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my (small press) writing day: Suzanna Derewicz : My Small Press Writing Day
Suzanna Derewicz : My Small Press Writing Day
When it came to writing creative work on the daily, I was more prolific three to four years ago than I currently am; there were many reasons for this. Often when I wrote, I took the wretchedness I was feeling in various precarious states of mental health to make something out of my tender experiences – art that people could read or watch on stage and appreciate, while allowing myself some space to detach from it. Playwriting and poem making became a way for me to expunge nightmarish feelings surrounding the difficult interpersonal experiences I carried around with me, experiences I carried around until I could find the words to let them live outside of myself, so I could find some release from them.
While good at my craft, I recognized how unsustainable it all was. Eventually I started to get some much-needed therapy, found other outlets, strategies, and methods for integration, and I began to feel a lot healthier. The impulse, the obsession with writing as purging started to rest quieter within me. I also started to work in content marketing as a freelance copywriter and editor, which in some ways I used as an excuse to not write as much of my own work. I think in a lot of ways I’m still scared of re-evaluating a new writing practice because what if I only wrote well or made decent work because I was sick? What if I’m not really a strong creative without anxiety or fear pressing its hands up against my back?
I’m a training psychotherapist now and between a varied and manageable work and school schedule, 2018 is offering me the opportunity to rediscover where the desire to write lives within me now, as it is irreversibly different than what it was before. For the time being, I am trying to set aside two hours a day, typically after or before work, to test some pieces out. My writing flows more freely before 9am, so some days I try to start by 6:30 or 7; admittedly I’m not always on time. If I can’t sustain the whole two hours, I spend the remainder of that time reading work by others or applying for publication.
It helps me to be working on a collaborative chapbook with fellow poet Amanda Earl based out of Ottawa; our email correspondences inspire me, and I am happy to feed off another writer’s energy when I am struggling to find my fire. I am also trying my hand at prose for the first time and liking it as it is an avenue I owe very little of myself to, and one that has virtually no expectation of me. I do not write plays anymore and think that is for the best.
When I left the theatre to let my creative voice out more authentically through poetry, I wanted it to remain something I did for me and not for others; in doing so I fostered no dreams (or misconceptions) about making it my sole career (though I respect all striving career artists and writers and hope to support their work whenever I am able and given the opportunity to). I wanted my passion for my own work to speak for itself, and that passion mutated into something ugly and soul-stealing when I was doing it to get proof for my self worth in a cut-throat industry.
My interests are changing now; for one, I’ve found my true calling and that has been instrumental to my finding necessary grounding within my life. I only hope I can find more space for writing as I continue finding my balance, as I stop needing it to fill some void or exorcise some demon. And I’m getting there.
Suzanna Derewicz is a writer and training psychotherapist working and living in Toronto. She has recently been published on Metatron's OMEGA blog, in Arc Poetry Magazine, Peach Mag, and the Minola Review, among others. She also occasionally does interviews for the Puritan's Town Crier Blog. Her debut chapbook Maggie Monologues was released in Fall 2016 by words(on)pages press.

type: global

value: Blogger is an American online content management system (CMS) which enables multi-user blogs with time-stamped entries. Pyra Labs developed it before being acquired by Google in 2003.


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Spiritually Speaking: There's a clue here somewhere.
There's a clue here somewhere.
“Nature is a mighty teacher. By observing her cycles we come to understand how life dances within us.”
Science of Mind, page 51, March, 2016
Spring has sprung here in the deep south. The red-buds are in full array, along with jonquils and forsythia. The Bradford pears are clouds of white, smelly blooms. Seemingly overnight, leaves have sprung out of the oak and hickory trees in my yard. There is nothing gradual about our seasons here—they just come in a flash, and we say, “Well...I guess winter's over.” Tomorrow may be summer.
Nature, its changeability, its ebb and flow, it's wax and wane, its rise and fall, gives us a huge clue about the nature of life itself. Our life. We have periods of fullness and emptiness, we are pumped up at times and wilted at others. We are on top at one moment, then topple to the bottom the next. We are part of the earth, and we share her cycles. The difference is that we label some as good and some as bad. I've never heard an oak tree lament that winter is simply too long and too cold. Or the ocean say, “Oi, not this again! Always with the ebb and the flow!” Only humans expect fullness forever.
Should we adjust to the cycles, even enjoy them, we would have less angst, less anxiety and pain. We are a universe unto ourselves. We orbit through all the seasons of life, the spring and the winter, the joy and the sorrow. That's the nature of human experience. Each stage is an adventure if we allow it to be.


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Amazon.co.uk: £20 - £50 - 2 Stars & Up / Reference / Mathematics: Books
Books Advanced Search Best Sellers New & Future Releases Top Offers School Books Textbooks Browse Genres Paperbacks Audiobooks 1-16 of 902 results for Books : Science & Nature : Mathematics : Reference : £20 - £50 : 2 Stars & Up
Engineering Mathematics22 Mar 2013by K.A. Stroud and Dexter J. BoothPaperback£43.09Get it by Monday, Aug 3More buying choices£30.14used & new(53 offers)
44Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliverySHOW ME THE NUMBERS30 Jun 2012by STEPHEN FEWHardcover£24.38Only 8 left in stock - order soon.More buying choices£19.14used & new(42 offers)
10Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryIB Mathematics Standard Level Course Book: Oxford IB Diploma Programme12 Jul 2012by Paul La Rondie and Ed KempPaperback£36.63Only 1 left in stock - order soon.More buying choices£26.99used & new(32 offers)
7Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryAdvanced Engineering Mathematics17 May 2011by K.A. Stroud and Dexter J. BoothPaperback£42.29Only 4 left in stock - order soon.More buying choices£21.99used & new(52 offers)
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5Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryHandbook of the Marine Fauna of North-West Europe29 Jun 1995by P. J. Hayward and J. S. RylandPaperback£45.06Get it by Monday, Aug 3More buying choices£40.56used & new(43 offers)
10Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryIB Mathematical Studies SL Course Book 2nd Edition: Oxford IB Diploma Programme (International Baccalaureate)26 Jul 2012by Peter Blythe and Jim FensomPaperback£34.19Get it by Monday, Aug 3More buying choices£25.70used & new(47 offers)
3Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryMeeting the Universe Halfway: Quantum Physics and the Entanglement of Matter and Meaning25 Mar 2007by Karen BaradPaperback£20.99Only 8 left in stock - order soon.More buying choices£14.08used & new(41 offers)
2Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryDigitizing Government: Understanding and Implementing New Digital Business Models (Business in the Digital Economy)1 Dec 2014by Alan Brown and Jerry FishendenHardcover£25.70Only 8 left in stock - order soon.More buying choices£17.29used & new(39 offers)
6Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryDiscovering Statistics Using SPSS (Introducing Statistical Methods series)2 Mar 2009by Andy FieldPaperback£6.80used & new(42 offers)See newer version
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3Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryCausality: Models, Reasoning and Inference14 Sep 2009by Judea PearlHardcover£35.99Only 2 left in stock - order soon.More buying choices£24.82used & new(48 offers)
2Trade-in eligible for an Amazon gift cardEligible for FREE UK DeliveryDiscovering Statistics Using R19 Dec 2013by Andy Field and Jeremy MilesKindle Edition£31.97Available for download now
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Stoic Cassini Dives Into Rings Of Saturn | notestoponder
September 1, 2017 by Notes To Ponder
Without apology to explain fondness for her remarkable existence, suffice to say Cassini’s eminent demise weighs on my mind. On September 15, 2017, just 30 days shy of her 20th launch anniversary, assisted suicide concludes the little mission that could. The magnitude of Cassini will percolate long after she’s gone.
Link to all things Cassini – https://saturn.jpl.nasa.gov/
Below – compilation of 21 images taken last week,captured by wide angle camera over 4 minutes as Cassini briefly plunged between Saturn’s innermost ring and planetary body. The rings move up as Cassini flies from sunlit to dark side. At the bottom, a gray band of Saturn’s “C Ring”. Middle, bright strip of the “B Ring”, beyond that a dimmer band of “A Ring”, and then a filament of “F Ring”. Rings appear scrunched due to Cassini’s extreme angle of view.
Link to Cassini’s timeline – https://saturn.jpl.nasa.gov/the-journey/timeline/#launch-from-cape-canaveral
Oh Cassini, you served us well. The magnitude of your unassuming contributions will percolate in cosmic wonder long after you’re gone. Watch Cassini: The Wonder of Saturn, suspend belief and wish her well. –
This entry was posted in Science, Space and tagged Cassini Dives Into Rings of Saturn, Cassini mission, NASA, saturn, The End of Cassini. Bookmark the permalink.
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3 thoughts on “Stoic Cassini Dives Into Rings Of Saturn”
john zande says:	 September 1, 2017 at 12:43 pm
And behold, the very, very best of our species!
geneticfractals says:	 September 2, 2017 at 6:31 pm
I share your fondness. We will celebrate her (?) as we celebrate Edmund Hillary, Jacques Cousteau, Roald Admunsen etc.
Notes To Ponder says:	 September 3, 2017 at 8:33 am
In my mind all missions beyond Mars are female. 🙂 Can’t explain why Cassini captured imagination but I’ll miss her.

