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BBB Business Profile | Martin's Heating & Cooling
Home > North Carolina > Staley > Martin's Heating & Cooling
(336) 622-4383
6160 Whites Chapel Rd.
(336) 622-5739
Martin's Heating & Cooling provides heating and air conditioning services.

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Brittany Hofmeister - Semantic Scholar
Randall M. Goldblum7
A Wesley Burks7
Caroline A. Sewry7
Geraldine Keating Powell6
Greggory J. Van Sickle6
5Bert J.M. De Swart
5Imelda J.M. De Groot
5Lenie Van Den Engel-Hoek
3Nigel G. Laing
Ching Ho Wang, James J Dowling, +31 authors Nanci Yuan
Abnormal multiple pregnancy with septuplets in a cow. A case report.
U. Fischer, Brittany Hofmeister
A 5-year-old Brown Swiss cow being 8 months pregnant became recumbent and died. Postmortem examination revealed a multiple pregnancy with six normally developed fetuses and an amorphous globosus. The cow's internal organs were displaced and compressed the lungs. Fatty liver caused by metabolic disturbances was diagnosed. A multiple pregnancy with more than… (More)
Anna H Nowak-Węgrzyn, Mirna Chehade, +38 authors Matthew J. Greenhawt
Food protein-induced enterocolitis (FPIES) is a non-IgE cell- mediated food allergy that can be severe and lead to shock. Despite the potential seriousness of reactions, awareness of FPIES is low; high-quality studies providing insight into the pathophysiology, diagnosis, and management are lacking; and clinical outcomes are poorly established. This… (More)
Lars Eilstrup Rasmussen, Adam Holmes, Brittany Hofmeister, Thomas C. Merigan
The inhibitory effects of interferon (IF) on the replication of varicella-zoster (VZ) virus in human foreskin fibroblast (HFF) cultures inoculated with infected cells or with cell-free virus were assayed by measuring (1) yields of infected cells, (2) plaques, (3) microfoci and (4) cytopathic effects. More IF was needed to reduce yields of infected cells at… (More)
Remarks on Diabetes Mellitus, and its Treatment with the Mineral Waters of Carlsbad.

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text:
Patent US4961741 - Suture knotting instrument - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign inAdvanced Patent SearchPatentsA suturing device (20) having a leading member (22) and a trailing member (24) for forming a double knot. The leading member (22) functions to slide a first knot (26) that is formed in the sutures (30, 32) against the surface (34) of tissue (40). A finger (60) is formed in the leading member (24) to...http://www.google.com/patents/US4961741?utm_source=gb-gplus-sharePatent US4961741 - Suture knotting instrumentAdvanced Patent SearchPublication numberUS4961741 APublication typeGrantApplication numberUS 07/461,621Publication dateOct 9, 1990Filing dateJan 8, 1990Priority dateJan 8, 1990Fee statusLapsedAlso published asCA2073354A1, EP0510084A1, EP0510084A4, WO1991010401A1Publication number07461621, 461621, US 4961741 A, US 4961741A, US-A-4961741, US4961741 A, US4961741AInventorsJohn O. HayhurstOriginal AssigneeHayhurst John OExport CitationBiBTeX, EndNote, RefManPatent Citations (4), Non-Patent Citations (2), Referenced by (63), Classifications (6), Legal Events (5) External Links: USPTO, USPTO Assignment, EspacenetSuture knotting instrumentUS 4961741 AAbstract A suturing device (20) having a leading member (22) and a trailing member (24) for forming a double knot. The leading member (22) functions to slide a first knot (26) that is formed in the sutures (30, 32) against the surface (34) of tissue (40). A finger (60) is formed in the leading member (24) to hold the first knot (26) against the tissue surface (34) as a second knot (28) is moved by the trailing member (24) against the first knot (26). The leading member (22) is configured to part as the trailing member (24) moves the second knot (28) against the first knot (26).
Patent CitationsCited PatentFiling datePublication dateApplicantTitleUS2610631 *Nov 2, 1949Sep 16, 1952Calicchio David JLigatorUS4403797 *Mar 8, 1982Sep 13, 1983Ragland Jr EwingFishing line knot tying toolUS4602635 *Nov 14, 1983Jul 29, 1986Mulhollan James SRemote surgical knot tier and method of useUS4614187 *Apr 2, 1984Sep 30, 1986Mulhollan James SNeedle extractor* Cited by examinerNon-Patent CitationsReference1Gavrilov, S. A. et al., "Instrument for Making and Tightening Loops of Ligature Knots in Difficulty Accessible Areas of the Operation Field", Biomedical Engineering (U.S.A.), vol. 7 No. 1, (Jan.-Feb. 1973).2 *Gavrilov, S. A. et al., Instrument for Making and Tightening Loops of Ligature Knots in Difficulty Accessible Areas of the Operation Field , Biomedical Engineering (U.S.A.), vol. 7 No. 1, (Jan. Feb. 1973).* Cited by examinerReferenced byCiting PatentFiling datePublication dateApplicantTitleUS5084058 *Jun 27, 1990Jan 28, 1992Mitek Surgical Products, Inc.Suture rundown tool and cutter systemUS5133723 *Jul 3, 1991Jul 28, 1992Mitek Surgical Products, Inc.Suture rundown tool and cutter systemUS5163946 *Dec 17, 1991Nov 17, 1992Mitek Surgical Products, Inc.Suture rundown tool and cutter systemUS5176691 *Sep 11, 1990Jan 5, 1993Pierce Instruments, Inc.Knot pusherUS5192287 *Apr 5, 1991Mar 9, 1993American Cyanamid CompanySuture knot tying deviceUS5257637 *Sep 28, 1992Nov 2, 1993El Gazayerli Mohamed MMethod for suture knot placement and tyingUS5281236 *Jun 23, 1992Jan 25, 1994Boston Scientific CorporationMethod and device for intracorporeal knot tyingUS5368599 *Oct 8, 1992Nov 29, 1994United States Surgical CorporationSurgical fastening apparatus with suture arrayUS5391176 *Jun 2, 1993Feb 21, 1995General Surgical Innovations, Inc.Surgical instrument for tying a knot in a length of suture at a remote locationUS5403346 *Dec 31, 1992Apr 4, 1995Loeser; Edward A.Self-affixing suture assemblyUS5423837 *Dec 14, 1993Jun 13, 1995Advanced Surgical, Inc.Surgical knot pusherUS5439470 *May 12, 1994Aug 8, 1995Li Medical Technologies, Inc.Suture throw rundown toolUS5447512 *Nov 2, 1993Sep 5, 1995Boston Scientific CorporationController for intracorporeal knot tying apparatusUS5472446 *Oct 20, 1993Dec 5, 1995De La Torre; Roger A.Surgical instrument for tying a knot in a length of suture at a remote locationUS5527323 *Jul 20, 1994Jun 18, 1996General Surgical Innovations, Inc.Surgical instrument for tying a knot in a length of suture at a remote locationUS5562684 *Oct 11, 1994Oct 8, 1996Ethicon, Inc.Surgical knot pusher device and improved method of forming knotsUS5632753 *Apr 4, 1995May 27, 1997Loeser; Edward A.Surgical proceduresUS5681331 *Jan 24, 1995Oct 28, 1997De La Torre; Roger A.Surgical instrument for tying a knot in a length of suture at a remote locationUS5730747 *Feb 22, 1996Mar 24, 1998Smith & Nephew, Inc.Suture passing forcepsUS5741281 *May 7, 1996Apr 21, 1998Smith & Nephew, Inc.Suture securing apparatusUS5755730 *Mar 23, 1995May 26, 1998University College LondonDevice for use in cutting threadsUS5759189 *Feb 25, 1997Jun 2, 1998Smith & Nephew Inc.Knot pusherUS5759605 *Sep 16, 1996Jun 2, 1998A.M. Manufacturing Company, Inc.Pressure plate facing attachment for bagel forming machineUS5792151 *Jan 24, 1996Aug 11, 1998The Ohio State UniversityMethod and apparatus for ligating a blood vessel, tissue or other bodily ductUS5935149 *Aug 21, 1997Aug 10, 1999Smith & Nephew Inc.Suturing tissueUS5947982 *Apr 2, 1997Sep 7, 1999Smith & Nephew, Inc.Suture-passing forcepsUS6010515 *Feb 26, 1997Jan 4, 2000University College LondonDevice for use in tying knotsUS6048357 *Jul 9, 1998Apr 11, 2000X-Site, L.L.C.Anchoring device and method for sealing punctures in vesselsUS6051006 *Apr 12, 1999Apr 18, 2000Smith & Nephew, Inc.Suture-passing forcepsUS6152934 *Jun 14, 1999Nov 28, 2000Ethicon Endo-Surgery, Inc.Surgical knot tying instrumentUS6200329Aug 31, 1998Mar 13, 2001Smith & Nephew, Inc.Suture colletUS6358259Oct 28, 1999Mar 19, 2002University College LondonDevice for use in tying knotsUS6511488Mar 30, 2000Jan 28, 2003Orthopaedic Biosystems Ltd., Inc.Surgical knot manipulatorUS6716224Aug 22, 2001Apr 6, 2004Linvatec CorporationIntracorporeal knot tierUS6746457Dec 