from the emitter, thereby indicating position of the sensor, and thus, the probe within the orifice. A special probe cover is disclosed, and methods of using the medical instrument are also disclosed.
|Instrument including a movement sensor and method of using same - An instrument positionable with respect to a body valve in the body of a living subject for performing a predetermined procedure on the living subject at a predetermined location relative to the body valve. The instrument includes: a movement sensor for sensing movements of the body valve; an effective portion for performing the predetermined procedure when the effective portion is at the predetermined location; and an effective portion positioner for positioning the effective portion in the living subject. The effective portion is positionable using the effective portion positioner in response to the movements sensed by the movement sensor for positioning the effective portion at the predetermined location in order to perform the predetermined procedure.
|Suprasystolic Measurement in a Fast Blood-Pressure Cycle - Disclosed herein is a system for monitoring a patient that includes a cuff configured to inflate to at least partially occlude an artery of the patient and a cuff controller configured to inflate the cuff during a dynamic phase and generally maintain inflation of the cuff at about a target pressure during a static phase. The system also includes a sensor configured to receive a signal associated with the at least partially occluded artery and generate an output signal based on the received signal, and a cuff control module configured to determine the target pressure during the dynamic phase and based on the output signal, and control the cuff controller during the dynamic phase and the static phase.
|ELECTRONIC SPHYGMOMANOMETER AND BLOOD PRESSURE MEASUREMENT CONTROL METHOD - A blood pressure measurement control method for controlling the measurement of a blood pressure according to an oscillometric method has the steps of determining whether to employ a depressurization measurement method or a pressurization measurement method to measure the blood pressure according to a person to be measured, performing a measurement process of the blood pressure in a depressurization process when determined to measure the blood pressure with the depressurization measurement method, performing a measurement process of the blood pressure in a pressurization process when determined to measure the blood pressure with the pressurization measurement method, and outputting the measured blood pressure value.
|DEVICE FOR MEASURING INFORMATION REGARDING BLOOD PRESSURE - A measurement device includes an air bag on a peripheral side, an air bag on a central side, and an air bag positioned therebetween. During blood pressure measurement, the air bags integrally behave, and the blood pressure is measured from the change in inner pressure thereof. During pulse wave measurement, the inner pressure of the air bag on the peripheral side is maintained to higher than or equal to the systolic blood pressure, and the measurement site is avascularized. The inner pressure of the air bag on the central side is maintained to the pressure near the blood pressure value, and the pulse wave is measured from the change in inner pressure thereof. The inner pressure of the air bag positioned therebetween is opened to atmospheric pressure, and the vibration of the air bag on the central side is prevented from propagating to the air bag on the peripheral side.
|Wire Free Self-Contained Single or Multi-Lead Ambulatory ECG Recording and Analyzing Device, System and Method Thereof - A device, method and system are provided to continuously store and analyze single or multi-lead ambulatory ECG signals. Each ECG device is self-contained, wire-free, reusable and capable of non-invasive continuous recording, analyzing and indexing of ECG data independently. A pair of snap connectors on the device body attaches the device to standard ECG electrodes to minimize noise caused by the wires. Each device contains a real-time clock to link the ECG data and a detected cardiac event with actual date and time. The device contains a USB port to upload the data to a host system. Multiple such devices are wearable by a patient to form a multi-lead ECG system. There is provided a method to continuously record and analyze ECG data using a self-contained, wire-free ECG device or multiple such devices; and further a method to synchronize the ECG data in multiple devices to realize multi-lead ECG recording.
|IMPLANTABLE DEVICE WITH POST-MRI CARDIAC SIGNAL SENSING ADJUSTMENT - An implantable device, such as a pacer, defibrillator, or other cardiac rhythm management device, can include an automatic testing and adjusting of cardiac signal sensing after an MRI scanning procedure, such as to accommodate an MRI-induced physiological change in sensed cardiac depolarization amplitude or in lead impedance such as at an electrode/tissue interface.