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White Mark Universal 803-21-M Womens Uniss Dress, Blue - Medium
$ 50.13 In Stock
Features. Let your voice and style be heard! And let it be heard while wearing this revolutionary dress! Shift dress features empire waist. 3/4 bell sleeves with lace trim, and lace hemline and elastic boat neck. Womens Uniss DressSpecifications. Color: Blue. Size: Medium. Dimension: 1'' H x 5'' W x 10'' L. Weight: 0.9 lbs- SKU: WTMU1693
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Mike Friend Rv - Chico, CA | Groupon
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value: Groupon is an American global e-commerce marketplace connecting subscribers with local merchants by offering activities, travel, goods and services in 15 countries. Based in Chicago, Groupon was launched there in November 2008, launching soon after in Boston, New York City and Toronto.


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9780021438372: WEST IN THE WORLD-AP VERSION - AbeBooks - Dennis Sherman: 0021438374
WEST IN THE WORLD-AP VERSION
ISBN 13: 9780021438372
ISBN 10: 0021438374
The West in the World's easy to understand narrative explores the economic, political, social, and cultural events that shaped European history. The highly visual "Thinking About" features help students connect with documents, art, geography, and science and technology. The enlightened narrative demonstrates the complex relationship between Europe and the world.
1. WEST IN THE WORLD-AP VERSION
Book Description MCG. Book Condition: Brand New. Ships SAME or NEXT business day. We Ship to APO/FPO addr. Choose EXPEDITED shipping and receive in 2-5 business days within the United States. See our member profile for customer support contact info. We have an easy return policy. Bookseller Inventory # 42298447
2. WEST IN THE WORLD-AP VERSION
Book Description McGraw Hill. Hardcover. Book Condition: New. New, unread, and unused. Bookseller Inventory # ABS-9001-1046
3. WEST IN THE WORLD-AP VERSION
Book Description McGraw Hill. Hardcover. Book Condition: New. 0021438374 Multiple copies! Brand new, never opened. We usually ship the same business day if ordered by 2pm EST!. Bookseller Inventory # Z0021438374ZN
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Book Description McGraw Hill, 2014. Hardcover. Book Condition: New. book. Bookseller Inventory # 0021438374
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Book Description McGraw Hill, 2014. Hardcover. Book Condition: New. Bookseller Inventory # DADAX0021438374

value: AbeBooks is an e-commerce global online marketplace with seven websites that offer books, fine art, and collectables from sellers in over 50 countries. Launched in 1996, it specialises in used, rare and out-of-print books.


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Amazon.co.uk: Customer Reviews: The Unweaving: Shader Series book 3
The Unweaving: Shader Series book 3
5.0 out of 5 stars Bloody brilliant read, 22 Jun 2014
This review is from: The Unweaving: Shader Series book 3 (Kindle Edition)
Bloody brilliant read, couldn't put it down and read all the books really quickly. Waiting for the next instalment with anticipation
5.0 out of 5 stars Being able to consistently write good books, where the quality of each successive book ..., 24 July 2014
This review is from: The Unweaving (Paperback)
Being able to consistently write good books, where the quality of each successive book is improved upon, is the difference between a good writer and an excellent one. There is no doubt here that Mr. Prior is an excellent author and outstanding storyteller.This book has wonderful pacing, really good descriptive passages, and outstanding character build-up. It also has some very nice twists and turns. I highly recommend it to those who enjoy reading about a rollicking good adventure.The only thing I don’t like is that I have to wait for Mr. Prior to finish writing the next chapter of this amazing journey.
5.0 out of 5 stars Excellent Adventure, 8 Aug 2014
By Michael Cowgill - See all my reviews
The first Shader trilogy is a fantastical romp through a post apocalyptic setting with a mystical twist. A thoroughly recommended read.
Good read not brilliant but GOOD
The Unweaving: Shader Series book 3 by D.P. Prior


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March | 2012 | emmasenchantedworld
WIPocalypse (&TUSAL) 11 Mar 2012
Well, very late with TUSAL, and a bit late for WIPocalypse.
Mostly, it’s blue and grey, because I’ve been working on The Dark Knight. Progress is good:
That’s the first page complete, and the second started, although I found the frogs visited me last night, due to careless (read – no) counting, and I shall have to take out everything to the right of the completed page. I enlarged the chart from 6 pages to 9, and I didn’t do them all the same size, apparently. Duh!
I’m not sure it really counts as WIP work, but I just finished cleaning up a Mirabilia that I did in 1995. It had been hanging in an unheated room, with early morning sun shining on it, and the glass had got condensation on it inside the frame. So I took it out, cleaned the glass thoroughly, and re-sealed it with framing tape. Fortunately the stitching was untouched by the moisture, so all is well.
I got some new framing done, too.
We saw a lot of bison while we were in Yellowstone Park last year, and I picked this up in one of the Lodges, along with a stitch of Old Faithful, which I haven’t started yet.
This is a Christmas freebie from Mirabilia, which has been waiting to be framed since 2000. She’ll only come out for Christmas, but she’s very pretty.
These are ‘Lady in Red’ and ‘The Blues’ by Valerie Pfeiffer from Heritage Crafts. I have a third in the series, a hummingbird, but haven’t started it yet. I love these, they’re so cute.
‘A Gracious Era’ is finally framed. Again, it’ll only come out for Christmas, but it looks good, and I’m so pleased it’s done.
Again, not strictly speaking WIP work, but we moved these two around and re-hung them in the living room. ‘Mermaid of the Pearls’ by Mirabilia, and an appliqued and freehand embroidered piece based on one of the Mirabilia ‘Queen’ series.
No progress on the World Map, or on the Tiger, to report, but I’m pleased. I’ve got quite a lot done. I probably could have done more, but I’ve been playing Final Fantasy XIII-2 on the Playstation quite a lot lately.
It’s Miniatura next weekend, so I expect I’ll see some progress on some other WIPs while I’m there.
This entry was posted on March 11, 2012, in 2012WIPocalypse, TUSAL, Uncategorized and tagged 2012 WIPocalypse, Dark Knight.	2 Comments


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Nato Coles & the Blue Diamond Band: January 2015
Hello! Hi everybody, here we are in mid-late January with a HUGE BIG UPDATE for y'all! It's been awhile since I updated this website, so this is going to be quite a news dump, as they say. As you probably know if you've been keeping up to any extent on us, we've been playing all the time. All. The. Time. It rules! And we're not about to let our foot off the pedal. Check out the massively updated SHOWS section on the right to see when we're next to be heading your way.
Grumpy's Residency: And as the title of this update says, we're doing a residency at downtown Grumpy's in Minneapolis all February long. Every Saturday night, we'll be playing two sets, along with some special guest bands from around the way who we love rockin' with. Check out the SHOWS section for the details.
Live Band Karaoke: On the third Saturday of February - the 21st - we will be reviving Live Band Karaoke (hosted by D.J. Sinclair!), so get ready to sing, dance, and party - with the Blue Diamond Band as your backing band! Here's how it works, if you are unfamiliar:


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Amazon.co.uk: Amazon Customer's review of BBC Weather
Accurate forecasts, 3 May 2014
Clearly laid out, easy to read and follow but most of all the forecasts are accurate.You can store a number of locations which are easily added.
(1,852 customer reviews)
Location: HORLEY, SURREY England
Top Reviewer Ranking: 336,062