7, 2001Jun 8, 2004Abbott LaboratoriesSnared suture trimmerUS6755844 *Apr 26, 2001Jun 29, 2004Akihito FurusawaLigatorUS7048755 *Oct 8, 2002May 23, 2006Bonutti Peter MMethod and apparatus for securing a sutureUS7094246Sep 12, 2003Aug 22, 2006Abbott LaboratoriesSuture trimmerUS7153312Nov 2, 2000Dec 26, 2006Smith & Nephew Inc.Closure device and method for tissue repairUS7270672Feb 11, 2005Sep 18, 2007Adam Joel SingerRod for transferring and tightening knotted suture into patient's bodyUS7390332Feb 24, 2004Jun 24, 2008Depuy Mitek, Inc.Methods and devices for repairing tissueUS7651509Aug 16, 2004Jan 26, 2010Smith & Nephew, Inc.Methods and devices for tissue repairUS7842051Jul 31, 2006Nov 30, 2010Abbott LaboratoriesSnared suture trimmerUS7854750Aug 17, 2006Dec 21, 2010P Tech, Llc.Apparatus and method for securing a sutureUS7879072May 31, 2006Feb 1, 2011P Tech, Llc.Method for implanting a flowable fastenerUS7887551Oct 23, 2002Feb 15, 2011Smith & Nephew, Inc.Soft tissue attachment and repairUS7918867Dec 19, 2002Apr 5, 2011Abbott LaboratoriesSuture trimmerUS7951157May 16, 2007May 31, 2011C.R. Bard, Inc.Tissue capturing and suturing device and methodUS7959649Dec 12, 2006Jun 14, 2011Arthrex, Inc.Suture anchor device, kit and methodUS7967820May 3, 2006Jun 28, 2011P Tech, Llc.Methods and devices for trauma weldingUS7981125 *Apr 22, 2005Jul 19, 2011Endoscopic Technologies, Inc.Surgical knot pusher and cutterUS7992571Aug 16, 2006Aug 9, 2011Abbott LaboratoriesSuture trimmerUS8075573May 17, 2004Dec 13, 2011C.R. Bard, Inc.Single intubation, multi-stitch endoscopic suturing systemUS8162977Oct 31, 2007Apr 24, 2012P Tech, Llc.Method for joining implantsUS8182495Jul 21, 2009May 22, 2012Distefano James GSuture tensioner with gaugeUS8211123Dec 21, 2001Jul 3, 2012Abbott LaboratoriesSuture trimmerUS8323315Dec 14, 2007Dec 4, 2012Depuy Mitek, Inc.Suture locking deviceUS8366744Sep 23, 2011Feb 5, 2013Smith & Nephew, Inc.Apparatus for tissue repairUS8480691Oct 28, 2010Jul 9, 2013Abbott LaboratoriesSnared suture trimmerUS8512374Jan 15, 2004Aug 20, 2013Depuy Mitek, LlcSoft tissue locking deviceUS8512375Dec 30, 2004Aug 20, 2013Smith & Nephew, Inc.Closure device and method for tissue repairUS8585720Jun 29, 2012Nov 19, 2013Abbott LaboratoriesSuture trimmerEP0510084A1 *Jan 4, 1991Oct 28, 1992HAYHURST, John O.Suture knotting instrument* Cited by examinerClassifications U.S. Classification606/139, 289/17International ClassificationA61B17/04Cooperative ClassificationA61B17/0469, A61B2017/0474European ClassificationA61B17/04ELegal EventsDateCodeEventDescriptionDec 3, 2002FPExpired due to failure to pay maintenance feeEffective date: 20021009Oct 9, 2002LAPSLapse for failure to pay maintenance feesApr 23, 2002REMIMaintenance fee reminder mailedApr 7, 1998FPAYFee paymentYear of fee payment: 8Apr 4, 1994FPAYFee paymentYear of fee payment: 4RotateOriginal ImageGoogle Home - Sitemap - USPTO Bulk Downloads - Privacy Policy - Terms of Service - About Google Patents - Send FeedbackData provided by IFI CLAIMS Patent Services©2012 Google

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Words containing fstiege | Words that contain fstiege
Words containing fstiege | Words that contain fstiege http://www.thefreedictionary.com/words-containing-fstiegePrinter Friendly
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Tuesday, 16 October 2018, 07:21
Clan Sutherland is a Highland Scottish clan whose traditional territory is the shire of Sutherland in the far north of Scotland. The chief of the clan was also the powerful Earl of Sutherland, however in the early 16th century this title passed through marriage to a younger son of the chief of Clan Gordon. The current chief is Elizabeth Sutherland who holds the title Countess of Sutherland.
This page contains text from Wikipedia, the Free Encyclopedia - https://wn.com/Clan_Sutherland
Latest News for: clan sutherland
Trust may not have an Academy-caliber performance from Christopher Plummer, but it does have Donald Sutherland receiving penile injections and then baring his mighty erection before his spring-chicken Italian girlfriend while bellowing, “I ... There’s a whole lot going on in this supercharged soap opera, and fully embracing a hectic atmosphere suits the living Dynasty episode that is the Getty clan nicely....
In April 1995, shortly before the 225th anniversary of Captain James Cook’s landing at Kurnell, on the southern shores of Botany Bay - the country of the Gweagal clan of the Dharawal nation – Sutherland Shire’s mayor, Genevieve Rankin, consulted Dharawal elders ... Sutherland Shire mayor, Genevieve Rankin, centre, at the 225th anniversary of Cook's landing at Kurnell.Photo....
And no episode was worse for Tom Kirkman (Kiefer Sutherland) than this week's "Family Ties," a lowlight reel for Clan Kirkman ... Designated Survivor airs Wednesday nights at 10/9c on ABC.Kiefer Sutherland, Designated Survivor" data-image-credit="ABC/Ben Mark Holzberg" data-image-alt-text="Kiefer Sutherland, Designated Survivor" ......
More. From Good Housekeeping ... Her husband, John, survived the attack, as did their two other kids ... Neither did his brother, Marc Daniel Holcombe ... GoFundMe ... Friend of the family Steven Haggerty tells GoodHousekeeping.com that the religious clan were valued members of the Sutherland Springs community, which has only a couple hundred residents ... The church is a focal point of Sutherland Springs, which lies about 30 miles east of San Antonio ... ....
In 1874, the now village of Beaverton was joined by the townships of Brock and Thorah and by the villages of Cannington and Sutherland to form the new expanded township of Brock. Looking at the names of Thorah and Sutherland, are the same names of counties within the Highlands of Scotland, where the Ross family is said to have come from ... South of the County of Sutherland, is the county of Ross-Shire....
Magnificent sevens for Edinburgh Capitals & Fife Flyers
Jonathan Sutherland rounds up ......
Watch: Big Flyers wins, Braehead sunk
Lizzie Sutherland. The 189-room castle dates back to the early 1300s, is owned by the Sutherland family, one of Scotland's oldest clans, and resources for the company's products including foraged botanicals will come from their land and the Dunrobin farm ... Sutherland, who is a GP in the Highlands, also admits to being a novice in the drinks trade, so “I always need people around me that are better than me to help”....
To mark the 200th anniversary of The Scotsman, we are dipping into our archives to bring you a selection of some of the biggest stories of the last two centuries ... Today the focus is on classical and folk music ... Its venues have also welcomed world-famous performers – pianists, orchestras, stars of the opera ... Sutherland), who were already the European champions. As a close second came the Clan MacRae Society Pipe Band (Pipe-Major J ... ....
Dornoch Castle, Sutherland Dornoch Castle Hotel. Thought to have dated back to the 1400s, Dornoch Castle Hotel in Sutherland has had a violent history, which belies its current status as a luxury retreat. After the clan Murray and Mackay war and subsequent siege in 1570, the castle was set alight and all former history and documentation was destroyed....
Dating from 1683, the recipe book is believed to have been written by Helen, Countess of Sutherland, with the instructions solely concerned with fruit preservation and jelly making ... The book would have been kept in the kitchen of Dunrobin Castle in Golspie, the seat of Clan Sutherland ... Recipe for a jelly of gooseberry from the 1683 document, believed to have been written by Helen, Countess of Sutherland....
Scotland’s clans may have lost their power and influence but much work is still done to promote the lineage, culture and shared history of some of the country’s oldest families. Here we look at eight clans and their chiefs - who include a banker, an estate agent, a gardener and a restauranteur - who continue to promote the bonds forged hundreds of years ago through battle, birth and blood ... Clan Murray ... Clan Arthur ... Clan Hay....

