text:
Building a deck on a concrete patio.
I am building a small deck (3 x 8) attached to the house over a concrete patio. How do I secure the posts that will hold the deck to the concrete patio?
if you need more than gravity, there are angle clips you can get at the apron store that will hold your posts off the conc & attach w/lead shields & lags.
If you are in the northern half of the country, that patio should not be used for support. Your footer supports should be below frost line, which means breaking a hole in the patio and pouring a footer. The deck can be either free floating and rest on the patio, or attached to the house with footer supports.
When the concrete heaves with frost, it's rip it off the house...
The point about the footers is correct, you do not want to attach posts to a floating slab for a variety of reasons. First, the frost heave as noted. Second, the slab may not be strong enough to support the load. So you need to do as suggested by a previous post, namely break through the concrete and install footers to size and depth as per local code.
However... A 3x8 deck is pretty darned small. It's more like a raised walk-way. I'm curious about it. Why are you building it? How high, etc.?
Also, are you wanting this to be a "Holmes on Homes" kind of job? Or are you happy to have it be "decent" because you'll be doing something else somewhere down the road?
If you're looking for good but not holy cow awesome, you can affix your 4x4 posts to the concrete slab. Heavy brackets can be had for $10-$15 each at any HD or Lowes or Menards. Again... That wouldn't be the ideal way to do this (probably) but it'll work.
Not enough info.
A simple 3ft by 8ft deck.
Is this a 1st floor deck just to cover the concrete, or is it a second story deck?
1st floor deck, just attach it to the house or the slab, but not both so it can move. Hammerdrill and lead anchors.
2nd floor deck, You can either connect with a galvanized flange that is designed to bolt to the slab and then you set your post in it, these are found at HD, and all the others.
It is not out of the question to just pin it either. Anchor a galvanized or stainless bolt or rod in the slab, cut the head of the bolt off, drill a hole in the bottom of the post and set the post on the pin. This prevents the post from being knocked out when hit by a lawn mower or something. Perfectly legal in VA and KY.
If the women don't find you handsome,
they should at least find you handy.
(Red Green)
small raised deck (step out)
Why those dimensions? Is this like a handicap ramp?
Just curious - and I know it's none of my business. :)
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About GridIron Belles: A Guide to Saturdays in Dixie
Considered to be a travel guide through the stadiums and tailgates of the South, Gridiron Belles provides every Southern Belle with the must-knows for becoming a Gridiron Belle. Whether you have yet to develop a team allegiance, you revel in polishing the silver before kickoff, or you call pass interference before the official does, this guide to the South's most lively tradition is a must-read….
Author Christie Leigh covers the basics of football in a way that women can relate to and men can appreciate. Consider this a romance novel, a fashion guide, an etiquette handbook, an advice column, and a rulebook all rolled into one pretty package. Your pre-season prep is simply not complete without this Guide to Saturdays in Dixie.
You'll be asking for more gamedays in the fall and you'll be adding your team's rival games to your bucket list. The rest of the country calls it football season. Down here in Dixie, we call it heaven. And when we die, we are going to an SEC stadium where every day is gameday. As Hank used to sing, "If heaven ain't a lot like Dixie, I don't want to go."
Gridiron Belles Blog
Rival Week: The Belles in the Biz of ShopPop
Nov 25, 2015 CATEGORIES: Alabama, Alabama SEC Football, Belles in Biz, Gridiron Belles: A Guide to Saturdays in Dixie, Outfits, SEC Football, Southern Women
Outfit of the Week
Nov 22, 2015 CATEGORIES: Uncategorized
Game Day Snacks: Walker's Dip
Oct 27, 2015 CATEGORIES: AL, Alabama, Alabama SEC Football, Gridiron Belles: A Guide to Saturdays in Dixie, Oh My!, Recipes, SEC Football, Southern Tailgating
- @KatLucchesi yes! Valentine's Day for sure!! Always sending X's and O's your way!!
- RT @cliffordlevy: Please note: @nytimes lifting pay wall, allowing unlimited digital access for coverage of terrorist attacks in France.
- How Gridiron Belles did Halloween! #FancyPumpkin #SECfootball #GridironBelles https://t.co/cLA5ofErmS
- It's here. Happy game day! #GridironBelles #SECfootball #GameDay https://t.co/CE5cRWvb0F
- RT @kcatwalk1: Every morning we get a chance to be different, a chance to be better. Your past is your past, leave it there & get on with t…
Could You Ever Date a Girl Who Doesn't Understand Football?
"Yes, but she would have to understand that for September, October, and November, I'm somewhat preoccupied." -R.A. Vanderbilt
What will you teach your daughters?
"Those who tailgate together, stay together…" -Alex Bray, Georgia
Where are the prettiest Belles in Dixie?