|DIAGNOSIS OF NEUROGENERATIVE DISORDERS - Methods are provided for non-invasive early screening of a subject for a neurodegenerative disorder, by analyzing one or more parameters associated with the neurodegenerative disorder.
|WIRELESS ECG SYSTEM - A wireless monitoring system and, more particularly, a wireless monitoring system for detecting and transmitting physiological data. The present invention detects physiological data relating to a patient's cardiac activity and respiration rate and transmits the data to a remote base station via telemetry. The base station processes the data so that the data can be display by an ECG monitor.
|IMPLANTABLE HEART MONITORING DEVICE AND METHOD - In an implantable heart monitoring device and method, particularly for monitoring diastolic dysfunction, a control circuit (a) detects the heart rate, (b) derives information correlated to the stroke volume of the heart at the detected heart rate, and (c) stores the detected heart rate and the derived information correlated to the stroke volume in a memory. The control circuit automatically implements (a), (b) and (c) at a number of different occasions for a number of different, naturally varying heart rates, so that the memory contains information indicating the stroke volume as a function of the heart rate.
|SYSTEMS AND METHODS FOR GRAPHIC DISPLAY OF ST-SEGMENT DEVIATION - Systems and methods are provided for monitoring a patient and graphically representing ST-segment deviations. A receiver acquires, from a plurality of leads, electrocardiogram (ECG) signals that each includes an ST-segment. A processor processes the ECG signals to determine baseline and current ST-segment deviations relative to an isoelectric value. A display module displays a graph that includes a first axis representing ST-segment deviation values and a second axis representing the plurality of leads. At each location along the second axis representing a respective lead, the graph displays a first set of graphic indicia representing the baseline ST-segment deviations and a second set of graphic indicia representing the current ST-segment deviations. In certain embodiments, the graphic indicia are represented by bar graphs. In other embodiments, the graphic indicia are represented by symbols that may be connected by line segments.
|QEED-Guided Selection and Titration of Psychotropic Medications - Data corresponding to brain electrical activity of a patient from a QEEG is processed to determine which brain activity data deviates from that of a normative profile. The deviant brain activity data is used to determine a brain state vector (BSV) in a multidimensional brain electrical signal space, wherein the orientation of the BSV indicates the nature of the deviation from a normal state and may be used to prescribe a medicine to the patient and wherein the length of the BSV quantifies the degree of abnormality exhibited by the patient and may indicate the dosage of the medicine to be prescribed to the patient.
|Brain-related chronic pain disorder diagnosis and assessment method - A method for diagnosing and assessing a brain-related chronic pain disorder. The method includes assessing a subject's brain function, determining the probability that a subject is suffering from chronic pain as a result of an abnormal brain function condition by obtaining a quantitative assessment of the subject's brain function, and making a statistical comparison between the subject's quantitative brain function assessment and either a database of quantitative assessments of the brain functions of normal, healthy individuals, or a database of quantitative assessments of the brain functions of individuals known to have been suffering from chronic pain as a result of the abnormal brain function condition.
|Method and system for monitoring pressure in a body cavity - An implantable pressure sensor system having a sensor assembly configured and adapted to measure pressure in a volume, the sensor assembly including at least a first MEMS pressure sensor, an application-specific integrated circuit (ASIC) having memory means, temperature compensation system, drift compensation system, a sensor catheter, and power supply means for powering the sensor assembly, the first MEMS pressure sensor having a pressure sensing element that is responsive to exposed pressure, the pressure sensing element being adapted to generate a pressure sensor signal representative of the exposed pressure, the temperature compensation system being adapted to correct for temperature induced variations in the pressure sensor signal, the drift compensation system being adapted to correct for pressure and temperature induced pressure sensor signal drift.