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Sweet Turtle Soup: Second Annual Christmas in July Gift Exchange Reveal & Link Up!
Second Annual Christmas in July Gift Exchange Reveal & Link Up!
Elizabeth, Jamie, Amanda, and I got together to host this year's Christmas in July gift exchange. And, today is the big reveal day! You can peek back at the original announcement here and/or the matches here.
I was matched with Ashley from Everything's Hunky Dorey this year, which just so happens to be the same partner I had last year - with the notable exception that last year Wyatt was the one and only and this year he and his little sister Stella joined in on the fun.
Here is what they sent Aria!
Taking her new treasures out to the living room - a Sofia outfit, purple headband, purple purse, Barbie DVD, and a Christmas book that has spinning bits.
I'm not sure if she likes that purple headband or the spinning book better, both have been getting a lot of love. I was planning on saving them until the 25th, but my impatience won in the end. Close enough.
Thanks Wyatt, Stella, and Ashley!
Aria and I were partnered with Jude and Liz over at Ellie And Addie - pop over to her blog to see what we sent, which is another coincidence because I sent Liz a package for a Mother's Day exchange too. If you participated in the exchange please link up your Christmas in July boxes below! And, feel free to use #xmasinjulygiftexchange to share on instagram too.
Desiree MackeJuly 27, 2015 at 8:25 AMSo fun!!! That little tutu dress - love it. I can't wait for those kid of dresses to adorn M2 and her closet. :) ReplyDeleteJamie Lynn {Cocktails and Carseats}July 27, 2015 at 8:58 AMLooks like they did well! I love that headband on her. It's so fun to see what everyone got :)ReplyDeleteHall Around TexasJuly 27, 2015 at 10:43 AMSo fun! First of all, Aria looks so sweet and precious in those jammies!! Ashley, Wyatt and Stella sent some awesome gifts! Perfect for your little princess!! ReplyDeleteNina RobinsonJuly 27, 2015 at 11:50 AMYay for princess clothes! Such a great idea to do two Christmases, thanks for hosting!ReplyDeleteAshley DoreyJuly 27, 2015 at 12:25 PMAwwww, love seeing her with all of her gifts!! So glad she's enjoying them! And I must know where those cupcake jammies came from; my Cupcake needs some! ;)ReplyDeleteChrissy@SimpleJoysBlogJuly 27, 2015 at 12:30 PMWow, Aria scored big! The outfit looks adorable and you can never have too many books!ReplyDeleteAlly @ Even MiraclesJuly 27, 2015 at 9:21 PMAria looks too cute in that purple headband! Her gifts were perfect for the little princess! Thanks for hosting a Christmas in July exchange! It was fun and I loved being matched with Nina and her boys! It was SO fun to shop for a boy. Merry Christmas in July Ally ReplyDeleteLaurie OlsenJuly 27, 2015 at 9:34 PMSo fun! I love spreading out the Christmas cheer!!ReplyDeleteEmily BeckwithJuly 27, 2015 at 9:42 PMOh, so cute! Such fun, girly gifts ;) That headband is so cute and books are always great!also, I am loving her cupcake pajamas!ReplyDeleteMandieJuly 28, 2015 at 9:26 AMSo much fun! I love it! :)Mandie ~ http://badbrewpack.blogspot.com/ ReplyDeleteSara McCartyJuly 28, 2015 at 2:57 PMThis is so cute! I love that outfit she received! Purple's a great color on her! And how cute that it was all wrapped in Christmas paper! Love that! ReplyDeleteOur Pretty Little GirlsJuly 28, 2015 at 10:01 PMSo cute and so girly. That dress looks fantastic too. I love that you were paired up with her again. Maybe this is a tradition you should keep going :). ReplyDeleteAdd commentLoad more...
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torrent | The Awesome Tech Blog
chic, straightforward and shrewd words on tech ever desired Posts Tagged ‘torrent’
Yesterday I mentioned how you can simplify downloading files via your browser using URLDroplet and today I just realized the Dropbox addon can be used to download torrents remotely from any device that has internet connection.
All you need to do is – set up your Bittorrent client to watch your Dropbox folder and then whenever you are on the go but want to download a torrent back at your home PC, you can simply copy the torrent link, paste it in URLDroplet and it will download the torrent in your Dropbox, given the fact that your PC is running and the Dropbox service is started.
How can you set up your Bittorent client to watch a folder? Well our favorite uTorrent’s settings are quite simple. Head to Options menu, Preferences, Directories and enable the option “Automatically load .torrents from”. Mention your Dropbox’s destination and you’re good to go. Other clients settings are similar too.
While we’re on the topic, a similar service sideCLOUDload can also be used for doing the same. You might ask why didn’t I mention this in yesterday’s post… Only because sideCLOUDload doesn’t allows files larger than 25MB to be sent on your Dropbox. But because it’s next to impossible to have a .torrent file as large as 25MB, sideCLOUDload works. Why would I mention sideCLOUDload now? Because it gives an added benefit of storing files in a specific folder inside Dropbox. So for the people who like keeping their stuff totally organized all the time, this might help as URLDroplet saves your .torrent file directly in the Dropbox folder and there’s no option to save it in a particular directory of Dropbox.
Of course to do remote torrent downloading there are remote apps, web UIs etc., but I find this the most simple and easiest way to download files from one device to another.
sidecloudload.com
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Encounters With The Unexplained: Alien Bases on the Moon
"It has long been a theory of some UFOlogists that the far side of the Moon could harbor a base for extraterrestrials. Presuming they come from a distant planet in some other solar system, they must have a base from which they can make their regular visits to the Earth. What better place than the far side of the Moon, which is perpetually hidden from sight?" (Stephen Wagner)
Readers who have been with me since the beginning know that this theory is of interest to me. What do you think about it?
Labels: conspiracy, unexplained
I've always been suspicious of this...I wouldn't be the least surprised if there were bases on the moon, perhaps even inside the moon, and also on Mars. Just a gut feeling I suppose, but these bizarre reports ring true to me.
I don't know. That just seems squirrelly to me. Alien bases? How did the aliens tell them to stay off the moon? The astronauts seemed fine after they got back on Earth. If I was told by an alien to get out I'd be freaking out! Do you have more proof? I'd like to research it.
I have my doubts (as usual), but it is an interesting bit of theory. Would tie in nicely with those claims that moon videos are staged in a studio.
2/03/2008 9:25 AM
Hey Aura, I was actually going to do a post on this.
The jury is still out for me on that one but it is very interesting. The link above has some cool links, one of them was the one you had in your post.
2/03/2008 11:28 AM
Who knows what the hell is going on on that side of the moon. After all it is the side we NEVER see! Hmmmm
More later, demons posing as grays are on the moon and its far side, Mars and it moons, Venus I think, and Jupiter's four largest moons. They are also under the earth's surface. More stunning truths later including the US secretly first landing on the moon in 1952.
James Bond Loves Lucy Lawless
6/22/2008 3:36 AM