"I haven't been to a Southeastern city yet that didn't have more than its fair share of lovely ladies. There's a reason they call the South "God's Country." -Warren Kroges, Tennessee
What will you teach your daughters about football?
"Football is a religion in the South, Friday through Sunday, with the only break being for church Sunday morning. -Olin Arnold, Georgia
Sexiest Thing a Belle Can Wear to a Football game?
"Anything she wants, as long as it's not so fashionable that it's painfully slow for walking to and from the tailgate and game!" -Ralls Rinch, Auburn

subset: commoncrawl


text:
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Lacrosse news straight to your inbox.
Tuesday August 6th, 2013 1:08am
Everyone knows NFL star Jim Brown, hockey greats Wayne Gretzky and Joe Nieuwendyk and comedian/Adam Sandler's buddy Peter Dante (Hofstra) played lacrosse, but you might not know about these guys.
Member of the legendary grunge band Nirvana and founder of the Foo Fighters, Grohl grew up in Northern Virginia. He spent several years playing goalie before dropping out of high school to tour with rock acts. He's said in interviews that lacrosse was his favorite sport growing up.
The actor and comedian excelled as a prep school athlete in New England. Before attending Denison University, Carell was a longstick middie and an ice hockey goalie at the Fenn and Middlesex Schools. A former teammate reports that Carell and others made up a defense — referred to as "The Bermuda Triangle" — reportedly making opposing offenses disappear.
Long before becoming a recognized reporter and TV personality, Rivera attended the U. of Arizona in the 1960s, where he was a goalie. According to the now-MCLA program's website, the team had a stint as an NCAA Division I squad during Rivera's time, ranking as high as third nationally.
The longtime "Entertainment Tonight" co-host and renowned musician attended Garden City (N.Y.), where he played multiple sports, including lacrosse. Officials at North Carolina State University found no record of Tesh actually lettering in the sport but said he came to the university to play and found news articles indicating he played for the Wolfpack at some point.
The award-winning television journalist was a star player at Colgate University. Woodruff is third all-time with 184 points, tied with Matt Lalli and 10 points behind Brandon Corp.
An author, comedian and wrestler most famously known as Mankind, Foley was a goalie at Long Island powerhouse Ward Melville (N.Y.) in the early '80s. He later attended Cortland, though he never wound up on a lacrosse roster there.
Nash grew up in British Columbia where, as a young boy, he watched the great Kevin Alexander light up the floor with the Victoria Shamrocks. Nash played lacrosse too, but only until picking up a basketball and making it the focal point of his athletic pursuits. In interviews, Nash has referred to Alexander as one of his greatest inspirations.
While attending St. Paul's School (N.H.), the U.S. Senator and former Democratic presidential candidate was a member of the hockey and lacrosse teams. He went on to play hockey at Yale as well as JV lacrosse. Current FBI director Robert Mueller, Kerry's teammate at St. Paul's, has said Kerry, "was a very good lacrosse player."
Arguably the sport's most recognizable fan — making regular sideline appearances at Johns Hopkins games and IL events — the New England Patriots head coach captained the lacrosse team at Wesleyan University in the mid-70s.
Host of the wildly popular Travel Channel show "Man vs. Food," Richman played lacrosse in high school and later at Emory University. Still a fan, he brought his show to Syracuse in 2010, where he visited Syracuse University, met some lacrosse players and wore the famous number 22 jersey.
An international star cast as Tonto in the "Lone Ranger" series in the '50s, Silverheels was the first Iroquois in a regular TV role. Born on Six Nations as Harold J. Smith in 1912, Silverheels played for the Ohsweken-based Mohawk Stars as a teen, becoming one of the highest-scoring, highest-paid players of his time. Silverheels passed away in 1980, but his legacy lives on in his relative, Rochester Knighthawks defender Sid Smith.
Editor's Note: There were some names that we overlooked in amassing this entertaining list of names, including Bobby Roode — a professional wrestler signed with Total Nonstop Action Wrestling who hails from Peterborough and played as a young guy with the likes of boyhood friend Tracey Kelusky and John Grant Jr. If you played at Hopkins or followed the team in the late 1970s, you might have recognized a guy who appeared in unforgettable moves like The Stoned Age and Home Alone 3 — that's Kevin Kilner, who won three titles with the Blue Jays ('78, '79, 80). Also, Congressman Dutch Ruppersberger is another notable former lacrosse player, having played at the University of Maryland at College Park and later joining Team USA for the 1967 World Games.
And finally, though he didn't play organized lacrosse, ILGear.com would like to honor former pro wrestling champion and current color TNA Wrestling commentator Tazz as the All-Celebrity team's official manager (and bodyguard). When Tazz's son, Tyler, picked up lacrosse on Long Island, the sport received a huge boost in the form of a tremendous fan and a guy who'd like to see the sport grow. Tazz will be making some guest appearances on ILGear.com in the near future.