|SURGICAL BIOPSY SYSTEM WITH REMOTE CONTROL FOR SELECTING AN OPERATIONAL MODE - A surgical biopsy system is provided for removing at least one tissue sample from a surgical patient. The surgical biopsy system comprises an elongated, hollow piercer and a cutter rotatably and axially positionable relative to the piercer. The piercer has a lateral port for receiving the tissue sample into the piercer. The surgical biopsy system further comprises a power transmission source operatively connected to the cutter for rotating and translating the cutter, a control unit, and a display mounted in a display frame for showing an operator a plurality of operational modes of the surgical biopsy system. The surgical biopsy system further comprises at least one control button operatively connected to the control unit by a circuit and remotely located from the control unit. The operator may actuate the control button(s) to select any one of the operational modes and the selected operational mode is visually identifiable on the display.
|METHODS AND DEVICES FOR BIOPSY AND COLLECTION OF SOFT TISSUE - A biopsy device may include a housing and a disposable biopsy assembly releasably received in the housing. The disposable biopsy assembly may include a cutter coaxially disposed with respect to a needle, and a plurality of gears may be engaged when the disposable biopsy sample is inserted in the housing. A tissue sample holder may be disposed within housing.
|PAIN FREE HYPODERMIC NEEDLE - A hypodermic needle having a hub with a distal surface extending at an obtuse angle from a short needle, and a bevel approximately parallel to the distal surface.
|FLUID COLLECTION/INJECTION DEVICE HAVING SYRINGE SAMPLE CONTAINER AND METHOD OF MAKING AND USING THE SAME - Fluid collection/injection device/system includes a fluid sampling syringe having a double-ended needle arranged on a forward end and a rear end. A syringe sampling device has a forward end insertable into the rear end of the fluid sampling syringe. The forward end of the syringe sampling device being puncturable by one needle of the double-ended needle.
|BLOOD TEST APPARATUS - A blood sampling cartridge is attachable to and removable from an attaching part of a blood test apparatus that includes a housing. The attaching part is provided in one side of the housing. The blood sampling cartridge includes a holder, a blood sensor that is attachable to one end of the holder, a lancet that is movable inside the holder, a blood collection needle attached to one end of the lancet, and a guide provided on the lancet. The guide of the lancet is configured to latch with the holder after puncturing with the blood collection needle, such that the blood collection needle is prevented from projecting beyond the blood sensor.
|Swallowing Frequency Measurement - Implementations for measurements of swallowing frequency are generally disclosed.
|SYSTEM AND METHOD FOR ORTHOPEDIC LOAD AND LOCATION SENSING - A sensing insert device (
|CLINICAL ASSESSMENT SCALES AND METHODS - Disclosed herein are scales for assessing lip fullness, severity of perioral lines at rest, severity of perioral lines at maximum contraction or oral commissures. The scales comprise rows or columns of photographs corresponding to different severity categories. Each scale may have a Kappa score of at least about 0.700 for intra-rater and inter-rater reliability.
|APPARATUS FOR THE DIAGNOSIS AND TREATMENT OF BRUXISM - The present invention is an apparatus for detecting and treating bruxism. The apparatus of the invention comprises a sensing unit, a calculation unit and a stimulation unit. The sensing unit is in charge of measuring the interocclusal distance and reporting this distance to the calculation unit. After receiving the information from the sensing unit, the calculation unit archives and processes the information to determine if the sensing event is a bruxism event. When a sensing event is confirmed as a bruxism event, the calculation unit selects an adequate stimulation and sends a request to the stimulation unit, which applies the selected stimulation. The apparatus of the present invention may be suitable for treating both diurnal and nocturnal bruxism and the intrabuccal components may be removed from the mouth when bruxism events are not expected to occur, i.e. during the day for an individual who suffers only from nocturnal bruxism.