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Patent US20050107824 - Medical instrument - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign inAdvanced Patent SearchPatentsA hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way...http://www.google.com/patents/US20050107824?utm_source=gb-gplus-sharePatent US20050107824 - Medical instrumentAdvanced Patent SearchPublication numberUS20050107824 A1Publication typeApplicationApplication numberUS 10/990,651Publication dateMay 19, 2005Filing dateNov 17, 2004Priority dateAug 30, 2000Also published asEP1313401A1, EP1313401A4, US6830174, US7503474, US7922742, US8308757, US8647363, US20020062136, US20080172086, US20110155788, US20130006269, WO2002017799A1Publication number10990651, 990651, US 2005/0107824 A1, US 2005/107824 A1, US 20050107824 A1, US 20050107824A1, US 2005107824 A1, US 2005107824A1, US-A1-20050107824, US-A1-2005107824, US2005/0107824A1, US2005/107824A1, US20050107824 A1, US20050107824A1, US2005107824 A1, US2005107824A1InventorsRichard Hillstead, Bryan KnodelOriginal AssigneeHillstead Richard A., Knodel Bryan D.Export CitationBiBTeX, EndNote, RefManReferenced by (9), Classifications (14), Legal Events (2) External Links: USPTO, USPTO Assignment, EspacenetMedical instrumentUS 20050107824 A1Abstract A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way of a handle located at the proximal end of the shaft or remotely, for example, via robotic controller. Articulation joints may be provided along the shaft, between the shaft and end effector or handle, or elsewhere. The hydraulic actuation of the present invention permits multiple axis instrument articulation, miniaturization and simplified instrument fabrication. Images(21) Claims(58)
DESCRIPTION OF ILLUSTRATED INSTRUMENT FIG. 1 is an overall cross-sectional view of a surgical stapling instrument, generally at 100, employing the present invention and particularly suited for endoscopic or laproscopic isolation of the left atrial appendage. As shown in FIGS. 1-3, the illustrated instrument 100 includes a proximal handle portion or assembly, generally at 102, a distal end effector or implement portion or assembly 104 and an intermediate barrel or shaft portion or assembly, generally at 106, connecting the handle and the effector portions. In this form, the present invention is particularly well suited for endoscopic application, where the end effector is inserted through a trocar or like device and is operated by the handle portion, which remains outside the patient. Although the present invention is illustrated in the context of an endoscopic stapler, the present invention is not, in its broader aspects, limited to a stapler or to a particular type of end effector. Accordingly, it should be understood that the following description of the present invention in its present and preferred stapler construction is for the purposes of illustration, and not for the purposes of limiting various aspects of the present invention to the specific structure or form shown in the drawings. Turning first to a brief overview of the illustrated instrument, as shown in FIG. 2, the handle portion 102 is divided into two halves or shells 108 that, when joined, house or mount the various mechanical and hydraulic parts involved in clamping the effector jaws together and firing the staples. In brief, each handle shell 108 includes a fixed grip area 110, a body portion 112 and a distal spherical portion 114 that cooperates with other parts to provide a swivel or gimbal action between the handle assembly and the barrel assembly 106, as will be described in more detail later. The handle may be made of any suitable material such as rigid, injection molded plastic or the like. The barrel portion 106 comprises a hollow elongated cylindrical barrel 116 preferably made of suitable metal, although rigid plastic may also be used. The barrel is sufficiently small to allow introduction of the instrument through the lumen of a trocar or other introductory device employed in the surgical procedure for access through the skin of the patient to the surgical site. The barrel 116 contains the fluid flow tubing 118 and 120 of the hydraulic actuation systems for, respectively, closing the distal effector jaws and firing staples. In addition, the barrel contains a balloon retractor subassembly, generally at 122 in FIG. 2, that positively returns an actuator balloon to its retracted position after staple firing, as also will be discussed in more detail later. The preferred effector or implement end 104 of the instrument may be seen in FIGS. 1 and 3. In the illustrated embodiment, the effector end or implement is in the form of a pair of jaws for clamping and stapling tissue. The effector end includes a lower jaw 124 and an upper jaw 126 pivotally attached to the lower jaw. The lower jaw contains a prefilled staple cartridge that are ejected by hydraulic action. The upper jaw includes the anvil, which includes a series of curved convex surfaces for forming the staple ends over to clench the tissue gripped between the jaws. Of course, the jaw positions may be reversed and other end effector arrangements may be employed without departing from the present invention. For example, the jaws may include multiple rows of staples with a cutting element located between the rows to separate tissue upon stapling. The end effector could also include electrodes for radio frequency sealing, or could comprise scissor blades for cutting tissue. These are just a few of the additional possible applications of the instrument of the present invention. The end effector assembly of FIGS. 1 and 3 is mounted to the distal end of the barrel 116 at an articulation joint, generally at 126, which allows relative side to side pivoting of the end effector jaws after they protrude through the distal end of the introduction trocar. In the preferred embodiment, the end effector is spring-biased at the articulation joint to extend proximately 30 degrees in the direction out of the plane of the paper in FIG. 1. This feature of the illustrated instrument places the jaws in a preferred position for clamping and sealing the left atrial appendage of a human heart after entry between the ribs, in the procedure described in U.S. Pat. No. 5,306,234 to Dr. Johnson. The Handle Assembly Turning now to FIG. 2, as pointed out earlier, the jaw clamping and staple firing of the present invention are hydraulically controlled, and each is controlled by a separate hydraulic system. The handle portion or assembly 102 mounts a hydraulic cylinder block 130 that includes a pair of parallel bores 132 and 134 for receiving, respectively, a piston for jaw clamping 136 and a piston for staple firing 138. The proximal end of each piston includes a gear rack for rack and pinion type cooperation with the gear teeth of separate clamping and for firing members. Coil springs 140 and 142 bias each piston toward a proximal, low pressure position. It is contemplated that the hydraulic fluid used in these systems will be water or a combination of water-alcohol mixture to prevent the growth of organisms within the hydraulic fluid. Incompressible liquids are the preferred hydraulic fluid, but other liquids, and possibly even gases, could also be used as the hydraulic fluid, if so desired. The clamping piston is moved forward, in a distal direction, by pivoting of clamp lever 144 toward the fixed pistol grip 110. Clamp lever 144 is pivotally mounted on cylindrical boss 146 that extends from the inside surface of handle shell 108. The clamp lever includes a raised arcuate segment that carries a series of gear teeth 148 on its upper surface, which engage with the teeth of the clamping piston gear rack 136, forming a rack and pinion arrangement. Upon pivoting of the clamping lever rearwardly, the clamping piston is forced forward or distally into bore 132, pressurizing the liquid located within the closed hydraulic system for the clamping action. To lock the clamp lever in the clamped position, the handle assembly includes a release button 150. The release button has a proximal external thumb release tab 152 and a distal nose 154 that cooperates with upper surfaces 156 of the clamp lever that flank the gear teeth 148. The release button 150 is pivotally mounted on a cylindrical boss 158 (extending from the inside surface of housing shell 108) intermediate the thumb tab and the nose piece so that downward pressure on the thumb tab raises the nose piece. Coil spring 160 is attached to the release button to bias the nose downwardly. As will be described in more detail later, when the clamp lever is pulled to the clamping position, the nose of release button 150 falls into a locking notch 162 in the clamp lever to hold it in the clamped position. After the jaws are clamped, the next action required of the surgeon is to fire the staples so that they extend through and clench the tissue that is gripped between the closed jaws. To carry out this action, the handle assembly includes a firing trigger 164 and a safety latch 166. The firing trigger is also pivotally mounted on boss 146 of the handle. As can be seen in FIGS. 2, 12 and 10, in that order, the firing trigger has a pair of spaced-apart side walls 168. The upper end of the clamping lever is located within the space or slot between the side walls of the firing trigger, and the boss 146 extends through both the firing trigger and clamping lever. The firing trigger is biased by torsion spring 170 to an extended firing position. However, until firing is needed, the trigger is held in retracted position within the handle by the safety latch 166. The safety latch 166 includes laterally extending wings 172 that extend through access openings or windows 174 in each side of the handle body 112. The safety latch is also pivotally mounted to the body and biased by a spring wire 176 to a latched position, where it retains the firing trigger in an inaccessible retracted position within the handle until the surgeon wishes to fire the staples. At that time, the firing trigger is deployed by pushing on the end of one of the wings 172 that extends through side window in the handle. This action pivots the safety latch to a release position, allowing the firing trigger to deploy downwardly, due to the bias of torsion spring 170. The surgeon may then squeeze the firing trigger, causing gear teeth 258 on the upper surface of the firing trigger to move the staple firing piston forward, pressurizing the hydraulic fluid within the staple firing hydraulic circuit. The details of the various clamping and staple firing actions is shown more clearly in later drawings, where extraneous parts or pieces have been removed to clarify an understanding