Got another celebrity lacrosse connection? Tweet #laxceleb @IL_Gear on Twitter.


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Israeli Ban on Strauss' Music is Unjust
Eugene Borowitz, April 15, 1983
Topic: Censorship, Israeli Culture, Shoah, Music, Holocaust
Name of Publication: Sh'ma: A Journal of Jewish Ideas
Editor: Borowitz, Eugene B.
Volume/Issue: Vol.13/no.252
Page Number(s): 93-94
Genre: Article
Language: English
Copyright Holder: Publisher
Copyright Information: Download for personal use, freely distribute link
Bibliographic Information:
Goldstein, David. Israeli Ban on Strauss' Music is Unjust. Sh'ma: A Journal of Jewish Ideas. Eugene Borowitz. 15 April 1983: 93-94. http://www.bjpa.org/Publications/details.cfm?PublicationID=10337
» View Publication
(PDF, 2.13 Mb)


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Trial Ends for Ex-Police Chief Key to Bo Scandal in China
CHENGDU, China—The trial for the former Chongqing police chief whose flight to a U.S. consulate triggered China's worst political scandal in a generation ended Tuesday after two half-day sessions, according to the Associated Press.
Wang Lijun stood trial for defection, abuse of power, bribe-taking and "bending the law for selfish ends," court officials said.
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text:
Cosplay Construction
> Deidara(Naruto)'s hand-mouths?
View Full Version :
Deidara(Naruto)'s hand-mouths?
I already tried using search, but everytime I clicked on a thread, it said I was forbidden or something like that. So anyway, how would I make Deidara's hand-mouths?
Aurora Maryte
Yay, my 300th post!!!!
A lot of people just draw them on, but I did that, and it looked okay(see picture at left), but when I put my costume in the 'costume critique' forum, people were like, "oh, you should fix the mouths, make them 3D. Use clay or something."
I don't know if that's the most common item used(aside from drawing them on) but I did just that. I bought flesh colored, red, and white Sculpey clay, stared at the pictures of Deidara's handmouths, and sculpted them- but if you do, don't make them really 3D, keep them so that they will lay rather flat against your hands, and contour to your palm shape- or else you won't be able to use your hands, to bend them, to pick anything up, etc. I used red for the tongue, white for the teeth, and a little of the flesh color as a border around the mouth, to transition from the clay to my own skin, so it wouldn't look weird and fake. And you'll need something with a small metal edge to carefully put in details, like the crease in the tongue, and separations in the white to give the illusion of individual teeth- I used a box cutter, but if you aren't good with sharp objects, use something blunter.
Once they were all sculpted, and the different colors carefully molded together at the areas where they had to touch, I glued them to my hands with super glue... it came off just fine at the end of the night, but apparently some people are allergic to it, so I recommend using spirit gum, which is made for the skin, just in case.
And...during the day, no matter how careful you are, or how nicely you contour the mouths to your palms they will get bent and messed up during the day. Be ready for that, and be able to readjust them, or have a friend nearby that knows how you made them and how they should look so they can help you.
I don't have many pictures of them un-mangled, because well, at first I didn't realize they were getting crushed by my hand movements. But you can sorta tell from this picture... http://www.cosplay.com/photo/1670660/
I didn't bake my clay, because I knew it would get bent and mangled and was worried that if it was baked and hardened that true, it wouldn't bend, but worse, it might snap and break, and then what? But truthfully, I don't know if it would. If you'd rather try baking the clay before use, to avoid having to fix the handmouths often, then go for it- but I can't testify to how that will work. It may be better than what I did, or it may be worse, as I feared. I didn't have enough of clay to make a baked set and non-baked set.
I used clay to do mine and they turned out well. Sadly I don't have many good pictures of the cosplay but I will take a picture of it just for you ^_^
It's not actually attached but I just wanted to show you the size of it. If you make it like I did then you hand will pretty much be useless, that is why I only did one :P
Here is what mine looked like (http://img195.imageshack.us/img195/6064/003htg.jpg). It was just the top teeth and tongue.


text:
|Publication number
|Publication type
|Application number
|Publication date
|Mar 13, 2012
|Filing date
|Jan 9, 2007
|Priority date
|Apr 27, 2006
|Fee status
|Also published as
|Publication number
|Hai H. Trieu
|Original Assignee
|Warsaw Orthopedic, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (97), Non-Patent Citations (3), Referenced by (5), Classifications (37), Legal Events (2)
|External Links: USPTO, USPTO Assignment, Espacenet
This application is a continuation-in-part of co-pending application Ser. No. 11/412,272, entitled "Devices, Apparatus, and Methods for Bilateral Approach to Disc Augmentation," filed Apr. 27, 2006, which is herein incorporated by reference in its entirety.