|METHOD AND APPARATUS FOR A SCENTED ALARM CLOCK BASED ON SLEEP STATE - A method and apparatus for affecting the dreams of the subject or individual is presented. The apparatus first predicts or detects the desired sleep state and presents a scent to the subject. The apparatus then awakens the subject after a given period of time using external stimulus. The desired sleep state may be the REM sleep state, and the period of time may be one minute. Upon awakening, the subject will recall dreams that have been affected by the emitted scent. If the scent is pleasant, then the subject will recall having pleasant dreams.
|SYSTEM AND METHOD FOR MINIMALLY INVASIVE TISSUE TREATMENT - Delivering ultrasonic energy to a target musculoskeletal tissue site includes connecting a delivery device to a vacuum source, a fluid source, and a power signal source. The delivery device has a housing portion maintaining an ultrasound transducer and a tip portion having a sleeve and a cannula. The cannula is coupled to the ultrasound transducer and received in the sleeve to define a covered portion and an exposed portion. Ultrasonic energy is generated by sending a power signal from the power signal source to the ultrasound transducer. The ultrasonic energy is transmitted from the ultrasound transducer to the cannula, such that the exposed portion of the cannula delivers ultrasonic energy at a frequency that is pre-selected to debride musculoskeletal tissue upon percutaneous insertion of the tip portion.
|Methods and apparatus for dissolving intracranial blood clots - A method for dissolving blood clots in a patient's intracranial space using ultrasound energy involves forming at least one hole in the patient's skull, advancing at least one ultrasound delivery device through the hole, and transmitting ultrasound energy from the ultrasound delivery device into blood clots. According to various embodiments, ultrasound delivery devices may be advanced into the epidural space, one or both ventricles and/or an intracerebral space of the patient's brain. Also, one or more pharmacologic agent maybe delivered to the patient intracranial space to further facilitate clot dissolving therapy. Intracranial ultrasound delivery may be used to dissolve intracranial blood clots in relation to ischemic stroke, hemorrhagic stroke, head trauma, atherosclerosis, perfusion disorders and other acute or chronic neurological conditions.
|PROCESSES AND APPARATUS FOR PREVENTING, DELAYING OR AMELIORATING ONE OR MORE SYMPTOMS OF PRESBYOPIA - The present invention generally relates to an apparatus and processes for preventing or delaying presbyopia. More particularly, the present invention relates to processes and apparatus for ablating epithelial cells in the germinative zone or the pregerminative zone of the crystalline lens of the eye so that onset or progression of presbyopia or one or more symptoms is de-layed or prevented. The present invention also relates to processes and apparatus for promoting formation of suture lines in the crystalline lens of the eye so that onset or progression of presbyopia or one or more symptoms is delayed or prevented. The present invention also relates to processes and apparatus for creating disruptions in the vitreous humor of the eye.
|EXTERNAL STIMULATION OF THE SPG - Apparatus is provided for treating a condition of a subject, including an energy transmitter, which is configured to be positioned outside a body of the subject in a vicinity of a site selected from the group consisting of: a sphenopalatine ganglion (SPG), a greater palatine nerve, a lesser palatine nerve, a sphenopalatine nerve, a communicating branch between a maxillary nerve and an SPG, an otic ganglion, an afferent fiber going into the otic ganglion, an efferent fiber going out of the otic ganglion, an infraorbital nerve, a vidian nerve, a greater superficial petrosal nerve, and a lesser deep petrosal nerve. A control unit is configured to drive the energy transmitter to transmit energy to the site, and configure the energy to stimulate the site. Other embodiments are also described.
|APPARATUS FOR CREATING A THERAPEUTIC SOLUTION AND DEBRIDEMENT WITH ULTRASOUND ENERGY - An ultrasound surgical apparatus is provided. The apparatus is constructed from a tip mechanically coupled to an ultrasound horn containing an internal chamber. The horn is mechanical coupled to an ultrasound transducer driven by a generator. The ultrasound tip possesses at least one radial surface, a cavity, or some other form of a hollowed out area, within at least one of the radial surfaces, and a sharpened cutting member at the opening of the cavity. The horn contains an internal chamber enabling the creation of therapeutic solution that may serve as or be incorporated into a coupling medium delivered to the cavity of the tip.