of the different operations of the illustrated device. The Effector Assembly Turning now to the distal or effector end of the instrument 100, the parts of the distal end may first be seen in FIG. 3, an exploded view. The lower jaw 124 includes a bent u-shaped sheet metal channel 180 that includes an inclined slot 182 in each side wall and a pivot opening 184 in each side wall, where the upper jaw is pivotally attached to the lower jaw. The proximal end of the channel 180 is also formed into an articulation joint or knuckle, generally at 128, for pivotally joining, via pivot pin 129, with the distal end of the barrel or shaft 116. The lower jaw includes a replaceable staple supply cartridge, generally at 186, which fits into a u-shaped bent metal receiver 188 located within channel 180. The staple cartridge includes a side recess 189 for receiving a locator tab on the upper jaw where the jaws are clamped together. The lower jaw also includes a balloon housing 190 for housing the staple actuation balloon 192. The balloon terminates in a rounded balloon tip 194 for engaging against a wedge 196 in the staple cartridge. Axial expansion of the balloon forces the wedge through the staple cartridge, the sloped forward surface of wedge 196 forcing the staples upwardly out of the cartridge. The upper jaw 126 of the end effector includes an anvil body 198 that has pivot openings 200 for pivotal attachment to the lower jaw pivot openings 184 by pivot pin 202. The anvil body 198 also includes a pair of slots 204 that cooperate with inclined slots 182 in the lower jaw, via slide pin 206, for relative opening and closing of the jaws. The anvil body further includes a staple cartridge locator tab 207, for insertion into the side recess 189 of the staple cartridge for positively locating the staple cartridge when the jaws close. The upper jaw 126 also includes a nose piece 208 that has a central bore 210 for receiving piston 212. The piston 212 cooperates with a linkage 214 to open and close the jaws. More specifically, piston rod 216 extends through linkage eye 218 and through a coil spring 220 and into the nose piece bore 210 (with bushing 211 closing the proximal end of the nose piece bore except for a small hydraulic fluid port in the bushing). The linkage 214 includes pivot openings 222 that cooperate, via slide pin 206, with the slots 204 in the anvil body and inclined slots 182 in the lower jaw channel, as will be described in more detail later. Finally, the upper jaw includes an anvil former 224 which has concave pockets for receiving and bending over the staples to clench tissue gripped between the jaws, and a torsion spring 226 for laterally biasing the jaws to a angle position relative to the barrel 116. The Barrel Assembly Referring to FIG. 2, the barrel or shaft assembly 106 includes the barrel or shaft 116 which houses the hydraulic tubing 118 and 120 for the closing and firing systems and the balloon retractor subassembly 122. As mentioned earlier, the barrel or shaft 116 is a hollow, cylindrical, elongated tube, and is preferably made of metal, although suitably strong plastic may also be used. The proximal end of the barrel 116 includes opposed slots 228 for attachment to swivel joint 298 between the handle and barrel. The distal end of the barrel has upper and lower pivot openings 232 for receiving pivot pin 129 that joins the barrel and jaws to form the articulation joint 128. The balloon retraction subassembly 122 located within the barrel includes a balloon retractor tube 234 extending longitudinally within the barrel and closed at each end by a bushing 236. Hydraulic fluid from the staple firing piston communicates with the interior of the balloon retractor tube through tubing 120 that is attached to a hydraulic fluid port in the proximal bushing 236. The hydraulic fluid path extends through the distal end bushing 236 to an extension of tubing 120 that continues to the proximal end of balloon 192, located in the lower jaw of the effector assembly. The balloon retractor tube 234 encloses, as best seen in FIGS. 26-28, a cable cap 238 attached to the proximal end of a retractor wire 240. Retractor wire 240 extends through the distal bushing 236, through the extension of tubing 120 and through the balloon to the balloon tip 194. Coil spring 242 extending between the distal bushing of the retractor tube and the cable cap 238 biases the end cap to a proximal position, which corresponds to a balloon retracted position. With this arrangement, expansion of the balloon pulls, via wire 240, cable cap 238 in a distal direction, compressing coil spring 242. When the hydraulic force is reduced after staple firing, the force of the compressed coil spring pushes the cable cap rearwardly (proximally), pulling the wire 240 and thus the balloon to a retracted or deflated position. The Clamping Action FIGS. 4-9 show cross-sectional views of the handle portion and end effector portion with respect to the clamping operation, with parts and pieces relating to the firing action removed for better understanding of the clamping action. FIGS. 4-5 show the handle assembly and effector assembly as they are in the jaws open position. Turning to FIG. 4, the handle assembly 102 is shown there in cross-sectional view, illustrating the clamp lever 144 pivotally mounted on boss 146, the hydraulic cylinder block 130, and the clamping piston 136 which includes a gear rack at its proximal end. Flexible tubing 118, which may be plastic, silicone or other suitable material, extends from the clamping piston bore 132 to the distal end jaws for effecting the clamping action. The tubing is flexible at least in the vicinity of or in proximity to the articulation joints so as not to substantially interfere with or impair articulation of the joint. Compressed coil spring 140 extends between the hydraulic cylinder block 130 and flange 244 located on the piston. Coil spring 140 biases piston toward a proximal, low pressure position, so as to bias the effector jaws in an open position. In the position illustrated in FIGS. 4-5, the jaws are fully open, the clamp lever 144 is fully extended, and the clamping actuation piston is in the position fully to the right in the non-pressurized proximal position. The distal nose 154 of the release button 150 rests on the smooth upper surfaces 156 of the clamp lever 144 (See FIG. 10). Coil spring 160 is in tension, pulling the nose of the release button downwardly. As better seen in FIGS. 1 and 10, the distal or nose end of the release button is slotted. The clamping piston gear rack is slidably received within the nose piece slot, and the nose piece therefore prevents lateral, side-to-side shifting of the piston gear rack. Turning to FIG. 5, showing the end effector jaws in the open position, comparable to FIG. 4, the effector jaws are shown in cross-sectional view, without a staple cartridge, to better illustrate the clamping function. As shown there, the anvil body 198 is pivotally mounted by pivot pin 202, which extends through pivot openings 184 of the lower jaw channel and 200 in the upper jaw anvil body. Slide pin 206 extends through slots 182 in the lower jaw channel, slots 204 in the upper jaw anvil body, and through pivot openings 222 of the linkage 214. Piston 212 is located within the bore 210 of the nose piece 208. The piston includes an o-ring 246 located in an o-ring slot 248 around the circumference of the piston to seal against the leakage of hydraulic fluid. The proximal end of the nose piece is closed by a bushing 211, to which the hydraulic tubing 118 is attached. The fluid space 250 located between bushing 211 and piston 212, in normal operation, will be filled with hydraulic fluid. Upon pressurization of the hydraulic fluid, the piston will be moved distally or forwardly (to the left in FIG. 5). As will be recalled, the piston rod 216 extends through the eye 218 of the linkage 214, and movement of the piston to the left also pushes the linkage to the left. The forward or distal end of the nose piece is slotted on the underside to receive the eye 218 of linkage 214. As the piston moves to the left, action of the slide pin 206 moving along slots 204 in the upper jaw anvil body and 182 in the lower jaw channel pull the slots together, closing the jaws. Movement of the piston also compresses the coil spring 220 that extends between an inner shoulder 252 on the nose piece and the linkage eye 218. Accordingly, in the event of failure of the hydraulic clamping system, the spring 220 will move the piston 212 to a jaw-open position. FIGS. 6 and 7 show the handle assembly 102 and end effector assembly 104 in the position where the jaws are partially closed. As can be seen in FIG. 6, the clamp lever 144 has moved partially toward the fixed pistol grip 110. The rack and pinion gear arrangement between the clamping piston 136 and clamp lever gear teeth 148 has moved the clamping piston slightly distally or to the left in FIG. 6, pressurizing the hydraulic fluid within the bore 132 of the hydraulic cylinder block 130. Inasmuch as this is a closed hydraulic system full of normally incompressible liquid, little movement is required to generate very high pressures within the hydraulic system. This increased pressure is transmitted through the tubing 118 to the piston 212 located in the upper jaw at the distal end of the instrument. Turning to FIG. 7, increased hydraulic pressure through the tubing 118 and bushing 211 has moved the piston 212 slightly in the distal direction (to the left in the drawing) pulling the linkage 214 in a distal direction, and moving slide pin 206 distally along slots 204 in the upper jaw anvil body and 182 in the lower jaw channel. This action of the linkage and pin has drawn the upper and lower jaws of the distal end together. FIGS. 8 and 9 show the instrument 100 with the jaws 124 and 126 fully closed or clamped. As seen in FIG. 8, the clamp lever 144 has now been pivoted fully against the pistol grip 110. Nose end 154 of the release button 150 has dropped into the locking notch 162 in the upper area of the clamp lever, preventing the clamp lever from rotating clockwise, unless the thumb release tab 152 is depressed. Coil spring 160, which is in tension, holds the release button in this locked position. In the fully clamped position, the gear teeth 140 on the upper end of the clamp lever 144 have advanced the clamping piston 136 more completely in the compressed direction (to the left in the drawing), creating increased pressure in the clamping hydraulic circuit and further compressing piston coil spring 140. As shown in FIG. 9, the increased pressure of the hydraulic liquid, communicated through the tubing 118 and into the