Within the spine, the intervertebral disc functions to stabilize and distribute forces between vertebral bodies. The intervertebral disc comprises a nucleus pulposus which is surrounded and confined by the annulus fibrosis. Intervertebral discs are prone to injury and degeneration. For example, herniated discs typically occur when normal wear, or exceptional strain, causes a disc to rupture. Degenerative disc disease typically results from the normal aging process, in which the tissue gradually loses its natural water and elasticity, causing the degenerated disc to shrink and possibly rupture.
Intervertebral disc injuries and degeneration are frequently treated by replacing or augmenting the existing disc material. Current methods and instrumentation used for treating the disc require a relatively large hole to be cut in the disc annulus to allow introduction of the implant. After the implantation, the large hole in the annulus must be plugged, sewn closed, or other wise blocked to avoid allowing the implant to be expelled from the disc. Besides weakening the annular tissue, creation of the large opening and the subsequent repair adds surgical time and cost. A need exists for devices, instrumentation, and methods for implanting an intervertebral implant using minimally invasive surgical techniques.
In one embodiment, a method for treating at least one defect in an annulus of an intervertebral disc is provided. The method includes providing a spacing device having a first deflated position and a second inflated position, wherein the spacing device has a predetermined shape in the second inflated position. The method also includes creating an opening to access the intervertebral disc, inserting the spacing device while in the deflated position through the first opening and into the nucleus pulposus of the intervertebral disc adjacent the at least one defect of the annulus, and injecting a biomaterial into the spacing device to expand the spacing device from the first deflated position to the second inflated position. The expansion of the spacing device occurs without removing a portion of the nucleus pulposus.
In another embodiment, a system for treating an annular defect of an intervertebral disc is provided. The system comprises a cannula for accessing a nucleus pulposus of the intervertebral disc, an expandable spacing device, and a material delivery instrument. The expandable spacing device has a first deflated position and a second inflated position. The spacing device is sized to pass through the cannula when in the first deflated position and the spacing device has a predetermined shape in the second inflated position. The material delivery instrument is adapted to inflate the spacing device from the first deflated position to the second inflated position by injecting a biocompatible material into the spacing device.
Additional embodiments are included in the attached drawings and the description provided below.
The present disclosure relates generally to devices, methods and apparatus for augmenting an intervertebral disc, and more particularly, to methods and instruments for minimally invasive access procedures. For the purposes of promoting an understanding of the principles of the invention, reference will now be made to the embodiments, or examples, illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended. Any alterations and further modifications in the described embodiments, and any further applications of the principles of the invention as described herein are contemplated as would normally occur to one skilled in the art to which the invention relates.
Referring first to
Referring now to
In this embodiment, the nucleus is accessed using a posterior bilateral approach. In alternative embodiments, the annulus may be accessed with a lateral approach, an anterior approach, a trans-pedicular/vertebral endplate approach or any other suitable nucleus accessing approach. Although a bilateral approach is described, a unilateral or multi-lateral approach may be suitable. In another alternative embodiment, the nucleus 24 may be accessed through one the of vertebral bodies 12, 14 and through its respective endplate 16, 18. Thus, a suitable bilateral approach to nucleus augmentation may involve a combination approach including an annulus access opening and an endplate access opening.
It is understood that any cannulated instrument including a guide needle or a trocar sleeve may be used to guide the accessing instrument.
In this embodiment, the natural nucleus, or what remains of it after natural disease or degeneration, may remain intact with no tissue removed. In alternative embodiments, partial or complete nucleotomy procedures may be performed.
As shown in
In an alternative embodiment, the spacing portion may be mechanical instrument such as a probe or a tamp. A mechanically actuated deformable or expandable instrument which may deform via hinges, springs, shape memory material, etc. may also be used as a spacing portion. In some embodiments, the passage of the spacing portion may be aided with a more rigid guide needle or cannula which will accompany the spacing portion through the cannula and the annulus opening. This guide may be removed after the spacing portion is located within the nucleus 24.
As also shown in
Referring now to
As the spacing portion 40 is gradually inflated, a space 46 is created in the nucleus tissue with the surrounding nucleus tissue becoming displaced or stretched. The inflation may also cause the intradiscal pressure to increase. Both the pressure increase and the direct expansion of the portion 40 may cause the endplates 16, 18 to distract. A pressure gauge and/or a pressure limiter may be used to avoid over inflation or excessive injection.
In an alternative embodiment, the space creating portion may be disposed within the annular opening 33 such that as the space creating portion is expanded, the opening becomes stretched or dilated by the space creating device.