|Apparatus and method for training knee and hip joints of a patient in post-traumatic or post-operative period - The apparatus for training knee and hip joints of a patient in the post-traumatic or post-operative period makes it possible to perform controllable bending and stretching motions of the leg or with use of a knee-immobilization device. The patient's foot of the injured leg is secured on a foot pedal, and the motions of the foot are used as a motive force to drive a carriage that supports the foot pedal. Ankle pump motions of the foot pedal are transmitted by means of a ratchet mechanism to a drum that is used for winding a cord. One end of the cord is attached to the drum, and another end can be selectively attached either to the rear crossbar or to the knee-immobilizing device. Depending on the position of the free end of the cord, the disconnectable pulley and direction of motion of the carriage, the injured leg can be stretched or bent.
|PELVIC FRAME AND WALKING ASSISTANCE DEVICE USING THE SAME - A pelvic frame (
|Shoulder and Backside Massager - A shoulder and backside massager includes a support body. Said support body comprises a balance weight portion and a massaging portion, said balance weight portion are separated and astraddle provided on the two fore-and-aft sides of the should. Said massaging portion is provided with a massage device, said balance weight portion is provided with a balance weight body (
|CERVICAL COLLAR - The present invention discloses a novel cervical collar for maintaining the airways in head and neck immobilized trauma patient open. This collar comprises a rigid motion-restricting frame (
|BRACE FOR DYNAMICALLY CORRECTING THE BENDING OF THE JOINTS OF THE LOWER LIMB - A brace for dynamically correcting the bending of the joints of the lower limb includes a thigh grip (
|KNEE BANDAGE - Knee bandage comprising
|ANKLE SPLINT - The splint comprises, on the one hand, a shell intended to be positioned against the external face of the leg and, on the other hand, an L-shaped support comprising an upright intended to be positioned against the external face of the foot and a tongue intended to be positioned under the foot. Furthermore, the splint comprises a connecting piece connecting the shell and the support, mounted so that it can pivot with respect to the shell about a first transverse axis of articulation and mounted such that it can pivot with respect to the support about a second transverse axis of articulation, the first and second axes of articulation being offset from one another vertically and in the anterioposterior direction, in the neutral position of use.
|METHOD FOR PRODUCING SHAPED POLYURETHANE FOAM WOUND DRESSINGS - The present invention relates to a process for producing shaped articles comprising, acting on a foam layer in a first region with a pressure of from 0 to 150 bar at a temperature of from 0° C. to less than or equal to 200° C., whereby the foam layer is compressed in the first region to greater than 12.5% to 100% of its original volume; acting on the foam layer in a second region with a pressure of from 50 to 150 bar at a temperature of from 100° C. to 200° C., whereby the foam layer is compressed in the second region from greater than 0% to 12.5% of its original volume; and wherein the foam layer comprises in the first region and the second region a polyurethane foam which is obtained by foaming and drying a composition comprising an aqueous, anionically hydrophilicized polyurethane dispersion.
|CANKER SORE PATCH - An oral mucoadhesive patch used for canker sore treatments disclosed, said patch comprising a mucoadhesive layer and a protective layer, wherein the protective layer comprises pressure sensitive adhesive.
|COTTON BALLS, COTTON SWABS AND COTTON SWAB HOLDER - A cotton swab and cotton swab holder, which can be used together in a cotton swab holder assembly. The cotton swab having a shaft and a cotton portion disposed on an end of the shaft. The cotton swab holder having a handle portion; and a cotton swab holding portion connected to the handle portion, the cotton swab holding portion having a mechanism for holding the shaft of the cotton swab. Also provided is a cotton ball including: a cotton body; a wall defining a cavity disposed on an interior of the cotton body; and one of a liquid or gel contained in the cavity.