bore of the nose piece 208 has moved the piston 212 in upper jaw 126 distally. As a result, the piston 212 has pushed the linkage 214 toward the distal end of the jaw and the slide pin 206 to the distal end of the slots 204 in the upper jaw anvil body and 182 in the lower jaw channel. This action brings the jaws to the fully closed or clamping position. Again, coil spring 220 is compressed, biasing the piston to the low pressure or jaws open position. When it is desired to open the jaws, the above described action is reversed. The thumb tab 152 on the release button 150 is depressed, raising the nose 154 of the release button from the lock-out notch 162 in the clamp lever, and allowing the clamp lever to rotate clockwise to the open position. The bias of the compressed springs 220 in the upper jaw and 140 in the handle force the clamping piston 136 outwardly of the bore 130 in the hydraulic cylinder block to a low pressure position, where it was initially, as seen in FIG. 4 for example, and the jaws open by the reverse movement of slide pin 206 in the slots 204 in the upper jaw anvil and 182 in the lower jaw channel. The Stapling Action Turning now to the stapling action, the hydraulic circuit of the stapling action may be seen in FIGS. 12-26. As was pointed out earlier, the hydraulic system for the firing circuit has, at the proximal end, the staple firing piston 138, which is slidably received within bore 134 of the hydraulic cylinder block 130. As with the clamping hydraulic circuit, the firing hydraulic circuit is a closed circuit, pre-filled with essentially non-compressible liquid, although other fluid and even compressible gas may be employed if desired. Hydraulic fluid is conducted through flexible tubing 120, balloon retractor tube 234, tubing 120 extension and into the balloon 192, so that the tubing is located in proximity to the joints to allow articulation without substantial interference and without complicated mechanical structures for transmitting control actions to the end effector. Both clamping and firing pistons include one or more o-rings to seal against the respective bore to prevent leakage of hydraulic fluid. The handle mechanism by which the staple firing sequence occurs is perhaps best seen in FIGS. 11-15, which are views of the inside of the handle, with parts relating to the clamping action removed. Turning first to FIG. 11, the firing trigger 164 is shown in the retracted and undeployed position, where it is held by the safety latch 166 until the surgeon takes the positive step, after being satisfied with the clamping, to deploy the firing trigger. As may be seen in FIG. 12, the firing trigger is pivotally mounted on the same boss 146 as the clamp lever 144. More specifically, the firing trigger includes a pair of spaced apart circular side or end walls 168, one of which includes gear teeth 258 for cooperation with the gear rack of the staple-firing piston 138, and the other of which mounts the torsion spring 170, which biases the trigger to the deployed position. In the completed assembly (See FIG. 10), the upper end of the clamp lever 144 is located and captured between the spaced-apart circular walls 168 of the firing trigger, rotating freely relative to the firing trigger on the boss 146. As shown in FIG. 14, the rack of the staple firing piston is constrained against upward movement by a horizontal plate 260. The horizontal plate also includes an aperture 262 for receiving one arm of the torsion spring 170. The other arm of the torsion spring is captured in a slot 264 provided in the side face of the firing trigger. To hold the firing trigger in a retracted and inaccessible position until after the surgeon is satisfied with the clamping, the present invention employs the safety latch 166. As seen in FIGS. 1 and 12, the safety latch 166 includes a vertical wall or body 266 which mounts, at its upper end, opposed pivots 268 that extend into hollow bosses 270 of the handle, allowing the safety latch to pivot or swing about those pivot points. As seen in FIG. 13, a tongue or tab 272 protrudes proximally from the face of the safety latch for engagement with a window 274 (as best seen in FIG. 14) in the safety latch trigger. One end of spring wire 176 is attached, as seen in FIG. 14, to partition 276 of the handle. The other end of the spring wire is located in a slot 278 in the back side of the safety latch body 266. Thus, the spring wire biases the safety latch counterclockwise, so that the tongue 272 enters the trigger window 274 when the trigger is moved to a retracted position. As described briefly earlier, the safety latch includes a pair of wings 172 extending laterally from the body 266, and through windows 174 in the side walls of the handle. When the surgeon is satisfied with the clamping action, he or she may, by pushing on the end of the wings protruding through the window, pivot the safety latch clockwise to remove the latch tongue 272 from the firing trigger window 274, and allow the firing trigger to deploy under the biasing force of the torsion spring 170. In the deployed position, the firing trigger is accessible to the surgeon for executing the firing action of the staples. Similar to the clamping action, pulling on the trigger causes, through the meshing of gear teeth 258 and the teeth of the staple firing piston rack, the staple firing piston to move distally to compress the hydraulic fluid in the firing piston bore 134 and to compress the coil spring 142 that surrounds the firing piston. As hydraulic pressure is increased by the movement of the piston in the handle, the increased pressure is transmitted to the balloon 192 through the hollow tube 120, the balloon retractor tube 234, and tubing extension. The staple firing sequence in the distal lower jaw is most easily understood by reference to FIGS. 18-25. FIG. 18 is a perspective view of the end effector, which shows both the top and bottom jaws 124 and 126 of the preferred embodiment of the present invention. In FIG. 19, the upper jaw is removed, and only the lower jaw with the staple cartridge 186 remains. In that figure, the inclined slots 182 in the channel 180 are readily visible, as is the pivot opening 184 by which the upper jaw is pivotally attached to the lower jaw. The articulation joint 128 and pivot pin 129 mounting the end effector to the distal end of the barrel are also visible in FIG. 19. In FIG. 20, the channel is removed, and we can now see the receiver 188, containing the staple cartridge 186, and also the balloon housing-190. A balloon housing tab 280 is located on each side of the balloon housing 190 for snap interfit in side apertures 284 in channel 180 (see FIG. 19). FIG. 21 shows the distal end of the lower jaw with the receiver and staple cartridge, in large part, removed. In this figure, tubing 120, which conveys the hydraulic fluid to the balloon, is shown entering the rear or proximal end of the balloon housing 190. The rear of the balloon housing also includes an arcuate or cutout area for accommodating the pivot pin 202 that pivotally mounts the lower and upper jaws together. The balloon housing 190 has a generally U-shaped cross-sectional shape, forming a channel for receiving the deflated or retracted balloon. The convex, hemispherically shaped tip 194 of the balloon may be seen at the distal end of the housing in FIG. 21. FIG. 21 also shows the cam or wedge 196 which, when forced axially through the staple cartridge, ejects the staples. The proximal end of the wedge is generally spherically concave in shape to receive the spherically convex tip of the balloon. The wedge also includes a ramp or cam surface 284. Within the staple cartridge, as is well known in the prior art, each staple 286 is located atop a driver 288, and the drivers are aligned in a generally axial direction. As the wedge is forced forward or distally through the cartridge, the drivers are forced up the ramp surface of the wedge, ejecting the staples and forcing them against the anvil former that is located in the upper jaw. The balloon 192 has a fluted wall which allows it to be repeatedly expanded and retracted. As shown in FIG. 22, the balloon is in the retracted position. When the firing trigger is pulled, and the staple firing piston increases hydraulic pressure in the firing circuit, the balloon expands axially, as shown in FIG. 23, forcing the wedge through the cartridge and firing the staples into and through the tissue and forming the ends of the staples over to clench the tissue gripped there between. FIGS. 37 and 38 shows a vertical side cross-sectional view of the balloon when expanded and retracted, and showing the fluted or folded accordion configuration of the balloon. There is yet one additional safety feature associated with the firing of the staples in the instrument 100. Turning to FIG. 16, a depending hook 290 is located at the proximal end of the staple firing piston 138. That hook is engaged by a raised tab 292 on the nose 154 of the release button 150 until the jaws are clamped. This interference prevents axial movement of the staple firing piston until after the jaws have been fully clamped. It may be recalled from FIG. 8, that after the clamping lever is fully retracted, the nose of the release button falls into the locking notch 162 in the upper surface of the clamp lever 144. When that occurs, the raised tab on the release button drops out of engagement with the staple firing piston (see FIG. 17), allowing the piston to be moved by the firing trigger. Until such time, however, as the release button drops into the notch in the clamp lever, which occurs only in the fully clamped position, inadvertent or accidental firing of the staples is prevented. Articulation Joints It was previously noted that the present invention employs, as illustrated, a swivel or gimbal between the handle portion and the barrel or shaft portion. In the illustrated embodiment, as best seen in FIG. 4, this swivel or gimbal is in the nature of a ball and socket joint 294. As can be seen in FIG. 2, the distal end of each half of the handle includes a hemispherical portion 114, such that when the two handle halves are joined, a ball 296 is formed at the distal end of the handle portion. Slidably mounted over the ball is a socket 298, also formed by joining two halves, which includes a distal bore 300 for fixedly receiving the proximal end of the barrel or shaft 116. The proximal inside surface of the socket is curved to match the hemispherical shape of the ball, forming a relatively tight but still slidable frictional fit between the ball and socket. For locking engagement of the proximal end of the shaft into the socket, each socket half includes a inwardly extending