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U.S. Forces Push Into Central Baghdad - The Washington Post
U.S. Forces Push Into Central Baghdad
By Valerie Strauss and Rick Atkinson April 7, 2003 Email the author Follow @valeriestrauss
U.S. forces made their deepest thrust into the center of Baghdad today, seizing two palaces built by Iraqi leader Saddam Hussein and a wide swath of the city, as the allies stepped up their searches for prohibited chemical weapons.
The U.S. Army said it had tentatively identified nerve and blister chemical agents in drums discovered in a military compound on the Euphrates River. Commanders cautioned that the initial positive identification of the chemicals must be confirmed by more analysis. In Washington, Defense Secretary Donald H. Rumsfeld warned that "almost all first reports" of chemical weapons are wrong.
But if confirmed, the discovery would provide the first tangible evidence of Bush administration allegations that Iraq has secretly hidden caches of chemical weapons proscribed under terms imposed after the Persian Gulf War of 1991. Disarming Iraq of weapons of mass destruction was a key goal in President Bush's decision to go to war against Iraq.
The chemicals were discovered by a 101st Airborne Division patrol at 9 a.m. in 11 25-gallon drums and three 55-gallon barrels. After initial field tests indicated toxic chemical agents, specially equipped detection vehicles were dispatched to the compound, which lies on the river east of Karbala. Early analyses indicated a high probability of the presence of the nerve agents sarin and tabun and a blistering pulmonary agent believed to be phosgene.
As U.S. troops widened their control over Baghdad on the 19th day of the war, Bush arrived in Northern Ireland and met with his coalition partner, British Prime Minister Tony Blair, to discuss a post-Hussein Iraqi government and other issues. The role of the United Nations in a post-Hussein government was expected to be one area of contention at the meeting. Blair supports a deeper role for the United Nations than does Bush, who seeks a transitional governing authority consisting of Iraqi exiles and people living in the country now.
Secretary of State Colin L. Powell declared, "The hostilities phase is coming to a conclusion."
Powell said Washington would send a team to Iraq this week to begin looking at what is needed to set up an interim Iraqi authority. He said the United Nations can provide humanitarian aid and add legitimacy to the interim authority, but he did not describe a role for the United Nations beyond that. Powell made clear that the U.S.-British coalition should play the leading role.
"The coalition, having taken the political risk and having paid the cost in lives, must have a leading role," said Powell, who commanded forces in the 1991 Gulf War as chairman of the Joint Chiefs of Staff.
Earlier in the day at the United Nations, Secretary General Kofi Annan said he expects the world body to play a key role in rebuilding Iraq after the war and said this would bring legitimacy to the effort. He also announced that he was naming Rafeeuddin Ahmed, a Pakistani national and former associate administrator of the U.N. Development Program, as his special adviser on Iraq.
"I do expect the U.N. to play an important role, and the U.N. has had good experience in this area," Annan said.
Annan intends to visit Britain, France, Germany and Russia this week to see if there is any common ground among feuding Security Council members for a U.N. political role in post-war Iraq, U.N. spokesman Fred Eckhard told Reuters Monday.
On the 19th day of the war,. U.S. forces expanded their presence in the capital city of 5 million people, though sustained some casualties along the southern rim of Baghdad.
An Iraqi missile slammed into the U.S. tactical operations center of 3rd Infantry Division's 2nd Brigade on the southern outskirts of Baghdad, killing at least two American soldiers and two journalists, believed to be from Germany and Spain, military officials said.
Fifteen soldiers also were hurt, which is significant because it is likely to impede the headquarters operation of the brigade. Because the brigade represents a significant portion of the combat strength of the division, that could affect U.S. operations on the ground in Baghdad.
It was unclear whether the Iraqis scored a lucky shot or have direction-finding equipment which detected electronic emissions of the brigade's radios and other communications equipment.
In an accident believed to be of "friendly fire," two Marines were killed when their armored troop carrier took a direct hit from an artillery shell while attempting to cross a bridge over a canal on the outskirts of Baghdad, Reuters reported.
More than 80 U.S. troops are believed to have been identified as killed, taken prisoner or are missing in action since the conflict began April 20, although the official tally often lags behind reports from the field as information works its way to the Pentagon and families are notified. Two American journalists have died in the past few days. U.S. military authorities have said thousands of Iraqi soldiers have been killed in the fighting.
U.S. military leaders had feared that Iraqi forces would employ chemical weapons, especially when they entered Baghdad. Brig. Gen. Vincent Brooks, in a briefing at U.S. Central Command headquarters in Doha, Qatar, said today that the threat has not yet passed even though some soldiers were being allowed to remove their bulky, hot chemical protection gear. He said that decision was being made by tactical commanders on the ground who were able to assess the danger in the area in which they were operating.
Several times in recent days U.S. forces have announced the discovery of suspicious materials but testing for proscribed chemical weapons proved negative.
In the latest case found by the 101st, a scientific "mobile exploitation team" (or MET) based at Udairi air field in northern Kuwait was ordered to the suspicious site, but bad weather grounded the team's aircraft until Tuesday morning, Army sources said.
Yesterday several soldiers close to today's site grew nauseous from a substance initially reported to nerve agents; further analysis determined that the suspicious drum contained a weak form of tear gas.
The MET team is expected to arrive in two CH-47 Chinook helicopters. Procedures call for the team to cordon off the area, conduct field tests, and extract samples. "We're waiting for the MET team, the real experts, to confirm or refute this," a senior officer said tonight.
Commanders at the 101st headquarters, south of Karbala, voiced caution about a rush to judgment.
Meanwhile, Persian Gulf commander Tommy R. Franks, in charge of what the Pentagon calls Operation Iraqi Freedom, visited troops in three areas for the first time as American troops were encircling the capital city of 5 million people to control access.
Brooks said encircling the city would help prevent escape by Iraqi government leaders and keep out any Hussein sympathizers.
He said the sight today of U.S. tanks in downtown Baghdad fostered a growing sense of "cautious optimism" but cautioned against premature exuberance, saying U.S. forces know they still have many battles ahead. He said the Iraqi military still has some military power and command and control ability but no overarching structure of control over operations. He said Iraqi fighters have put up occasionally impressive resistance in the face of the U.S. advance in Baghdad.
"Some of the fights have been fights that are worthy of respect for forces that unfortunately may be dying for a regime that does not have a future, and we take that into account. We don't take for granted that there still will be some actions in a variety of places," Brooks.
Explosions rocked Baghdad today amid heavy bombing after troops and tanks from the 3rd Infantry Division reached the center of the city and entered the grounds of the sprawling Republican Palace, Hussein's main office and security compound, as well as the smaller Sijood Palace.
Scenes of destruction were visible at the sites, which have come to embody Hussein's three-decade-long grip on Iraq. Tanks were shown rumbling down the city's vast military parade ground, and soldiers toppled a large statue of Hussein astride a horse.
U.S. forces also took up positions around other government installations, including the Information Ministry, the Rashid Hotel and a downtown army base. At the same time, knots of Iraqi soldiers dotted the route to the ministry, some thrusting rocket-propelled grenades and rifles into the air. The streets were otherwise deserted, even of militiamen from Hussein's ruling Baath Party.
As night fell, U.S. forces dug in for the night on the palace grounds, though they left other positions in the city and returned to their operational bases in the southern part of the city.
Brooks said the raid on the Baghdad palaces did not net any government leaders or weapons caches though valuable documents may have been recovered, he said.
After U.S. forces had taken the two palace compounds, Iraqi television showed footage of Hussein with top aides though it was not clear when the meeting occurred. The president, wearing military fatigues, was shown sitting in a room with windows and with wall maps behind him. Also seen present at the meeting were his younger son and heir apparent Qusay, Vice President Taha Yassin Ramadan and Deputy Prime Minister Tareq Aziz as well as other senior military officials. Elder son Uday was not shown in the film.
Iraqi officials say that Hussein is still in control of his government, though there has been speculation among U.S. officials that he may have been incapacitated in attacks on Baghdad.
Brooks said today that there was no major hunt by U.S. forces to find Hussein because the war is "not about one man" and that his personal fate is irrelevant to the larger goals of the war. And Rumsfeld said that while Iraqi President Saddam Hussein's whereabouts may not be known, "we do know he no longer runs much of Iraq."
With U.S. forces showing more presence in the capital, officials said that Iraqi civilians in some areas were becoming more cooperative with the American-led coalition, pointing out where Iraqi tanks and missiles were located. At the same time, Brooks said, Hussein retains control over some parts of Baghdad, for instance the area known as Saddam City in the northeastern corner of the capital. He said Iraqi intelligence officers and special security members are active in the largely Shiite neighborhood to ensure it remains under government control.
"A considerable amount of energy has been committed by the regime at making sure that that population does not turn against the regime," he said.
At what has been renamed Baghdad International Airport, Brooks said Iraqi workers were helping coalition forces turn on utilities and restore other services as troops continued to secure the sprawling premises. On the edges of the airport, U.S. forces early today ended an hours-long battle against Iraqi fighters.
Earlier troops had discovered a hideaway inside a VIP building at the airport believed to have been used by Hussein, complete with a rose garden, a hand-carved mahogany door, gold-plated bathroom fixtures and an office with a false door that leads to the basement, where soldiers found weapons.
Outlining recent military operations, Brooks said the U.S. 1st Marine Expeditionary Force continued to isolate Baghdad from east of the Diyala River. Iraqi forces destroyed one of the bridges over the river and placed artillery on the far bank to prevent a U.S. push, he said.
Meanwhile, Army V Corps remained active west and northwest of the city as well as in the city center. Northwest of the capital, U.S. troops prevented Iraqi reinforcements from reaching the city, defeating an Iraqi force with tanks, armored personnel carriers, other armored vehicles, artillery systems and infantry, he said.
In southern Iraq, British commanders said they were in control of most of Basra, the country's second-largest city where resistance had been fierce. A British convoy of up to 75 vehicles and about 700 troops pressed into Basra's old city today. The convoy consisted of jeeps mounted with heavy guns, which are lighter and better suited to urban combat. But not a shot was fired as men, women and children came out on the street, some to welcome their new occupiers and others to simply stand and stare.
"The last 48 hours have been historic for the people of Basra," Air Marshal Brian Burridge, commander of British forces in the Gulf, said today in Qatar.
"After decades under the heel of Saddam's brutal regime, U.K. forces are in the process of delivering liberation to the people of Basra," he said. "There will be some difficult days ahead but the Baathist regime is finished in Basra."
During the Basra offensive, three British soldiers were killed, he said. They are among 30 British troops killed either in combat or by accident since the war started. He warned that he still expects British soldiers to face resistance in southeastern Basra, especially in the old city.
Earlier, some Basra residents had gone a looting spree, breaking into a branch of the Central Bank of Iraq and carting away chairs, carpets and tables. At the Sheraton Hotel, people loaded up carts, junked vehicles and any other transport they could find with chairs, sofas -- even the grand piano that had been in the hotel lobby, which residents pushed down the street.
There were conflicting reports in Basra about the fate of Ali Hassan Majid, a cousin of Hussein nicknamed "Chemical Ali" after he ordered the use of poison gas on Kurdish villages in rebellious northern areas in 1988. Some reports said that his body was found after an air strike on his house in Basra in southern Iraq, but Brooks said he could not confirm it and later he was reported alive but cornered by British troops.
In northern Iraq, U.S. troops have succeeded in forcing some pro-government paramilitary forces to withdraw from the area of Mosul but Baath Party fighters remain, Brooks said. "We have not conducted significant combat operations into that area, but we continue to focus targeting on forces that are in the Mosul region as well as other places along what has been described at the green line," he said.
During the briefing, Brooks said the U.S. military had discovered missiles during operations inside Iraq, mostly "in the Al Samoud/Ababil family of missiles," with ranges that can strike neighboring countries and all of which are capable of carrying chemical and potentially biological munitions.
Brooks said coalition forces had control of 900 of the 940 oil wells south of Baghdad, and had extinguished one of two that had been burning.
Rumsfeld said that the new presence of Ahmed Chalabi, an expatriate anti-government leader who was flown to southern Iraq aboard a U.S. military transport along with several hundred militiamen did not suggest that he and his opposition group, the Iraqi National Congress, would automatically be given a broader role in post-Hussein Iraq.
"No, I wouldn't think so," he said, " . . . IThe Iraqi people will sort this out when it is over."
Meanwhile, Ahmed Chalabi, an Iraqi opposition leader was flown aboard a U.S. military transport along with several hundred militiamen to a base near Nasiriyah, a key crossroads along the Euphrates River about 100 miles north of the Kuwaiti border, a Pentagon official said. Chalabi, who heads the Iraqi National Congress, one of a number of U.S.-endorsed opposition groups, planned to help U.S. forces recruit support among the population, the official said.
Correspondents Thomas E. Ricks and Alan Sipress contributed to this report.

value: The Washington Post (also known as the Post and, informally, WaPo) is an American daily newspaper published in Washington, D.C. It is the most-widely circulated newspaper within the Washington metropolitan area, and has a large national audience. Daily broadsheet editions are printed for D.C., Maryland, and Virginia.