|DEVICE AND METHOD FOR INHIBITING COMPLEMENT ACTIVATION - An extracorporeal device for inhibiting alternative complement pathway activation includes a support structure an anti-complement antibody disposed on or within the support structure and a first conduit for conducting blood of the subject to the anti-complement antibody. The anti-complement antibody can bind to the complement protein and remove the complement protein from the blood.
|Detecting Blood Flow Degradation - A method for detecting blood flow degradation in a dialysis system. The method includes measuring a flow rate of blood in a blood line, calculating a current impedance value based on the measured flow rate, and comparing the current impedance value to a baseline impedance value.
|Electrokinetic actuator to titrate fluid flow - An electrokinetic actuator for fluid flow titration including two chambers separated from one another by a porous dielectric disposed therebetween. A plurality of electrodes are disposed about a perimeter of the first and second chambers. Polar electrolyte disposed within the actuator is able to pass through the porous dielectric between the first and second chambers upon the application of an electric field or electric potential to the plural electrodes. A mechanical valve actuation mechanism connected to the second chamber allows for fine titration of fluid flow using electro-osmosis, including full-flow and/or complete cut-off. The polar electrolyte is isolated to prohibit intermixing with a fluid being titrated (such as cerebrospinal fluid).
|COSMETIC IONTOPHORESIS SYSTEM - Iontophoretically administering a cosmetic agent requires an active electrode and a return electrode secured to the skin (
|Operation management of active transdermal medicament patch - A transdermal medicament patch includes a flexible substrate having a therapeutic face configured for releasable retention against the skin of a patient, a medicament matrix susceptible to permeation by medicament and secured to the therapeutic face of the substrate, and a return electrode secured to the therapeutic face spaced from the medicament matrix. The return electrode and the medicament matrix effect electrically conductive engagement with the skin of the patient when the substrate is retained thereupon. A power source is carried on substrate so electrically coupled between the medicament matrix and the return electrode as to cause iontophoretic migration of medicament from the medicament matrix into the skin of the patient. A dosage control circuit carried non-removably on said substrate limits to a predetermined medicament quantity the total medicament administered into the skin of the patient by iontophoretic migration during a predetermined therapy period.
|BATTERY PACK AND ELECTRONIC DEVICE ASSEMBLY INCLUDING BATTERY PACK - This invention relates to an improvement in battery packs. The invention intends to provide a highly flexible battery pack and an electronic device assembly using the same. The battery pack of the invention includes an elastic sheet and at least one coin battery embedded in the elastic sheet. In a preferable embodiment of the invention, the electronic device assembly includes a laminate of the battery pack and a flexible electronic device. The electronic device is driven by power supplied through positive and negative terminals of the battery pack. In another preferable embodiment of the invention, the electronic device assembly includes the battery pack and a device embedded in the elastic sheet of the battery pack, and the device is driven by power supplied by the at least one coin battery.
|PEGYLATED LIPOSOMAL FORMULATIONS FOR PHOTODYNAMIC TREATMENT OF INFLAMMATORY DISEASES - A PDT treatment system designed to treat all types of human inflammatory disorders. A suitable drug delivery system is developed to target proliferating cells, at inflamed sites, populated with macrophages and other inflammatory mediators. The hydrophobic photosensitizer is loaded into the liposomal bilayer formed of synthetic phospholipids; at least one of the synthetic phospholipids is conjugated to polyethylene glycol (PEG) molecules, to prevent accumulation in the liver and spleen. Further, (PEG) formulated photosensitizer increases the circulatory half-life of the drug, enhances solubility, and modifies pharmacokinetic and pharmacodynamic properties. The formulation, thus, leads to a higher amount of delivered drug to the diseased target synovial tissue, increasing clinical effectiveness. In one embodiment, pegylated liposomes loaded with mTHPC are administered to diseased synovial joints, followed by light irradiation. Activated photosensitizer induces cytotoxic effect in the diseased synovial cells, thus preventing further inflammation and joint erosion and minimizing joint damage.