After the space 46 is created, the space creating portion 40 is deflated leaving the space 46 to be filled by a biocompatible material 48 injected from the delivery instrument 42. The injection of the material 48 may be facilitated by using a pressurization device and monitoring gauge. The material 48 may be injected after the space creating portion 40 has been deflated and removed or may be injected while the space creating portion 40 is being deflated and removed. For example, the biomaterial 48 may become increasingly pressurized while the pressure in the space creating portion 40 is lowered. In some procedures, the material 48 may be injected before the space creating portion 40 is removed.
Examples of biocompatible materials 48 which may be used for disc augmentation include natural or synthetic and resorbable or non-resorbable materials. Natural materials include various forms of collagen that are derived from collagen-rich or connective tissues such as an intervertebral disc, fascia, ligament, tendon, skin, or demineralized bone matrix. Material sources include autograft, allograft, xenograft, or human-recombinant origin materials. Natural materials also include various forms of polysaccharides that are derived from animals or vegetation such as hyaluronic acid, chitosan, cellulose, or agar. Other natural materials include other proteins such as fibrin, albumin, silk, elastin and keratin. Synthetic materials include various implantable polymers or hydrogels such as silicone, polyurethane, silicone-polyurethane copolymers, polyolefin, polyester, polyacrylamide, polyacrylic acid, polyvinyl alcohol, polyethylene oxide, polyethylene glycol, polylactide, polyglycolide, poly(lactide-co-glycolide), poly(dioxanone), poly(.epsilon.-caprolactone), poly(hydroxylbutyrate), poly(hydroxylvalerate), tyrosine-based polycarbonate, polypropylene fumarate or combinations thereof. Suitable hydrogels may include poly(vinyl alcohol), poly(acrylic acids), poly(methacrylic acids), copolymers of acrylic acid and methacrylic acid, poly(acrylonitrile-acrylic acid), polyacrylamides, poly(N-vinyl-2-pyrrolidone), polyethylene glycol, polyethyleneoxide, polyacrylates, poly(2-hydroxy ethyl methacrylate), copolymers of acrylates with N-vinyl pyrrolidone, N-vinyl lactams, polyurethanes, polyphosphazenes, poly(oxyethylene)-poly(oxypropylene) block polymers, poly(oxyethylene)-poly(oxypropylene) block polymers of ethylene diamine, poly(vinyl acetate), and sulfonated polymers, polysaccharides, proteins, and combinations thereof.
The selected biocompatible material may be curable or polymerizable in situ. The biocompatible material may transition from a flowable to a non-flowable state shortly after injection. One way to achieve this transition is by adding a crosslinking agent to the biomaterial before, during, or after injection. The biocompatible material in its final state may be load-bearing, partially load-bearing, or simply tissue augmenting with minimal or no load-bearing properties.
Proteoglycans may also be included in the injectable biocompatible material 48 to attract and/or bind water to keep the nucleus 24 hydrated. Regenerating agents may also be incorporated into the biocompatible material. An exemplary regenerating agent includes a growth factor. The growth factor can be generally suited to promote the formation of tissues, especially of the type(s) naturally occurring as components of an intervertebral disc. For example, the growth factor can promote the growth or viability of tissue or cell types occurring in the nucleus pulposus, such as nucleus pulposus cells and chondrocytes, as well as space filling cells, such as fibroblasts and connective tissue cells, such as ligament and tendon cells. Alternatively or in addition, the growth factor can promote the growth or viability of tissue types occurring in the annulus fibrosis, as well as space filling cells, such as fibroblasts and connective tissue cells, such as ligament and tendon cells. An exemplary growth factor can include transforming growth factor-β (TGF-β) or a member of the TGF-β superfamily, fibroblast growth factor (FGF) or a member of the FGF family, platelet derived growth factor (PDGF) or a member of the PDGF family, a member of the hedgehog family of proteins, interleukin, insulin-like growth factor (IGF) or a member of the IGF family, colony stimulating factor (CSF) or a member of the CSF family, growth differentiation factor (GDF), cartilage derived growth factor (CDGF), cartilage derived morphogenic proteins (CDMP), bone morphogenetic protein (BMP), or any combination thereof. In particular, an exemplary growth factor includes transforming growth factor P protein, bone morphogenetic protein, fibroblast growth factor, platelet-derived growth factor, insulin-like growth factor, or any combination thereof.