tab 302, which enters a mating slot 228 in the proximal end of the barrel. This serves to lock the barrel or shaft in a fixed position relative to the socket. Accordingly, with this construction, the handle may be pivoted relative to the barrel or shaft in any direction for up to about 20 degrees. As clear from the description, the end effector of the present invention is also articulated relative to the barrel or shaft. As best seen in FIGS. 3 and 19, the proximal end of the lower jaw channel 180 is bent into a series of tabs 304, each of which includes a pivot opening 306 in axial alignment with the others. The distal end of the barrel, as also seen in FIG. 3, includes upper and lower axially aligned pivot openings 232. Pivot pin 129 extends through aligned pivot openings 232 in the distal end of the barrel and the aligned pivot openings 306 in the bent tabs of the lower jaw channel 180. This forms a hinged type of joint, allowing pivoting movement of the jaws laterally left and right relative to the barrel. For particular application of this device to the isolation of the atrial appendage, torsion spring 226 is located on the vertical pin, biasing the jaws at a lateral angle of about 30 degrees relative to the barrel, although other degrees of biasing may be employed, if desired. The spring allows the jaws and barrel to be in alignment as they pass through the trocar in the patient and to the treatment site, but as the distal end of the instrument emerges from the trocar, the jaws move to the angled position to which it is predisposed by the torsion spring. The end effector may also be mounted for articulation in other directions, such as vertically or at another angle. Also, the articulation joint between the barrel and end effector may be a gimbal or ball and socket type joint, such as used between the barrel and handle, for 360� of articulation. With such a joint, control wires extending from the handle, through the barrel and to the end effector could be used to control the direction and amount of articulation of the end effector to effect precise changes or adjustments to the position of the end effector, as may be required for particularly delicate medical procedures. FIGS. 39 a-e show an alternative embodiment of the present invention. As with the instrument described above, the version shown in FIGS. 39 a-e includes a handle portion 102, end effector portion 104 and barrel portion 106. In this embodiment jaws 300 and 302 are pivotally attached at 304 for opening and closing in a scissor-like movement. In addition, each jaw has a terminal portion that is separately pivotable at 308 to allow pivoting of the terminal portion of the jaws at up to a right angle with respect to the barrel portion 106 (as shown in FIG. 39 a). With this construction, the jaws may be in general alignment with the barrel for passage through a trocar, and then pivoted to any desired position at the surgical site. As can be seen from the above description, the present invention has several different aspects and features, which are not limited to the specific device shown in the attached drawings or to the specific procedure for which it is intended. Various of these features may be embodied in other devices for carrying out other procedures, including but not limited to stapling, cutting, grasping, coagulating or other surgical procedures. Although shown in a manual form, for direct control by the surgeon, the present invention is also applicable in robotically controlled procedures. The hydraulic actuation of the present invention particularly lends itself to small diameter instruments, multi-axis articulation and large force (e.g., clamping or cutting force) generation, which are not only advantageous in manual applications but are also particularly useful in robotic applications, where the instrument operation is remotely controlled through a robotic controller module or unit. In a robotic application, for example, the end effector assembly could be attached, by way of an elongated shown in FIG. 39 a). With this construction, the jaws may be in general alignment with the barrel for passage through a trocar, and then pivoted to any desired position at the surgical site. As can be seen from the above description, the present invention has several different aspects and features, which are not limited to the specific device shown in the attached drawings or to the specific procedure for which it is intended. Various of these features may be embodied in other devices for carrying out other procedures, including but not limited to stapling, cutting, grasping, coagulating or other surgical procedures. Although shown in a manual form, for direct control by the surgeon, the present invention is also applicable in robotically controlled procedures. The hydraulic actuation of the present invention particularly lends itself to small diameter instruments, multi-axis articulation and large force (e.g., clamping or cutting force) generation, which are not only advantageous in manual applications but are also particularly useful in robotic applications, where the instrument operation is remotely controlled through a robotic controller module or unit. In a robotic application, for example, the end effector assembly could be attached, by way of an elongated shaft, with a remote hydraulic pressure source. The hydraulic pressure source (which may include multiple independent hydraulic pressure sources) could be remotely controlled via electronic or electromechanical controller operated by programmable microprocessor alone or in combination with manual control or voice control commands or both, as already known in the art of remote robotic control. Referenced byCiting PatentFiling datePublication dateApplicantTitleUS7455208Sep 29, 2005Nov 25, 2008Ethicon Endo-Surgery, Inc.Surgical instrument with articulating shaft with rigid firing bar supportsUS7559450 *Feb 18, 2005Jul 14, 2009Ethicon Endo-Surgery, Inc.Surgical instrument incorporating a fluid transfer controlled articulation mechanismUS7559452Jun 23, 2005Jul 14, 2009Ethicon Endo-Surgery, Inc.Surgical instrument having fluid actuated opposing jawsUS7654431Apr 7, 2005Feb 2, 2010Ethicon Endo-Surgery, Inc.Surgical instrument with guided laterally moving articulation memberUS7784662Apr 7, 2005Aug 31, 2010Ethicon Endo-Surgery, Inc.Surgical instrument with articulating shaft with single pivot closure and double pivot frame groundUS7828186Sep 28, 2005Nov 9, 2010Ethicon Endo-Surgery, Inc.Surgical instrument incorporating a fluid transfer controlled articulation bladder and method of manufactureUS8556929 *Jan 29, 2010Oct 15, 2013Covidien LpSurgical forceps capable of adjusting seal plate width based on vessel sizeUS8733611 *Mar 4, 2009May 27, 2014Covidien LpRatcheting mechanism for surgical stapling deviceUS20090230170 *Mar 4, 2009Sep 17, 2009Tyco Healthcare Group LpRatcheting Mechanism for Surgical Stapling Device* Cited by examinerClassifications U.S. Classification606/205, 600/201International ClassificationA61B17/00, A61B17/28, A61B17/072Cooperative ClassificationA61B2017/2927, A61B2017/00539, A61B2017/2905, A61B17/07207, A61B2017/00398, A61B2017/2904, A61B2017/00557, A61B2017/07214European ClassificationA61B17/072BLegal EventsDateCodeEventDescriptionApr 19, 2012FPAYFee paymentYear of fee payment: 4Oct 8, 2009ASAssignmentOwner name: RICHARD A. HILLSTEAD, INC., GEORGIAFree format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:CEREBRAL VASCULAR APPLICATIONS, INC.;REEL/FRAME:023337/0738Effective date: 20090928RotateOriginal ImageGoogle Home - Sitemap - USPTO Bulk Downloads - Privacy Policy - Terms of Service - About Google Patents - Send FeedbackData provided by IFI CLAIMS Patent Services©2012 Google


text:
World fashion tour. Volume 5, Episode 21 (eVideo, 2003) [WorldCat.org]
I thought you might be interested in this item at http://www.worldcat.org/oclc/1112132792 Title: World fashion tour. Volume 5, Episode 21 Author: Anne V Adami; Elizabeth Uss; Videofashion Network, Publisher: New York, NY : Videofashion, 2003. OCLC:1112132792
World fashion tour. Volume 5, Episode 21
Anne V Adami; Elizabeth Uss; Videofashion Network,
This issue of World Fashion Tour features fashion collections by Missoni, Antonio Marras and Emilio Pucci for Spring-Summer 2004.
Find more information about: Anne V Adami Elizabeth Uss
1112132792
Title from resource description page (viewed May 16, 2019).
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Design Logo for company name | Graphic Design | Logo Design | Photoshop
Project Description: Looking for logo options for a company name.Company name is "UniPro Solutions" and primary focus area is IT Consulting / Business application consulting etc. I am a looking for about 10 design ideas for a logo for UniPro Solutions. The final deliverable should be these 10 logo options with the photoshop / image files.Thanks and let me know if you have any further questions
Additional Project Description: 02/14/2013 at 8:09 EST
Please provide some reference works for me to review
photoshop, business ideas 2013, looking design logo company, looking design hooded sweatshirt company logo, chocolate company logo design, free record company logo design software, photoshop deviantart design company logo, online design christmas card company logo, machine shop company logo design free, company logo design, interior design company logo, cleaning company logo design
Last seen: Today 13:53 EDT
uniprosolutions
Project ID: 4244267

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Celia Escudero (celia_escudero) on Pinterest
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What you expect. - Review of Cracker Barrel, Marion, IL - TripAdvisor
What you expect. - Cracker Barrel
It's a Ceacker Barrel but it is a good one. Your will get just what you expect from a Cracker Barrel here. We enjoyed good food with very good service from Zachary.
Ask Natefish about Cracker Barrel
All reviews cornbread chicken pot pie sampler ham country store quick meal off the highway lunch time prices are reasonable the food is great cb server retail ryan locations
This is your typical Cracker Barrel, not too different from other locations. The server was very polite and friendly, never had any problems with the service at any Cracker Barrel. The food was tasty as always, the only complaint I would have is that I would have liked the meatloaf cooked a bit more (there was some hot pink in the center)
Pretty average. The waiter was friendly and accommodating to myself and my grandparents. The food is pretty much what you would expect at a cracker barrel. They did make a mistake with my grandmother's fish, but they were quick to rectify it, which I appreciate.