|Systems, devices, and methods including catheters having acoustically actuatable waveguide components for delivering a sterilizing stimulus to a region proximate a surface of the catheter - Systems, devices, methods, and compositions are described for providing an actively-controllable disinfecting implantable device configured to, for example, treat or prevent an infection in a biological subject.
|Systems, devices, and methods including catheters configured to release ultraviolet energy absorbing agents - Systems, devices, methods, and compositions are described for providing an actively-controllable disinfecting implantable device configured to, for example, treat or prevent an infection in a biological subject.
|Cryo Activated Drug Delivery and Cutting Balloons - Physical property changes in materials between body temperature and a cryotreatment temperature are used to benefit auxiliary functional structures on a cryotherapy device. The auxiliary functional structures may be drug delivery coatings, cutting balloon blades, balloon stiffeners or force concentrators.
|MICRO-BURST ULTRASONIC POWER DELIVERY - Phacoemulsification apparatus includes a phacoemulsification handpiece having a needle and an electrical system for ultrasonically vibrating said needle along with a power source for providing pulsed electrical power to the handpiece electrical system. Irrigation fluid is provided to the handpiece needle and aspirating fluid is removed from the handpiece needle. A determination of a voltage current phase relationship of the provided electrical power is made and in response thereto a control system varies a power level duty cycle provided to the handpiece electrical system from the power source and/or modify the aspiration flow rate. In addition, a separate input enables manual control of pulse amplitude. The control system provides a pulsed electrical power of less than 20 millisecond pulse duration.
|Angioplasty Balloon Catheter with Active Delivery Medicament(s) Using Ultrasonic Means - The present disclosure relates to active drug eluting angioplasty balloon which utilizes ultrasonic energy to facilitate the release of the bioactive drug thereby avoids many of the drawbacks of prior art drug eluting devices.
|MEDICAL SYSTEM AND METHOD OF USE - A system and method for tissue thermotherapy including a source for generating a vapor phase media for treating a space in a human body, such as and intraluminal or intracavity space. The system further includes a filtering member for allowing a recirculation of flowable media about an interface with tissue, wherein the filtering member prevent ablation detritus from interfering with media outflows from the working end.
|AUTOMATED PERITONEAL DIALYSIS CYCLER AND METHODS OF USE - Automated peritoneal dialysis (APD) cycler systems and methods are disclosed. The APD cycler can include a heater tray with load cells configured to measure the weight of fluid contained within a heater bad and/or a drain bag. The load cells can be toggleable between enabled and disabled configurations. The APD cycler can include a pressure-based volume measurement system, which can be used to confirm measurements made by the load cells. In some embodiments, the APD cycler can have algorithms for tracking an estimated patient volume to prevent overfilling the patient.
|RETENTION SYSTEMS AND METHODS - A system for retaining a fluid delivery device, the fluid delivery device may include a reservoir and a plunger arm operatively connected to a plunger head arranged for movement within the reservoir, the plunger arm having an arm portion operatively engageable with a drive member configured to move the plunger arm and the plunger head when the plunger arm and the plunger head are connected to the drive member. The system may include a rigid member arranged for movement and a bias member configured to urge the rigid member toward the plunger arm to force the plunger arm against the drive member to operatively engage the plunger arm to the drive member.
|PORTABLE MEDICAL LIQUID INFUSION DEVICE - A portable medical liquid infusion device receives an input of a medical liquid infusion rate (cc/hour), the quantity of medical liquid to be infused or the length of time for infusion, and outputs a recognition signal corresponding to the input, thereby allowing a drip interval to be easily adjusted, and which quantitatively calculates and outputs a medical liquid infusion rate on the basis of a count input which is received in accordance with a drip interval when measuring the medical liquid infusion rate. The medical liquid infusion device judges a count input having an irregular interval as an erroneous input, and renders another count input to be conducted again through automatic resetting, whereby the medical liquid infusion device can output a correct measurement result only, and also can output the length of time for infusing the remaining medical liquid when measuring the medical liquid infusion rate.