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2013 in Review: The Highlander Points List – Part 1. Overview | Canadian Highlander
Points List of 2013Ancestral Recall – 6Balance – 2Birthing Pod – 4Black Lotus – 6Crucible of Worlds – 1Demonic Tutor – 5Enlightened Tutor – 2Fastbond – 2Gifts Ungiven – 3Goblin Recruiter – 1Hermit Druid – 5Imperial Seal – 3Intuition – 2Jace, the Mind Sculptor – 1Library of Alexandria – 3Mana Crypt – 2Mana Drain – 2Mana Vault – 2Merchant Scroll – 2Mind Twist – 1Mishra’s Workshop – 2Moat – 1Mox Emerald – 3*Mox Jet – 3*Mox Pearl – 3*Mox Ruby – 3*Mox Sapphire – 3*Mystical Tutor – 3Natural Order – 1Oath of Druids – 2Price of Progress – 3Protean Hulk – 3**Recurring Nightmare – 2Sensei’s Divining Top – 2Scapeshift – 1Skullclamp – 4Sol Ring – 6Stoneforge Mystic – 1Strip Mine – 4Survival of the Fittest – 4Time Vault – 7Time Walk – 6Tinker – 6Tolarian Academy – 3Umezawa’s Jitte – 2Vampiric Tutor – 4Wasteland – 2Wheel of Fortune – 1Winter Orb – 1Yawgmoth’s Will – 1
Sensei’s Divining Top – 27Jace, the Mind Sculptor – 25Umezawa’s Jitte – 25Strip Mine – 20Winter Orb – 19Skullclamp – 18Wasteland – 16Stoneforge Mystic – 14Sol Ring – 13Price of Progress – 12Survival of the Fittest – 11Mystical Tutor – 9Mox Emerald – 8Mox Pearl – 8Ancestral Recall – 7Birthing Pod – 7Enlightened Tutor – 6Mana Drain – 6Mox Jet – 6Demonic Tutor – 5Mind Twist – 5Black Lotus – 4Goblin Recruiter – 4 (7*)Mox Ruby – 4Wheel of Fortune – 4Hermit Druid – 3Library of Alexandria – 3Mox Sapphire – 3Gifts Ungiven – 2Moat – 2Natural Order – 2Recurring Nightmare – 2Tolarian Academy – 2Time Walk – 2Mana Crypt – 1Mana Vault – 1Vampiric Tutor – 1Balance – 0Crucible of Worlds – 0Intuition – 0Imperial Seal – 0Merchant Scroll – 0Mishra’s Workshop – 0Oath of Druids – 0Protean Hulk – 0Scapeshift – 0Time Vault – 0Tinker – 0Yawgmoth’s Will – 0 (4**)
Black Lotus (6)Fastbond (2)*Mana Crypt (2)Mana Drain (2)*Mana Vault (2)Mishra’s Workshop (2)Mox Emerald (3)Mox Jet (3)Mox Pearl (3)Mox Ruby (3)Mox Sapphire (3)Sol Ring (6)Tolarian Academy (3)
Birthing Pod (4)Demonic Tutor (5)Enlightened Tutor (2)Gifts Ungiven (3)Goblin Recruiter (1)Imperial Seal (3)Intuition (2)Merchant Scroll (2)Mystical Tutor (3)Natural Order (1)Protean Hulk (3)*Stoneforge Mystic (1)**Survival of the Fittest (4)Tinker (6)Vampiric Tutor (4)
Ancestral Recall (6)Balance (2)Crucible of Worlds (1)Fastbond (2)*Jace, the Mind Sculptor (1)Library of Alexandria (3)Mana Drain (2)Mind Twist (1)Moat (1)Price of Progress (3)Recurring Nightmare (2)Sensei’s Divining Top (2)Skullclamp (4)Stoneforge Mystic (1)Strip Mine (4)Time Walk (6)Umezawa’s Jitte (2)Wasteland (2)Wheel of Fortune (1)Winter Orb (1)
Fastbond (2)Goblin Recruiter (1)*Hermit Druid (5)Natural Order (1)*Oath of Druids (2)Protean Hulk (3)Scapeshift (1)Time Vault (7)Tinker (6)*Yawgmoth’s Will (1)
Next Post2013 in Review: The Highlander Points List – Part 2. Points Development	Leave a Reply Cancel reply	Enter your comment here...


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TechComm GW600 Kids' Smartwatch | Groupon Goods
Goods › Jewelry & Watches › Watches › Men's Watches (3,680)
TechComm GW600 Kids' Smartwatch GPS Wi-Fi GSM Unlocked with Pedometer
TechComm GW600 Kids' Smartwatch
TechComm GW600 Kids’ Smartwatch GPS Wi-Fi GSM Unlocked with Pedometer
Kids are introduced to the basics of timekeeping with a multifunctional smartwatch designed to entertain and educate children. GPS tracking and electronic fencing allow parents to monitor their kids’ location, and the GSM-unlocked watch can use any micro-SIM card.
GSM-unlocked, micro-SIM card required (not included)
300mAH battery with 3-day standby
Dimensions: 52mm x 35mm x 11.8mm
See the specifications sheet