Ask Jackie W about Cracker Barrel

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Be Still DVD 2005 Region 1 US Import NTSC: Amazon.co.uk: Lon Allison, Mark Brewer, Katherine Brown-Saltzman, Henry Cloud, Michelle McKinney Hammond, Jan Johnson, Peter Kreeft, Max Lucado, Tim Lundy, Calvin Miller, Beth Moore, Ginny Owens, Amy Reinhold, David Paul Kirkpatrick, Judge Reinhold, Craig D. Forrest: Film & TV
Lon Allison (Actor), Mark Brewer (Actor), Amy Reinhold (Director), David Paul Kirkpatrick (Director) | Format: DVD
Actors: Lon Allison, Mark Brewer, Katherine Brown-Saltzman, Henry Cloud, Michelle McKinney Hammond
Directors: Amy Reinhold, David Paul Kirkpatrick, Judge Reinhold
Writers: Amy Reinhold, David Paul Kirkpatrick, Judge Reinhold
Producers: Amy Reinhold, Craig D. Forrest
Amazon Bestsellers Rank: 97,905 in Film & TV (See Top 100 in Film & TV)
B003N7RN1Q,B0042AE4BA,B001K25DW2,B001QUF7DS,B003NVSGUO,B000MQCBTU,B000MGV7WM
1386909246
Reflective & Inspirational
Format:DVD This is a beautiful movie that shows the importance of stillness in daily along with finding peace within. Wonderful movie that I recommend along with "Nexus" an inspirating novel about compassion and inner peace by Morrison & Singh
By Mrs. M. E. Price
Format:DVD|Amazon Verified Purchase One of the greatest challenges for believers today is to stop, to be silent and learn to listen to the still, small voice of God. BE STILL is an interactive DVD that explores the history, importance, and power of listening prayer from a cross-denominational point of view. It has interviews from many people of all faiths and it leaves it open to critiscm as well as adoration. I found the peace and silence within something that I strive for every day, it gave me some answers and questions that I need to look into for my own life and where I am and want to go. I class myself as a spiritual person doing my best living in the physical world, so parts of this were meant for me.I recommend anyone wanting to be able to learn to find even a few minuts peace and quiet for thamselves to watch this.This DVD concentrates on contemplative or meditative prayer. It is divided into seven categories: 1) Contemplative Prayer 2) Cloud of Witnesses 3) Being Still 4) Small Groups 5) Alone With The Lord 6) The Sound of Stillness 7) Contemplative Verses.Well known faces in the Christian community share their insights in brief interviews, and the group includes Max Lucado, Richard Foster, Dr. Henry Cloud and Beth Moore. Singer/songwriter Ginny Owens shares insights and sings, and the DVD section on "Contemplative Verses" includes Bible verses about waiting and being silent before God.
To sit before God and know His peace
Format:DVD Silence used to be the norm, but in the last 50 years it has become the exception; now we have to create a special time and place to experience silence...and "still the constant noise" that surrounds us. And if we want to grow in our walk with the Lord, it's crucial that we do so. For those who long with all their hearts for more than a Sunday only kind of Christianity, but don't know how quite to start, this DVD has some wonderful guidance, that will spark the light within you.Jesus is the core and substance of this documentary, and His Word the source. I fail to comprehend the Pharisaic mentality that would find the teaching in this DVD to be heretical, but as Quaker author Richard Foster says, "It's much easier for people to debate the Bible than to submit to it." All the teachers, pastors, and authors interviewed for this documentary have wisdom to impart, making this film a good investment of your time."Be Still" is not only a good source for those seeking to learn on their own, but would also be an excellent tool for small study groups to use, and for pastors and Bible teachers as well. One of the 7 chapters of the DVD is on "Small Groups," and gives ideas on how to use contemplative prayer in a gathering of believers.WARNING: The DVD has a very peculiar set-up. My only complaint of this documentary is that it does not have a "Play All" option, and one must keep the remote close at hand. The 1st chapter is approximately 55 minutes long, and has a long list of credits after it, making one think that "this is all there is," and stop the DVD. Wrong! There are about 40 minutes more in the subsequent 6 chapters."The Lord is in His holy temple; let all the earth be silent before Him." Habakkuk 2:20

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Morse Planning a UK VisitBrian Eldridge10/21/2009The Wildcats are set to lose Corey Peters after this season and they need to add depth to the current group of defensive tackles. A prospect on the radar is three-star tackle Jared Morse.The Wildcats are set to lose Corey Peters after this season and they need to add depth to the current group of defensive tackles. A prospect on the radar is three-star tackle Jared Morse.
Jared Morse is one of the top defensive tackles in the state of Alabama and one of the top tackles on the Wildcat recruiting board. At 6-foot-3, 260 pounds, Morse already has good size, but there are other assets that he brings to the table. "I've had great coaching. I Have great hands. I've gotten better and stronger," said Morse.
"I want to keep getting faster and stronger," he continued. "I want to work on trying more moves during the game. I try things during practice during the game, I just bull rush," he said.
Whatever Morse is doing, he's received offers from several excellent programs. "(Aside from Vanderbilt), Kentucky, Auburn and Arkansas have all offered me scholarships," he said.
Morse did commit to Vanderbilt back in the summer, but he's chosen to take additional visits. "I'm just trying to make sure to take as many visits as I can. I think an official will be a nice way to see what other schools have to offer," said Morse.
One of the visits that Morse has scheduled is one to Kentucky. "I will be at Kentucky on the weekend of December 6th," said Morse. So where does Morse know about the Wildcats? "I know they beat Auburn this past weekend. I don't know as much as I'd like to," said Morse. "I was going to go up one weekend, but I had somethings come up. I've never been up to see the facilities. But they've clearly got a good program," Morse said.
Morse hasn't scheduled any other official visits at this time.
Discuss on WildcatChat Share on Facebook Share on TwitterTrending on ScoutSpielman: Peterson ‘will always be a Viking’Thompson Withdraws from UGA for SemesterOffers Still Rolling In For LB Xavier PetersNerlens Noel From Sixers To Mavs In TradeThe Opening Orlando: Top Five UnderclassmenShare & EmbedThe Opening Orlando: 2018 DE Dennis Briggs Full StoryAllWildcats Top StoriesCalipari: 'We've Got To Get Better'Coach Cal says time is running out, and his team is not where it needs to be with tourney time rapidly approaching.by Jeff DrummondAllWildcats6:00 PMRECAP: No. 11 KENTUCKY 72, MISSOURI 62Freshman center posts double-double in leading Cats past Tigers.by Jeff DrummondAllWildcatsTuesday at 5:19 PMBreaking NewsFlorida Teammates Commit to CatsUK now has three commitments in junior class.by Jeff DrummondAllWildcatsTuesday at 9:37 AMPayne: Play with confidence... or elseUK assistant coach says struggling players must show more confidence or sit.by Jeff DrummondAllWildcatsMonday at 12:50 PMAnthony Davis MVP of NBA All-Star GameA.D. sets scoring record for event with 52 points.by Jeff DrummondAllWildcatsSunday at 8:18 PMBreaking NewsNerlens Noel From Sixers To Mavs In TradeMavs Swipe Nerlens Noel In Trade From Sixers, Give Up Bogut, Justin, Protected First-Rounder ... Details Insideby Mike FisherDallas Basketball9:11 AMCats Fall at LibertyUK still looking to give new head coach Nick Mingione his first win.by Jeff DrummondAllWildcatsYesterday at 7:29 PMThe Opening Orlando: Top Five UnderclassmenDAVENPORT, Fla. - The Opening Orlando was a loaded event among rising-senior prospects, but a handful of underclassmen turned heads in the process.by John Garcia, Jr.Scout FootballYesterday at 2:23 PMOffers Still Rolling In For LB Xavier PetersOhio linebacker Xavier Peters has a lot of momentum in the recruiting world right now, and he is adding Power Five offers weekly.by Bill GreeneScout FootballYesterday at 5:36 AM3-star LB Antwuan Johnson Looking At FiveDayton Dunbar linebacker Antwuan Johnson is one of Ohio's top 2018 prospects, and he is still in the process of adding offers. Planning on enrolling early, Johnson will be making…by Bill GreeneScout FootballTuesday at 3:24 PMThe Opening Orlando: 2018 DE Dennis BriggsDAVENPORT, Fla. -- With one school recruiting him hardest, 2018 defensive end Dennis Briggs knows of a quartet of schools that will make the cut once it's time to shrink his list…by Corey BenderScout FootballTuesday at 2:29 PMBasketball Without Borders StandoutsMETAIRIE, La. -- For the third year in a row the NBA ran Basketball Without Borders in unison with All-Star weekend. The event, which consists of some of the best international…by Evan DanielsScout HoopsMonday at 6:42 AMLoad More