|MODULAR SKIN-ADHERABLE SYSTEM FOR MEDICAL FLUID DELIVERY - Disclosed is a portable therapeutic fluid dispensing device. The fluid dispensing device includes a reusable part (
|INFUSION PUMP INCLUDING PAIN CONTROLLED ANALGESIC ("PCA") APPARATUS - An infusion pump includes: a housing, a pump actuator supported by the housing, electronics configured to control the pump actuator, a pain controlled analgesic ("PCA") input device, a cord having a remote end connected to the PCA input device and a local end connected to the housing, a remote integrated circuit; and a local integrated circuit in communication with the electronics and the remote integrated circuit so as to provide operational information concerning the PCA input device to the electronics.
|ALIGNMENT SYSTEMS AND METHODS - A delivery system for delivering fluidic media may include a second housing configured to be selectively operatively engaged with and disengaged from a first housing portion adapted to be carried by a user. One of the housing portions may support a reservoir for containing fluidic media and a plunger head moveable within the reservoir. A drive device may be supported by the other of the housing portions for coupling with the reservoir upon the housing portions being operatively engaged. A first interactive element may be supported on the first housing portion for interacting with a second interactive element supported on the second housing portion. Circuitry may be configured to detect an interaction between the interactive elements and configured to provide a signal or a change in state in response to the housing portions being operatively engaged and an interaction between the interactive elements being detected.
|CONNECTION AND ALIGNMENT SYSTEMS AND METHODS - A delivery system for delivering fluidic media to a user having a second housing portion configured to be selectively operatively engaged with and disengaged from a first housing portion, the first housing portion and the second housing portion configured to be slidable relative to each other to operatively engage each other; and a fluid connector supported by one the housing portions in a position to engage a reservoir supported by an other of the housing portions in a case where the first housing portion and the second housing portion are slid relative to each other to operatively engage each other.
|BREAST PUMP SYSTEM - A breast pump system (
|DEVICE FOR STOOL DRAINAGE - The invention is directed to a device for sealing a natural or artificial opening of the large intestine (colon) or the rectum of a patient and for occluding same and/or for removing stool therefrom, particularly for continuous and/or intermittent irrigation, preferably into an external, bag-like collection container, comprising an inflatable balloon with an approximately annular structure formed from a flat, everted tube section, wherein the outer layer of said everted tube section has a radially enlarged region for insertion into the rectum and has a region that is tapered relative thereto and that remains at least regionally outside the rectum during use, the intrarectal balloon section having no functional or spatial connection to the transanal balloon section.
|DRUG RELEASING COATINGS FOR MEDICAL DEVICES - The invention relates to a medical device for delivering a therapeutic agent to a tissue. The medical device has a layer overlying the exterior surface of the medical device. The layer contains a therapeutic agent and an additive. The additive has a hydrophilic part and a hydrophobic part and the therapeutic agent is not enclosed in micelles or encapsulated in particles or controlled release carriers.
|Drug-Delivery Balloons - Drug-delivery balloons, as well as related medical devices and methods, are disclosed.
|DRUG RELEASING COATINGS FOR MEDICAL DEVICES - The invention relates to a medical device for delivering a therapeutic agent to a tissue. The medical device has a layer overlying the exterior surface of the medical device. The layer contains a therapeutic agent and an additive. In certain embodiments, the additive has a hydrophilic part and a drug affinity part, wherein the drug affinity part is at least one of a hydrophobic part, a part that has an affinity to the therapeutic agent by hydrogen bonding, and a part that has an affinity to the therapeutic agent by van der Waals interactions. In embodiments, the additive is water-soluble. In further embodiments, the additive is at least one of a surfactant and a chemical compound, and the chemical compound has a molecular weight of from 80 to 750 or has more than four hydroxyl groups.