Therapeutic or biological agents may also be incorporated into the biomaterial. An exemplary therapeutic or biological agent can include a soluble tumor necrosis factor α-receptor, a pegylated soluble tumor necrosis factor α-receptor, a monoclonal antibody, a polyclonal antibody, an antibody fragment, a COX-2 inhibitor, a metalloprotease inhibitor, a glutamate antagonist, a glial cell derived neurotrophic factor, a B2 receptor antagonist, a substance P receptor (NK1) antagonist, a downstream regulatory element antagonistic modulator (DREAM), iNOS, a inhibitor of tetrodotoxin (TTX)-resistant Na+-channel receptor subtypes PN3 and SNS2, an inhibitor of interleukin, a TNF binding protein, a dominant-negative TNF variant, Nanobodies™, a kinase inhibitor, or any combination thereof.
These regenerating, therapeutic, or biological agents may promote healing, repair, regeneration and/or restoration of the disc, and/or facilitate proper disc function. Additives appropriate for use in the claimed invention are known to persons skilled in the art, and may be selected without undue experimentation.
After the biocompatible material 48 is injected, the delivery instrument 42 may be removed from the cannula 34. If the selected biocompatible material 48 is curable in situ, the instrument 42 may be removed during or after curing to minimize leakage. The openings 33, 35 may be small enough, for example less than 3 mm, that they will close or close sufficiently that the injected biocompatible material 48 will remain within the annulus. The use of an annulus closure device such as a suture, a plug, or a material sealant is optional. The cannulae 30, 34 may be removed and the minimally invasive surgical incision closed.
Any of the steps of the method including expansion of the space creating portion 40 and filling the space 46 may be monitored and guided with the aid of imaging methods such as fluoroscopy, x-ray, computed tomography, magnetic resonance imaging, and/or image guided surgical technology such as a Stealth Station™ surgical navigation system (Medtronic, Inc., Minneapolis, Minn.) or a BrainLab system (Heimstetten, Germany).
In an alternative embodiment, the space creating portion may be detachable from the catheter portion and may remain in the nucleus 24 as an implant. In this alternative, the biocompatible material may be injected directly into the space creating portion.
Referring now to
As shown in
Referring now to
As shown in
Referring now to
Referring now to
As shown in
Referring now to
As shown in
In an alternative embodiment, a delivery instrument may be inserted through the spacing portions 116, 118 to deposit a biocompatible material directly into the nucleus 24 without creating an additional space within the nucleus. In this embodiment, the spacing portions serve to block migration or expulsion of the biocompatible material through the annulus, however the material may be more dispersed within the nucleus rather than concentrated in a pre-formed space.
Referring now to
Referring now to
In some aspects, the characteristics of the device 200 may be the same or similar to those described above. The device 200 may be formed of elastic or non-elastic materials. The device 200 may be configured as a balloon, pouch, or envelope. The device 200 may be a uniform material or may be braided, woven, knitted or otherwise constructed to contain biocompatible material. The device 200 may be shaped or contoured to fit along the inner contour of the annulus 22. In particular, the device 200 may be shaped or contoured to substantially cover or seal the defect 25 in the annulus 22. The device 200 may be pressurized, filled, and detached as described above. The final dimensions (such as the diameter) of the filled device 200 may be at least twice the size of the defect 25, although dimensions that are at least three times the original dimensions may also be suitable. The device 200 may have a greater expansion in a direction along the inner annulus than toward the center of the nucleus pulposus. The device 200 may be filled with a biocompatible material using the cannula and the bilateral opening in a manner similar to that described above for
Referring now to
The device 210 has substantially oblong profile when viewed anteriorly as in
In some aspects, the characteristics of the device 210 may be the same or similar to those described above. The device 210 may be formed of elastic or non-elastic materials. The device 210 may be shaped or contoured to fit along the inner contour of the annulus 22. In particular, the device 210 may be shaped or contoured to substantially cover or seal the defect 25 in the annulus 22. The device 210 may be pressurized, filled, and detached as described above. The device 210 may be filled with a biocompatible material using the cannula and the bilateral opening in a manner similar to that described above for
Referring now to
In the current embodiment, the device 220 is an expandable device, such as a balloon, that has a predetermined expanded shape. In the present embodiment, the predetermined expanded shape includes an outer surface 222 having a pair of convex projections 224, 226 and a recess 228 disposed therebetween. In the current embodiment, the projections 224, 226 and the recess 228 are comprised of substantially arcuate curves. In other embodiments, the projections 224, 226 and/or the recess 228 have other geometrical, arcuate, planar, and/or irregular shapes. Further, in other embodiments the device 220 includes more or less projections and/or more or less recesses.
The device 220 also includes an inner surface 230 such that a space 232 is present between the inner surface 230 of the device and the inner wall of the annulus 22 when the device 220 is positioned against the annulus 22, as shown in
Referring to
Referring to
In the current embodiment, the device 260 is an expandable device, such as a balloon, that has a predetermined expanded shape. In the present embodiment, the predetermined expanded shape includes an outer surface 262 having a recess 264. In the current embodiment, the recess 264 is comprised of a substantially arcuate curve. In other embodiments, the recess 264 has other geometrical, arcuate, planar, and/or irregular shapes. Further, in other embodiments the outer surface 262 includes more recesses or no recesses.