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eslunes comments on Why doesn't /r/teenagers make a youtube page?jump to contentmy subredditsannouncementsArtAskRedditaskscienceawwblogbookscreepydataisbeautifulDIYDocumentariesEarthPornexplainlikeimfiveFitnessfoodfunnyFuturologygadgetsgamingGetMotivatedgifshistoryIAmAInternetIsBeautifulJokesLifeProTipslistentothismildlyinterestingmoviesMusicnewsnosleepnottheonionOldSchoolCoolpersonalfinancephilosophyphotoshopbattlespicsscienceShowerthoughtsspacesportstelevisiontifutodayilearnedTwoXChromosomesUpliftingNewsvideosworldnewsWritingPromptsedit subscriptionsfront-all-random | tifu-nosleep-pics-gaming-Art-nottheonion-AskReddit-sports-askscience-videos-aww-GetMotivated-IAmA-Music-WritingPrompts-explainlikeimfive-movies-EarthPorn-gadgets-OldSchoolCool-space-todayilearned-news-Fitness-funny-listentothis-gifs-history-television-science-personalfinance-Futurology-Showerthoughts-worldnews-books-dataisbeautiful-DIY-InternetIsBeautiful-LifeProTips-photoshopbattles-Documentaries-creepy-UpliftingNews-Jokes-TwoXChromosomes-food-mildlyinteresting-philosophymore » teenagerscommentsrelatedother discussions (1)want to join? login or register in seconds|Englishlimit my search to /r/teenagersuse the following search parameters to narrow your results:subreddit:subredditfind submissions in "subreddit"author:usernamefind submissions by "username"site:example.comfind submissions from "example.com"url:textsearch for "text" in urlselftext:textsearch for "text" in self post contentsself:yes (or self:no)include (or exclude) self postsnsfw:yes (or nsfw:no)include (or exclude) results marked as NSFWe.g. subreddit:aww site:imgur.com dogsee the search faq for details.advanced search: by author, subreddit...this post was submitted on 28 Dec 20120 points (35% upvoted)shortlink: remember mereset passwordloginSubmit a new linkSubmit a new text postteenagerssubscribeunsubscribe70,650 readers353 users here nowCheck out - Tags are now optional, /u/khsunny786's flair contest! AND FAQ recruitment post
created by Meades_Loves_Memesa community for 4 yearsmessage the moderatorsMODERATORSMeades_Loves_MemesStarWarsPlacehintssHAI I ARE HONTSSWyrdashman, what a flowermediaboyNot a mod. Honest.AutoModeratorA proud Autobotall_my_rageMy old flair was incorrect △khsunny786excelssior17Just_Listening_In18: Secretly a goof....and 2 more »000Why doesn't /r/teenagers make a youtube page? (self.teenagers)submitted 1 year ago * by Teenagerz_Voice67 commentssharecancelsorry, this has been archived and can no longer be voted onloading...sorted by: bestbesttopnewhotcontroversialoldrandomyou are viewing a single comment's thread.view the rest of the comments →[+]eslunes17 16 points17 points18 points 1 year ago (0 children)[–]eslunes17 16 points17 points18 points 1 year agosorry, this has been archived and can no longer be voted onOh my god, me too. permalinkparentaboutblogaboutteamsource codeadvertisejobshelpwikiFAQreddiquetterulescontact ustoolsmobilefirefox extensionchrome extensionbuttonswidget<3reddit goldstoreredditgiftsreddit.tvradio redditUse of this site constitutes acceptance of our User Agreement and Privacy Policy. © 2014 reddit inc. All rights reserved.REDDIT and the ALIEN Logo are registered trademarks of reddit inc.close this windowyou'll need to login or register to do thatcreate a new accountall it takes is a username and passwordprivacy philosophy
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Moving Image Archive > Television > Classic TV > Classic TV uploaded by HappySwordsman > ''Who Said That'' - 30 March 1953
This movie is part of the collection: Classic TV uploaded by HappySwordsmanProduction Company: NBC Television NetworkAudio/Visual: sound, black and whiteLanguage: EnglishKeywords: Classic TV; Television; Who Said That; Panel show; Dagmar; Creative Commons license: Public Domain Mark 1.0
Thanks to whomever shared their Dagmar collection I've been enjoying all of the latest uploads that feature the original queen of TV, Dagmar! Terms of Use (31 Dec 2014)

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Ticket Busters in Las Vegas, NV with Reviews - YP.com
Ticket Busters in Las Vegas, NV
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1. Ticket Busters
Jeff was my attorney for a DUI case I had. He did a great job on my case. He was nice and very personable and on top of it all he really cared. I…
2. Ticket Busters Inc - CLOSED
3. Roger P. Croteau & Associates, Ltd.
During the free consultations Mr. Croteau devoted us much more time than we expected and on our proposal to pay him for the service, he refused. He …
4. John G. Gubler, Ltd.
(702) 209-0955
10655 Park Run Dr Ste 170
From Business: The law office of John G. Gubler, Ltd. is an established Las Vegas law firm serving clients throughout Clark County, NV. Our practice area is limited to estate pl…
104 S. Jones Blvd
6. Anthony Barney, Ltd. Attorneys & Counselors At Law
(702) 757-1838
3317 W Charleston Blvd
Was hired to do a simple service and was the worst experience I've ever had with an attorney . Had to hire a paralegal to clean up the mess . Comp…
7. Disability Action Advocates
(702) 442-1215
3215 W Charleston Blvd Suite 140
Top rate company, friendly staff, attention to detail, all around good service.
9. Law Offices of Steven M. Burris
10. Harris-Harris-Las Vegas
(702) 550-0609
2029 Alta Dr # 270
11. Keating Law Group
(702) 706-8020
9130 W Russell Rd Ste 200
From Business: At the Las Vegas offices of the Keating Law Group PC, we provide our clients with aggressive representation throughout Nevada in state and federal courts. Our fir…
12. Taylor Hal Attorney At Law
(775) 636-9292
13. Law Offices Of Brian D. Nettles
1389 Galleria Dr Ste 110
14. The Law Office of Craig J. Lucas
(702) 706-8959
2831 Saint Rose Pkwy Ste 238
From Business: Nevada Attorney with 28 years of experience. Demonstrated history of helping seriously injured workers receive Medical Treatment, Compensation, Retraining and oth…
16. Bankruptcy Home
(866) 307-1171
18. The Tax Resolvers©
20. Andersen & Broyles LLP
5550 Painted Mirage Rd Ste 320
Not only was this service the most affordable, I can't imagine a more empathetic person to represent me in court. Karl Andersen and his team truly …
21. Jeffrey Shaner, Ltd. of Nevada
22. Andrew S Wentworth ESQ
23. Rushforth Lee & Kiefer LLP
1707 Village Center Cir Ste 150
24. Mountain West Lawyers
2920 S Rainbow Blvd Ste 180
28. Isso & Hughes Law Firm
720 Center St Ste 100
29. The Law Office of Edward D. Kenia
From Business: Welcome to the Law Office of Edward D. Kania We are a full service law firm located in Las Vegas, NV. Our firm has one goal: to provide high quality legal service…
Related Articlesfor Ticket Bustersmore related articles »
I've had a great experience dealing with Reclaws and team. They're a perfect team who can help you genuinely by acknowledging your case thoroughly. Even the staff is very kind and generous.
Jaaye R. rated
Don’t get upset as you can easily get the best assistance from an authentic place. The trick is to be more careful with recovery than you were with investing. I almost sent my money to a scam recovery by the name payback limited - only after I pushed them for documentation did I see the light. Genuine money recovery assistance is possible now. As the Reclaws International team will understand your issues and you can get your funds back if they can. If they can’t, they won’t.
Reclaws put immense efforts while solving my case and that was impressive.Good job guys.I really appreciate the quality of work they do.
Hui yin M. rated
Great work was done by Reclaws and provided me with essential documents by which I could launch a dispute and the rest of the things were easily done.Thanks a lot!
Mirja52 .. rated
During the free consultations Mr. Croteau devoted us much more time than we expected and on our proposal to pay him for the service, he refused. He gave us a good advice and we would recommend him to anyone.
Jasna V. rated
I couldn't afford an attorney for my son but Mr. Escobar gave me a great amount of his time during the consultation and in excellent advice. I would highly recommend this attorney to everyone.
Caio D. rated
Tank you Willian Rangel at STEVE DIMOPOULOS INJURY LAW TICKET TRASHER for taking care of my bench warranty from a speed ticket that I had fourteen years ago. Everything was very fast and trustfully I highly recommend it.
Law Office of Timothy R. Treffinger
Very professional. Very knowledgeable. Patient when explaining procedures. And affordable. The guy was a district attorney so he knows what angle to go. It really helped in my case. I couldn't be happier with the outcome. Thank you so much Tim. I'd recommend this guy to EVERYONE!!!

value: This website is a United States-based web site operated by YP Holdings that provides listings for local businesses. In 2013 it was re-branded as YP.com or simply "YP".


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