text:
Patent US20020133172 - Guide-pin placement device and method of use - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign inPatentsA hand instrument and method for use by a surgeon to target the appropriate entry point and trajectory on bony tissue through which an instrument, such as a nail, pin, screw, rod, wire, drill bit, or other implant is passed. Imbedded within the instrument is at least one relatively radio-opaque target...http://www.google.com/patents/US20020133172?utm_source=gb-gplus-sharePatent US20020133172 - Guide-pin placement device and method of useAdvanced Patent SearchPublication numberUS20020133172 A1Publication typeApplicationApplication numberUS 09/793,167Publication dateSep 19, 2002Filing dateFeb 26, 2001Priority dateDec 19, 1997Also published asDE69837781D1, DE69837781T2, EP0923906A2, EP0923906A3, EP0923906B1, US6036696, US6214013, US6520969Publication number09793167, 793167, US 2002/0133172 A1, US 2002/133172 A1, US 20020133172 A1, US 20020133172A1, US 2002133172 A1, US 2002133172A1, US-A1-20020133172, US-A1-2002133172, US2002/0133172A1, US2002/133172A1, US20020133172 A1, US20020133172A1, US2002133172 A1, US2002133172A1InventorsGreg Lambrecht, Brett Stern, Jacob Einhorn, Kathleen RobbinsOriginal AssigneeGreg Lambrecht, Stern Brett Jason, Jacob Einhorn, Robbins Kathleen HydzikExport CitationBiBTeX, EndNote, RefManReferenced by (21), Classifications (12), Legal Events (5) External Links: USPTO, USPTO Assignment, EspacenetGuide-pin placement device and method of use
US 20020133172 A1Abstract
A hand instrument and method for use by a surgeon to target the appropriate entry point and trajectory on bony tissue through which an instrument, such as a nail, pin, screw, rod, wire, drill bit, or other implant is passed. Imbedded within the instrument is at least one relatively radio-opaque target which allows the user to predict with the use of an x-ray or fluoroscopic imaging device the placement of said instrument or implant before drilling it into place with the use of an x-ray or fluoroscopic imaging device. By manipulating the device around the axis of the guide piece, the surgeon can predict the placement of the instrument or implant without iterative insertion and removal of the instrument or implant itself. Images(9) Claims(15)
44. (New) An arm-like device for use with an imaging device for showing the placement of an orthopedic implant when inserted into the bony target comprising: a body having a surface for guiding said implant or instrument towards said bony target along an axis; and at least one targeting arm attached at one end thereof to said body and having a second end containing at least one relatively radiopaque target marker, said arm extending between said bone and said imaging device, said radiopaque target marker establishing a path within said bony target of an implant or instrument guided along said axis of said body during insertion. 45. (New) The arm-like device as set forth in claim 44 wherein the instrument is selected from the group consisting of a pin, nail, screw, rod, wire and drill bit. 46. (New) The arm-like device as set forth in claim 44 wherein said arm is rotatably attached to said body for rotation about said axis. 47. (New) The arm-like device as set forth in claim 46 wherein said targeting arm can be rotated about said axis from a position aligned with the anterior-posterior plane of the body to a position aligned with the medial-lateral plane of the body. 48. (New) The arm-like device as set forth in claim 47 wherein said arm establishes a plane within said bony target when co-planar with a beam of said imaging device, which plane includes said axis of said guiding surface. 49. (New) The arm-like device as set forth in claim 44 wherein said targeting arm can be rotated about said axis from a position aligned with the anterior-posterior plane of the body to a position aligned with the medial-lateral plane of the body. 50. (New) The arm-like device as set forth in claim 44 wherein two targeting arms are attached to said body angularly displaced from one another with respect to said axis. 51. (New) The arm-like device as set forth in claim 49 wherein one of said targeting arms is oriented in the anterior-posterior plane of the body and the other is oriented in the medial-lateral plane. 52. (New) The arm-like device as set forth in claim 44 wherein the targeting arm has two spaced radiopaque markets located in a single plane. 53. (New) The arm-like device as set forth in claim 49 wherein said angular offset is 90�. 53. (New) The arm-like device as set forth in claim 51 wherein two targeting arms are attached to said body angularly displaced from one another with respect to said axis. 54. (New) An arm-like targeting device comprising: a body having an instrument or implant guide surface and an arm having a portion aligned with an axis along said guide surface, said portion including a radiopaque marker extending in a direction parallel to the axis of the guide surface, said portion extending between an imaging device and a bony target to display the path of an implant or instrument within said target when guided by said guide surface. 55. (New) The arm-like device as set forth in claim 54 wherein the instrument is selected from the group consisting of a pin, nail, screw, rod, wire and drill bit. 56. (New) The arm-like device as set forth in claim 54 wherein said targeting arm can be rotated about said axis from a position aligned with the anterior-posterior plane of the body to a position aligned with the medial-lateral plane of the body. 57. (New) The arm-like device as set forth in claim 54 wherein said arm establishes a plane within said bony target when co-planar with a beam of said imaging device, which plane includes said axis of said guiding surface.
CROSS-REFERENCE TO RELATED APPLICATIONS [0001] The present application is a divisional of U.S. Ser. No. 09/458,901 filed Dec. 10, 1999 which is a divisional of U.S. Ser. No. 08/994,507 filed Dec. 19, 1997 which is now issued U.S. Pat. No. 6,036,696.
BACKGROUND OF THE INVENTION [0002] The present invention relates to a method and device to determine the alignment for the insertion of an instrument such as a pin, rod, nail, screw, wire, drill bit, or other implant into bony tissue using x-ray or fluoroscopy or the like to stabilize fractures or other bony tissue defects. More particularly, the method and device is designed for use by a surgeon to properly determine the point and trajectory of insertion of said instrument into a particular bone mass using an x-ray or fluoroscopic imaging device without the need to otherwise make multiple attempts to properly insert the instrument, such as a nail, pin, rod, screw, wire, drill bit, or other implant into the bony tissue. [0003] Every year, in the United States and worldwide, large numbers of surgical procedures are performed in which an instrument, such as a nail, pin, rod, screw, wire, drill bit, or other implant is inserted into a bony tissue mass to stabilize a fracture or defect in such bony tissue mass. The nail or screw strengthens the bone and holds the parts of the bone together. For example, such a technique is used to fix a hip fracture. Hip fracture fixation with either compression hip screws (CHS) or intramedullary interlocking nails is one of the most common orthopedic surgical procedures. The surgeon's goals are accurate reduction and stabilization of the fracture until bony union occurs. For purposes of illustration herein, examples regarding the insertion of a pin into the proximal femur of a person will be referred to. This should in no way be interpreted as a limitation on the scope of this invention. Rather, the present invention includes, without limitation, devices used for insertion of instruments, such as pins, screws, rods, nails, wires, drill bits, or other implants into any bony tissue of a person or animal. [0004] In one such surgical procedure, an incision is made through the skin of the hip to expose the femur starting at the tip of the greater trochanter. Using visual landmarks, the surgeon drills a guide-pin across the fracture into the femoral head. The surgeon checks the positioning of the guide-pin with an x-ray or fluoroscopic imaging device to determine if the positioning of the guide-pin is acceptable. If it is not, the surgeon must extract the guide-pin and reevaluate the insertion point and trajectory, then reinsert the guide-pin until its positioning is acceptable. When the guide-pin is in an acceptable position, a lag screw is advanced over the guide-pin into the femoral head to secure the bone for healing. A side plate is placed over the lag screw extender and secured to the lag screw and the femur for support and to compress the fracture. (See FIG. 2a). [0005] Another means of securing a femoral neck fracture is with the use of an intramedullary locking nail. In that surgical procedure, an incision is made over the trochanteric region. The entry point is prepared using an awl. A guide wire is inserted into the femur and the intramedullary nail is inserted over the guide wire into the femur. A device is used to align a lag screw through a guide sleeve which is brought into contact with the femur. The screw is visually oriented and the surgeon drills a guide-pin across the fracture into the femoral head. The surgeon checks the positioning of the guide-pin with an x-ray or fluoroscopic imaging device to determine if the positioning of the guide-pin is acceptable. If it is not, the surgeon must extract the guide-pin and reevaluate the insertion point and trajectory, then reinsert the guide-pin until its positioning is acceptable. When the guide-pin is in an acceptable position, lag screw is advanced over the guide-pin, through an opening in the proximal portion of the intramedullary nail, and into the femoral head. The guide-pin is extracted and the intramedullary nail is secured by drilling screws through openings in the distal portion of the intramedullary nail. [0006] An important part of both procedures is the placement of a compression or lag screw from the lateral side of the femur, through the femur, passing through the femoral neck, and into the femoral head. Inaccurate placement of the screw can lead to being misaligned with respect to the femoral head (see FIG. 1). [0007] To avoid this, surgeons commonly spend a significant portion of their operating time iteratively inserting, checking, removing, and re-inserting a guide-pin over which the screw will be passed until accurate positioning within the femoral head is achieved. [0008] Surgeons typically use fluoroscopic image intensifiers to determine the accuracy of their guide-pin placement in two planes of view, the anterior-posterior (“AP”) and the medial-lateral (“ML”) (see FIGS. 3a & 3 b). After satisfying themselves that the position of the guide-pin within the femur is accurate in one view, the fluoroscope is turned to the orthogonal view to check accuracy in that plane. If the wire or guide-pin is misplaced in the second view, the surgeon generally takes it out of the bone and reinserts it until satisfied with the position. By doing this, the surgeon loses reference of the initial view and must re-check the accuracy of the re-drilled guide-pin in both orthogonal views. [0009] The surgeon repeats this process until reaching an acceptable position. This iteration takes time and results in greater x-ray exposure for patients and staff. Additionally, the process of inserting, removing, and reinserting the guide-pin could shred or seriously weaken the bone. The difficulty of guide-pin placement can also lead a frustrated surgeon to choose a less than optimal placement, putting the patient at risk for cut-out or faulty setting of the femoral head which could lead to settling of the femoral head. [0010] U.S. Pat. No. 4,722,336 discloses a method and device to provide a three dimensional Cartesian coordinate of the target object using an x-ray or fluoroscopic imaging device and a radio-opaque targeting system. However, this method and device cannot be used where the fluoroscope cannot be aligned head-on with the guide piece and bony target. [0011] U.S. Pat. No. 4,418,422 discloses an aiming device which is attached to an x-ray source. Similarly, this device cannot be used where a fluoroscope cannot be aligned head-on with the guide piece and the bony target. This device also cannot be used where the view-finder cannot be aligned head-on. [0012] U.S. Pat. No. 4,976,713 discloses an aiming device that has a viewfinder with a radio-opaque component to align screws with anchoring holes in a centromedullar nail. This device also cannot be used where the viewfinder cannot be aligned head-on with the guide piece and bony target. [0013] A similar limitation prevents the use in such circumstances of the device disclosed in U.S. Pat. No. 4,803,976, which discloses the use of parallel radio-opaque fluoroscopy target markers aligned parallel but one beside, not above, the other target marker. [0014] Presently, where a fluoroscope cannot be used aligned head-on with the guide piece and the bony target, surgeons have used visual landmarks and repeated insertion to obtain appropriate placement. This increases the surgeon's, the other medical personnel's, and the patient's exposure to x-ray radiation, increases the total operation time, and could lead to serious problems such as cut-out, as described above. There are currently no devices that are configured to be hand-held and easily used by the surgeon with an x-ray or fluoroscopic imaging device to accurately determine the proper entry point and trajectory for the insertion of an instrument, such as a pin, nail, screw, rod, wire, drill bit, or other implant. Also, there is currently no such targeting device