The device 260 also includes an inner surface 266. The inner surface 266 includes a projection 268 extending therefrom. The projection 268 is adapted to engage with the defect 25 and/or the prepared opening in the annulus 22 to seal off the defect and/or the opening when the device 260 is positioned against the annulus 22, as shown in
While the lateral profiles and lateral cross-sectional profiles of the embodiments shown in
Referring now to
While the anterior profiles of the embodiments shown in
Referring now to
Referring now to
Although the instruments and implants described are suitable for intervertebral applications, it is understood that the same implants and instruments may be modified for use in other regions including an interspinous region or a bone cavity. Furthermore, the instruments and implants of this disclosure may be incorporated in certain aspects into an intervertebral prosthesis device such as a motion preserving artificial disc.
Although only a few exemplary embodiments have been described in detail above, those skilled in the art will readily appreciate that many modifications are possible in the exemplary embodiments without materially departing from the novel teachings and advantages of this disclosure. Accordingly, all such modifications and alternative are intended to be included within the scope of the invention as defined in the following claims. Those skilled in the art should also realize that such modifications and equivalent constructions or methods do not depart from the spirit and scope of the present disclosure, and that they may make various changes, substitutions, and alterations herein without departing from the spirit and scope of the present disclosure. It is understood that all spatial references, such as "horizontal," "vertical," "top," "upper," "lower," "bottom," "left," "right," "anterior," "posterior," "superior," "inferior," "upper," and "lower" are for illustrative purposes only and can be varied within the scope of the disclosure. In the claims, means-plus-function clauses are intended to cover the elements described herein as performing the recited function and not only structural equivalents, but also equivalent elements.
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|Apparatus and method for replacing the nucleus pulposus of an intervertebral disc or for replacing an entire intervertebral disc
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|Expandable implant for partial disc replacement and reinforcement of a disc partially removed in a discectomy and for reduction and maintenance of alignment of cancellous bone fractures and methods and apparatuses for same
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|Spinal disc annulus reconstruction method and spinal disc annulus stent
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|Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft
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|Citing Patent
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|Oct 28, 2015
|Aug 23, 2016
|DePuy Synthes Products, Inc.
|Balloon with shape control for spinal procedures
|Sep 28, 2007
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|O'neil Michael J
|Balloon With Shape Control For Spinal Procedures
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|Oct 9, 2014
|Beth Israel Deaconess Medical Center
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|U.S. Classification
|623/17.11, 623/17.12
|International Classification
|Cooperative Classification
|European Classification
|Jan 9, 2007
Owner name: WARSAW ORTHOPEDIC, INC., INDIANA
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|Fee payment
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Guest workers: Settlement, temporary economic migration and a critique of the government's plansPublished Mon 31 Oct 2011
The government is consulting on a radical policy shift, aimed at reducing dramatically the number of non-EU economic migrants who have the right or opportunity to settle in the UK, which show insufficient evidence of having considered these questions, or of heeding the lessons from similar policies in other countries, past and present.
Under the new proposals, only a few exceptional categories would be invited to stay, in particular the very wealthy. The rest would have to leave after a maximum of five years - regardless of how well they are doing in their job, what contribution they have made, and what roots they have put down in the local community (other than through marriage or civil partnership with a permanent resident).
The proposed approach - in effect, making virtually all non-EU economic migration temporary - is impractical, likely to be damaging in economic and social terms, and unusually for a 'tough' immigration policy may even prove unpopular with the public.
This report sets out four key questions the government must answer about its proposed rule changes, and makes a series of recommendations, should the proposals be implemented in their current form. It also provides a progressive framework for managing temporary migration, focused less on compulsory removal than on reinforcing the trend towards temporary migration that is already underway.


text:
Develop your websites and applications with us in the Dot Net technology platform to make them stand out of the crowd with eminent features.
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text:
|Women's Basketball Cruises By Fairfield; Remains Undefeated In MAAC
FAIRFIELD, Conn. – The Marist women's basketball team (11-4, 5-0 MAAC) defeated Fairfield (9-6, 4-2) on Saturday, 60-36. With the win, the Red Foxes continue its ten game winning-streak and improve to 5-0 in the Metro Atlantic Athletic Conference (MAAC).