which is adaptable and flexible to be used with different size patients which may require a targeting device to be custom adapted according to the patient's size and body shape to accurately project the proper alignment for the instrument or implant to repair the particular bony target. [0015] There has therefore been a long felt need among surgeons and other medical personnel in this field for a targeting device which would allow the surgeon to align the guide-pin in both the AP and ML positions before actually inserting the guide-pin so that the guide-pin can be inserted accurately on the first attempt with a variety of sizes and shapes of patients, particularly, but not limited to, where an x-ray or fluoroscopic imaging device cannot be aligned head-on with the guide piece and the bony target. SUMMARY OF THE INVENTION [0016] The targeting device is generally configured to be a hand-held and operated orthopedic instrument which typically has a body and an arm member. The body of the device is generally comprised of two pieces, although some embodiments have a body that is one piece. Where the body of the targeting device is comprised of generally two pieces, one piece is an angle guide and the other is a guide piece. The angle guide is toward the front portion of the body of the targeting device and during use, the angle guide is in contact with bony tissue of the patient. Although other shapes could be used, the angle guide is typically shaped with a cylindrical back portion and an angular front portion, which contacts the bony tissue. When the body of the targeting device is pressed against bony tissue of the patient, the body of the targeting device becomes oriented at an angle to the bony tissue corresponding to the angle of the front portion of the angle guide. The angle guide has a passageway which may be substantially in the center of the angle guide and is large enough so that a particular instrument or implant can be passed through it. [0017] The passageway of the angle guide corresponds to the passageway of the guide piece so that the particular instrument or implant can readily pass through the entire body of the targeting device. The guide piece and the angle guide may be connected in various ways, e.g., fixed or rotationally. A rotational connection allows the guide piece to rotate while the angle guide remains fixed in place, gripping bony tissue. With a rotational connection, the guide piece may rotate freely, by indexing, or with friction. Another benefit of the two piece body is that a custom angle guide may be used to properly align the instrument or implant by providing the proper angle to obtain the optimal orientation. [0018] Extending from near the back end of the targeting device's body is an arm member. The purpose of the arm member is to extend outside the patient between the x-ray or fluoroscopic imaging device and the bony target. At some point on the arm member is at least one relatively radio-opaque target marker. The target marker is oriented between the x-ray or fluoroscopic imaging device and the bony target to indicate the placement of the instrument or implant when inserted into the bony target through the passageway of the body of the targeting device. For example, one embodiment has two relatively radio-opaque target markers which are parallel with one target marker aligned above the other such that when the two target markers overlap, the projected image is aligned to establish a plane that is co-planar with the targeting device's passageway. [0019] The present invention is also a method of using a targeting device to predict an appropriate entry point and trajectory into bony tissue through which an instrument, such as a pin, screw, rod, nail, wire, drill bit, or other implant is inserted. By providing a targeting device to a surgeon or other user which is comprised of: a body with a passageway and an angular end capable of gripping bony tissue; and an arm member with at least one relatively radio-opaque target marker which may be imbedded within the arm member. The user can predict the placement of said instrument, such as a pin, screw, rod, nail, wire, drill bit, or other implant before drilling it into place with the use of an x-ray or fluoroscopic imaging device. By manipulating the device around the axis of the body of the targeting device, the surgeon can predict the placement of the instrument or implant from various fluoroscopic views without repeatedly placing and removing the instrument or implant itself. This method may dramatically reduce both operating and fluoroscopy time, saving time and reducing the exposure of surgeons and other medical personnel to x-ray radiation. [0020] These guides can be used with at least intramedullary interlocking nails and CHS implants and may be used in other surgeries requiring accurate implant or instrument placement relative to bony structures. [0021] In a different embodiment, the present invention comprises a separate arm member which contains at least one relatively radio-opaque targeting member. Said relatively radio-opaque targeting member can be used to establish a plane that is co-planar with the base end of the arm member and indicates the projected placement of an implant or instrument, such as a pin, rod, nail, screw, or drill bit with the use an x-ray or fluoroscopic imaging device. Such arm member may be attached to or combined with another device to deliver the implant or instrument. [0022] In another embodiment, the present invention comprises a separate angle guide with a passageway which may be used to align the placement of an instrument, such as a nail, pin, screw, rod, wire, drill bit, or other implant. The angle guide has a front portion and a rear portion. One variation has a back portion which is cylindrical in shape, and a front portion that is angled relative to a bony surface to orient a passageway which extends through the angle guide. Said angle guide may be used with other instruments to further align the placement of the instrument or implant. Said angle guide comprises a plurality of teeth which may be cut in a variety of ways. One preferred embodiment has a cylindrical cut. Said teeth may be angled inward from the sides of said angle guide toward the center of the angle guide to further grip a contoured bony tissue body, such as a femur. [0023] The present invention also includes a kit containing the various components described above.
BRIEF DESCRIPTION OF THE DRAWINGS [0024] The above and other objects and advantages of the invention will be apparent upon consideration of the following detailed description taken in conjunction with the accompanying drawings in which like characters refer to like parts throughout and in which: [0025] [0025]FIG. 1 is a side view of a intramedullary nail within a femur where the lag screw was not inserted properly; [0026] [0026]FIG. 2a is a flow chart depicting the current process a surgeon uses to properly insert a guide-pin across a femoral neck fracture into the femoral head; [0027] [0027]FIG. 2b is a flow chart depicting the process a surgeon uses to properly insert a guide-pin across a femoral neck fracture into the femoral head according to the present invention; [0028] [0028]FIG. 3a is a perspective view of a fractured femur and femoral head from the anterior-posterior (AP) position; [0029] [0029]FIG. 3b is a perspective view of a fractured femur and femoral head from the medial-lateral (ML) position; [0030] [0030]FIG. 4a is a perspective view of one preferred embodiment of the fully assembled targeting device for use with compression hip screws with a single arm member, two radio-opaque target markers, one style of angle guide; and a guide piece; [0031] [0031]FIG. 4b is a perspective view of an alternate preferred embodiment of the fully assembled targeting device for use with compression hip screws with a different style angle guide; [0032] [0032]FIG. 4c is a perspective view of an alternate embodiment of the fully assembled targeting device for use with compression hip screws having two arm members, each with two radio-opaque target markers, the arm members being displaced from each other; [0033] [0033]FIG. 4d is a perspective view of a simulated fluoroscopic image from the AP perspective and with the radio-opaque target markers aligned; [0034] [0034]FIG. 5a is a perspective view of an alternate preferred embodiment of the fully assembled targeting device for use with intramedullary nails; [0035] [0035]FIG. 5b is a perspective view of an alternate preferred embodiment of the fully assembled targeting device for use with intramedullary nails as oriented during use with proximal portion of a femoral bone; [0036] [0036]FIG. 6a is a perspective view of a preferred embodiment of an angle guide which can be used to position a targeting device to a bone to prevent unintentional movement of the device while allowing for intentional movement of the device; [0037] [0037]FIG. 6b is a different perspective view of the preferred embodiment of an angle guide which can be used to position a targeting device to a bone to prevent unintentional movement of the device while allowing for intentional movement of the device; [0038] [0038]FIG. 6c is a perspective view of another preferred embodiment of an angle guide which can be used to position a targeting device to a bone and which includes an opening through which a means to secure the angle guide to the bony tissue can be inserted; and [0039] [0039]FIG. 7 is a perspective view of an arm member with two radio-opaque target markers which can be used in determining an appropriate entry point and trajectory for an instrument or implant, such as a pin, rod, screw, nail, wire, or drill bit.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS [0040] Referring now to the drawings of the targeting device 10 of the present invention, targeting device 10 is comprised of several integrated components. These components are illustrated and described with regard to FIGS. 4a-4 c, which show the completely assembled device, an alternate embodiment of the invention for use with intramedullary screws is shown in FIGS. 5a-5 b. [0041] Turning initially to FIGS. 4a-4 c there is shown arm member 12 for targeting device 10. In a preferred embodiment arm member 12 is comprised of a plurality of separate elements which, upon being assembled as described below, form arm member 12 adapted for providing targeting for targeting device 10. The benefit of forming targeting device 10 from a plurality of separate, interconnected elements is that the dimensions of targeting device 10 may thereby be varied as necessary by substituting various sizes and variations of elements to conform to the size and shape of a particular area of a particular patient's body. In an alternate embodiment, however, it is further contemplated that targeting device 10 may be formed, e.g., molded, as a unitary construct containing only a single, or a limited number of structured elements. [0042] In the preferred embodiment, targeting device 10 may be formed from, for example, various length arms 12, various sizes and shapes of angle guides 16, various styles of guide pieces 14, and various types of radio-opaque target markers 18. Arm member 12 may be preferably formed from Raydel™ but may also use alternate materials, i.e., other than Raydel™, including plastics, glasses (e.g., fiberglass), metals and even wood, as long as such materials are capable of supporting targeting device 10. Arm member 12 can be different lengths to accommodate targeting for different sizes of femurs 2 or other bony tissue and can either be fixed to guide piece 14 or may be removable so that difference lengths or styles can be interchanged. Arm member 12 extends from base 40 to end 42. The preferred embodiment of arm member 12 has a rectangular section removed proximal end 42 of arm member 12 creating a rectangular gap at the end 42 of arm member 12. The removal of this rectangular section makes the relatively radio-opaque target markers 18 show more distinct by x-ray or fluoroscopic imaging device. This portion may be small or could extend the length of arm member 12. The gap may also be various other shapes so as to allow an enhanced view of the relatively radio-opaque target marker 18. Similarly, target markers 18 may be small or could extend the entire length of arm member 12. An alternative embodiment of arm member 12 comprises only the two target markers 18 essentially extending from guide piece 14. Another embodiment of targeting device 10 includes two or more arms 12 displaced from each other. (See FIG. 4c). Where targeting device 10 has two arms displaced from each other, e.g. by 90� so that one arm member 12 is in the AP position while the other arm member 12 is simultaneously in the ML position. (See FIG. 4c). [0043] Angle guides 16 are preferably formed from some metal such as stainless steel or aluminum, however, the material used to form this component is only limited in that it should be a material that is hard enough to grip the bone tissue and to maintain its passageway, for example, various plastics could be used. Angle guides 16 can vary by the type and the cut of teeth 20 that are used; For example, a preferred embodiment of angle guide 16 has a small number, of inwardly angled, cylindrically cut teeth 20 to grip femur 2 when using targeting device 10. Alternatively, angle guide 16 could have more teeth and a different cut. Angle guide 16 can be made with many different angles and is easily interchangeable so that the targeting device 10 can be custom fit to the particular femur 2. [0044] Another embodiment includes a quick release connection to facilitate the exchange of angle guides 16. Angle guide 16 is connected to guide piece 14. Guide piece 14 is preferably made