Senior Leanne Ockenden (Syracuse, N.Y.) led all players with 15 points, shooting 6-9 from the field. Ockenden matched a career-high eight rebounds. Sophomore Madeline Blais (Exter, N.H.) posted 12 points and four rebounds. Seniors Casey Dulin (Milford, Conn.) and Emma O'Connor (Lynbrook, N.Y.) recorded nine points apiece. Dulin had five rebounds and four assists while O'Connor had four boards and a team-high three steals.
O'Connor hit a three-pointer to open up the game to take an early 3-0 lead; a lead Marist would maintain for the rest of the half. Following a three by Ockenden and a jumper by Coffey, the Red Foxes led the Stags, 8-4 at the 14:34 mark. Marist went on a 10-0 run over the following three minutes, including four points from O'Connor and two apiece from Ockenden and Dulin to take an 18-4 lead with 11:16 to play.
Fairfield's Kristin Schatzlein broke the silence with a three to make it 18-7. Each team would score once more before Marist's 11-0 run, including six points from Ockenden, to take a 31-11 lead with 4:37 remaining. The Red Foxes would close the half with two perfect trips to the free-throw line by Blais and freshman Brittni Lai (Irvington, N.Y.) to take a 35-16 lead at halftime; the fewest number of points Marist has held an opponent to in any first half this season.
Marist opened up the second half on a 7-0 run to take a 42-16 lead at the 18:11 mark. Following a three by Fairfield's Schatzlein, the Red Foxes went on a 6-0 run, leading 48-19 with 13:27 remaining. Over the following ten minutes, Fairfield outscored Marist 13-6 to pull within 23 with less than four minutes to play. Junior Bri Holmes (Columbus, Ohio) and sophomore Sydney Coffey (Hopkins, Minn.) scored the final five points for Marist as the Red Foxes earned a 60-36 victory over Fairfield, remaining undefeated in conference play.
Following this matchup, Marist returns home to face Iona (12-2, 5-0 MAAC) in a conference matchup on Monday, Jan. 13. Tip-off is set for 7 p.m. at McCann Arena.
Become a fan of Marist Athletics on Facebook and follow us on Twitter and Instagram.


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Colin Montgomerie comments before Mississippi Gulf
Prior to the 2014 Mississippi Gulf Resort Classic presented by C Spire, Colin Montgomerie talks about feeling confident after his final-round 62 last week.
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text: Politics 3 December 2009 The high price of comradeship Sign up for our weekly email * I'm in danger of missing the deadline for this column, but I've got a good excuse: it's been delayed by a fire. Not, admittedly, a fire in my flat or, in fact, anywhere near me. It's about ten minutes down the road, where smoke is belching out of one of those shops that sell discounted knick-knacks for a pound. I was alerted to the situation when I left the house to buy milk and heard someone on the phone, yelling: "Big fire! Big fire by the Post Office!" Naturally, I was anxious to do my bit, so I went and joined the crowds gawping at the flashing lights. I stood there for about half an hour, saying all the right things ("It must have been an electrical fault" and "It looks like they've got it under control"). I don't want to be called a hero for all this. I just did what anyone would have done in the circumstances. It was noticeable that the burning building brought strangers together. People who would normally have avoided eye contact were falling over each other to express the hope that nobody was hurt, and suggesting it's "a good job it's been so wet recently", as if in summertime the modest-sized blaze might have rampaged like an Australian bushfire all the way to Westminster and swallowed up Big Ben. I think it was the sight of the fire brigade - everyone's favourite emergency force - that got us all as undeniably, if sheepishly, excited as we were. In the books we read at school about the different jobs that adults did, firemen popped up everywhere to hose down skyscrapers, toss cats out of windows and sprint down crumbling staircases to catch them outside. The sight of genuine "firefighting" taking place - the men leaping out of the vehicle, the hoses being unfurled - was strangely exhilarating. It was almost enough to make you wish you had a proper, heroic job, rather than sitting at a desk all day . . . at least, until you reminded yourself that heroism involved breathing in toxic fumes and enduring flesh-melting temperatures, and all in all you were better off dealing with more tractable emergencies, like the unusually slow running of Facebook today. It has been well documented that communities are brought together by crises, but most disasters seem a high price to pay for a bit of comradeship. Even what proved to be a relatively harmless fire is a lot of effort just to get people chatting. Still, it might be worth this government, or future ones, experimenting with a few "controlled disasters" to raise morale among the populace. Perhaps every Monday they could arrange a bank robbery on a high street, or actors could stage an alien invasion, or a building we no longer need could be blown up suddenly . And, on that note, I'd better get back to the scene of the emergency. I've just had a text to say that a new fire engine's turned up. Mark Watson is a stand-up comedian and novelist. His most recent book, Crap at the Environment, follows his own efforts to halve his carbon footprint over one year. Subscribe from just £1 per issue This article first appeared in the 07 December 2009 issue of the New Statesman, Boy George More