of the same material as arm member 12. Guide passageway 22 aligns and extends through both guide piece 14 and angle guide 16 and can be of varying sizes to accommodate different size pins, screws, nails, wires, or drill bits. Another embodiment of angle guide 16 contains a recessed pin that the surgeon can extend with a button or switch to secure angle guide 16 to femur 2 for increased stability. A further embodiment of angle guide 16 is secured to the femur 2 through the use of a vacuum, clamp or strap. Another embodiment of angle guide 16 contains an opening to drill a screw or pin through to secure angle guide 16 to femur 2. Another embodiment employs a simple clamping device which secures angle guide 16 to femur 2. [0045] The relationship between the guide piece 14 and arm member 12 can be fixed or rotational. A preferred embodiment has a guide piece 14 which rotates at least from the AP orientation to the ML orientation, rotating arm member 12 accordingly, while the angle guide 16 remains fixed on femur 2. Another embodiment has a guide piece 14 with an indexing rotation which may correlate to a particular number of degrees of rotation relative to the angle guide 16 which remains fixed on femur 2. Another embodiment may have a friction fit between guide piece 14 and angle guide 16, to prevent arm member 12 from freely swinging without a minimal amount of force. Yet another embodiment has a guide piece 14 with a variable friction setting to increase and decrease the friction resistance when rotating the guide piece 14 relative to the fixed angle guide 16. Another embodiment of guide piece 14 has a lock-out feature so that when target markers 18 of arm member 12 are aligned in the AP position, the lock-out feature can be enacted and the guide piece 14 will turn to the ML position and stop or lock in that position. [0046] [0046]FIG. 4d shows a fluoroscopic image of targeting device 10 from the AP perspective over femur 2 and, in particular, femoral head 4. Radio-opaque target markers 18 are aligned so that only first marker 18 appears with second marker 18 co-planar to first marker 18. These aligned target markers 18 are then co-planar with a beam from an x-ray or fluoroscopic imaging device and a desired location or trajectory relative to a bony target, such as femoral head 4. These aligned target markers 18 are also co-planar with passageway 22. The superimposed position of aligned target markers 18 indicates where the guide-pin will insert into femoral head 4 through passageway 22. In addition to this view, a surgeon will also align target markers 18 in the ML position to ensure that the guide-pin will insert into the middle of femoral head 4. This is done by turning or rotating arm member 12 orthogonally from the AP position to the ML orientation and moving the x-ray or fluoroscopic imaging device so that it is also oriented in the ML position. Arm member 12 is then moved until target markers 18 overlap and appear as one marker 18. When target markers 18 overlap, the positioning of the superimposed target markers 18 indicates the position of the guide-pin if inserted into the femoral head 4. A surgeon may easily align target markers 18 in the AP position and then the ML position and have a certainty that the guide-pin will be in the appropriate position in the femoral head 4 without having to iteratively remove and reinsert the guide-pin until satisfactory positioning is achieved. Radio-opaque target markers 18 may be made from any relatively radio-opaque material. In a preferred embodiment, stainless steel wires are used as target markers 18. Other embodiments may use tantalum, gold, or other high atomic number metals. Alternatively, a contrast coating such as barium sulfate may be used to coat portions of arm member 12 to substitute for or to enhance target markers 18. Other possible radio-opaque materials will be obvious to one skilled in the art. Target markers 18 may be of various shapes and configurations so that when aligned co-planar with passageway 22, target markers 18 provide some indication of alignment. Target marker 18 may be substantially one dimensional, such as a wire, substantially two dimensional such as a triangle, or three dimensional. Examples of such target markers 18 include: two wires which overlap when co-planar with passageway 22; two sets of wire segments which appear separate with gaps between segments when not co-planar with passageway 22, however, appear as one solid line when co-planar with passageway; two wires, one of which is larger than the other to indicate the direction to rotate arm member 12 to be co-planar with passageway 22; one two dimensional target marker 18, e.g. triangular, circular, trapezoidal, which appears one dimensional when co-planar with passageway 22. [0047] [0047]FIGS. 5a and 5 b pertain to an embodiment of the present invention that can be used with an intramedullary nail. The device 110 is comprised of several components. Component 100 in FIG. 5b is a standard intramedullary alignment device which is well known in the art and is described in U.S. Pat. No. 5,334,192 to Behrens. This alignment device attaches to the intramedullary nail to assist in determining the proper point and trajectory of insertion. Device 110 fits onto component 100 to allow the alignment of the lag screw after the intramedullary nail is inserted into femur 2. This is done similarly to targeting device 10 where the surgeon orients device 110 in the AP position so that markers 118 align. The x-ray or fluoroscopic imaging device is moved to the ML position and arm 112 is also moved so that markers 118 align. This will orient the guide-pin so that it may be inserted through guide 114, through the proximal opening on the intramedullary nail and into femoral head 4. The components of device 110 may be varied similarly to that of the corresponding components of targeting device 10. [0048] In a preferred embodiment, arm 112 is attached to guide 114 for rotation therewith by a standard spring clip 140. Arm 112 can then be rotated from the AP plane to the ML plane by rotating guide 114. [0049] Another object of the present invention is to provide a method of aligning an orthopedic instrument or implant with bony tissue using an x-ray or fluoroscopic imaging device. This is done by providing a passageway 22 through guide piece 14 and angle guide 16, through which the instrument implant such as a pin, screw, nail, wire, or drill bit is passed, and further providing at least one targeting device, such as arm member 12, fixed to said guide piece 14 and containing at least one relatively radio-opaque target marker 18 that establishes a plane that is co-planar with an axis of said passageway 22. The targeting device is then manipulated until the plane established by the targeting device is co-planar with a beam from an x-ray imaging device and a desired location or trajectory relative to a bony target in at least one view and passing said instrument or implant through said guide passageway 22. In another method, said targeting device rotates about the passageway 22 axis. [0050] [0050]FIGS. 6a-6 c show another embodiment of the present invention which is angle guide 216 which can be used to assist in the positioning of the insertion of an instrument, such as a nail, pin, rod, screw, wire, drill bit, or other implant into a bony target. Angle guide 216 may have a plurality of teeth 220 which are attached along the front portion of angle guide 216. Teeth 220 may be a cylindrical cut or other cut to allow for angle guide 216 to grip the bony surface without unintentional movement or sliding of angle guide 216. At the same time, teeth 220 allow the user to intentionally move or adjust the position of angle guide 216 to achieve the best alignment. FIG. 6c shows an embodiment of angle guide 216 with opening 250 through which an attachment means may be inserted to further secure the angle guide 216 to a bony surface. The attachment means may be a vacuum tube, a securing pin, or a screw. Alternatively, a simple strap or clamp may also be used to secure angle guide 216. This means of securing the angle guide 216 would further guard against incidental movement of the targeting device. Such movement may require the removal of the vacuum, strap or clamp securing angle guide 216 or the retraction of a securing pin or screw. Teeth 220 may extend straight across the front face of angle guide 216 or may angle inwardly or even outwardly. A preferred embodiment angles teeth 220 in from each side 224 of angle guide 216 to center line 226. Angle guide 216 may be formed with the front portion 228 extending toward the back portion 230 along sides 224 at any angle from 0� to 90�. Also, the angle may be fixed or variable from front portion 228 to back portion 230. [0051] [0051]FIG. 7 shows another embodiment of the present invention which is an arm 212 which can be used to assist a surgeon or other medical personnel with the determination of the proper insertion point for an instrument or implant, such as a nail, pin, rod, screw, or drill bit. Arm 212 may be fixed or attached in some manner to a device at base 240 or used alone in some manner. Arm 212 may have a rectangular piece cut from arm 212 which is relatively small or relatively large proximal end 242. Arm 212 may be comprised of a small body made of Raydel™, or some substitute material as described above, with long or short target markers 218 which extend from the body of arm 212. Target markers 218 may be some relatively radio-opaque material such as stainless steel, tantalum, or a high atomic number metal. Alternatively, target markers 218 may be some contrast, such as but not limited to barium sulfate, painted or otherwise interposed on arm 212. [0052] The present invention also includes a kit which may contain all components or a variety of the components mentioned above. [0053] One skilled in the art will appreciate that the present invention can be practiced by other than the described embodiments, which are presented for the purpose of illustration only and not of limitation. The present invention is therefore only limited by the following appended claims. [0054] All references cited herein are hereby incorporated by reference. [0055] Although the invention herein has been described with reference to particular embodiments, it is to be understood that these embodiments are merely illustrative of the principles and applications of the present invention. It is therefore to be understood that numerous modifications may be made to the illustrative embodiments and that other arrangements may be devised without departing from the spirit and scope of the present invention as defined by the appended claims. Referenced byCiting PatentFiling datePublication dateApplicantTitleUS6746453Nov 8, 2001Jun 8, 2004Benoist Girard SasTargeting apparatus for use in performing transfemoral osteotomyUS6783535 *Nov 8, 2001Aug 31, 2004Benoist Girard SasTargeting apparatus for use in performing endofemoral osteotomy surgeryUS7153309 *Nov 19, 2003Dec 26, 2006Acumed LlcGuide system for bone-repair devicesUS7731721Jul 16, 2003Jun 8, 2010Synthes Usa, LlcPlating system with multiple function drill guideUS7753913Oct 3, 2003Jul 13, 2010Virginia Polytechnic Institute And State UniversityMagnetic targeting deviceUS7766914Aug 3, 2010Warsaw Orthopedic, Inc.Adjustable drill guideUS8287538Oct 16, 2012Conventus Orthopaedics, Inc.Apparatus and methods for fracture repairUS8323292Dec 15, 2008Dec 4, 2012Spinecore, Inc.Adjustable pin drill guide and methods thereforUS8425574Feb 16, 2011Apr 23, 2013Acumed, LlcBone fixation with a bone plate attached to a fastener assemblyUS8696680Nov 29, 2011Apr 15, 2014The Cleveland Clinic FoundationMethod and apparatus for insertion of an elongate pin into a surfaceUS8795287Feb 8, 2008Aug 5, 2014Zimmer, Inc.Targeting deviceUS8906022Mar 8, 2011Dec 9, 2014Conventus Orthopaedics, Inc.Apparatus and methods for securing a bone implantUS8961518Jan 19, 2011Feb 24, 2015Conventus Orthopaedics, Inc.Apparatus and methods for bone access and cavity preparationUS20030018341 *Nov 8, 2001Jan 23, 2003Nicolas DelogeTargeting apparatus for use in performing endofemoral osteotomy surgeryUS20050131418 *Dec 15, 2003Jun 16, 2005Amit MorIntramedullary nail drill guideUS20080281331 *Feb 8, 2008Nov 13, 2008Zimmer, Inc.Targeting deviceUS20100152745 *Dec 15, 2008Jun 17, 2010Spinecore, Inc.Adjustable pin drill guide and methods thereforUS20100249782 *Apr 20, 2010Sep 30, 2010Durham Alfred AIntramedullary nail targeting deviceUS20110040303 *Aug 11, 2010Feb 17, 2011The Cleveland Clinic FoundationMethod and apparatus for insertion of an elongate pin into a surfaceUS20130325007 *Feb 13, 2012Dec 5, 2013Carbofix Orthopedics Ltd.Segmented intramedullary implantWO2011091052A1 *Jan 19, 2011Jul 28, 2011Kyle TaylorApparatus and methods for bone access and cavity preparation* Cited by examinerClassifications U.S. Classification606/130, 606/96International ClassificationA61B17/58, A61B6/00, A61B6/12, A61B17/17, A61B19/00Cooperative ClassificationA61B17/1703, A61B17/1721, A61B90/39European ClassificationA61B17/17K, A61B17/17BLegal EventsDateCodeEventDescriptionAug 5, 2003CCCertificate of correctionAug 4, 2004ASAssignmentOwner name: HOWMEDICA OSTEONICS CORP., NEW JERSEYFree format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:STRYKER TECHNOLOGIES CORPORATION;REEL/FRAME:015044/0484Effective date: 20031217Jul 13, 2006FPAYFee paymentYear of fee payment: 4Jul 28, 2010FPAYFee paymentYear of fee payment: 8Aug 15, 2014FPAYFee paymentYear of fee payment: 12RotateOriginal ImageGoogle Home - Sitemap - USPTO Bulk Downloads - Privacy Policy - Terms of Service - About Google Patents - Send FeedbackData provided by IFI CLAIMS Patent Services

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