36results about How to "Maximal access" patented technology

Lung volume reduction is performed in a minimally invasive manner by isolating a lung tissue segment, optionally reducing gas flow obstructions within the segment, and aspirating the segment to cause the segment to at least partially collapse. Further optionally, external pressure may be applied on the segment to assist in complete collapse. Reduction of gas flow obstructions may be achieved in a variety of ways, including over inflation of the lung, introduction of mucolytic or dilation agents, application of vibrational energy, induction of absorption atelectasis, or the like. Optionally, diagnostic procedures on the isolated lung segment may be performed, typically using the same isolation / access catheter.

A minimal incision maximal access system allows for maximum desirable exposure along with maximum access to the operative field utilizing a minimum incision as small as the METRx and Endius systems. Instead of multiple insertions of dilating tubes the design is is a streamlined single entry device to avoid repetitive skin surface entry. The system offers the capability to expand to optimum exposure size for the surgery utilizing hinged bi-hemispherical or oval working tubes applied over an introducer obturator which is controllably dilated to slowly separate muscle tissue. Deeper end working and visualization areas with maximum proximal access and work dimensions are provided to makes the operative procedure safer in application and shorten the surgeons's learning curve because it most closely approximates the ability to use open microdiskectomy techniques.

A trans-septal guide catheter for providing access through the septum separating a first heart chamber from a second heart chamber that includes an elongated guide catheter body extending between guide catheter proximal and distal ends. A distal segment of the guide catheter is adapted to be inserted through the septum to locate the distal segment of the guide catheter within one of the first heart chamber and the second heart chamber. The catheter body encloses a guide catheter lumen adapted to provide access into the one of the first heart chamber and the second heart chamber through a guide catheter lumen proximal end opening and a guide catheter lumen distal end opening. A retention mechanism engages the septum and maintains the distal segment of the guide catheter extending into the one of the first heart chamber and the second heart chamber

Methods and apparatus for providing percutaneous access to vertebrae in alignment with a visualized, trans-sacral axial instrumentation / fusion (TASIF) line in a minimally invasive, low trauma, manner are disclosed. A number of related TASIF methods and surgical tool sets are provided by the present invention that are employed to form a percutaneous pathway from an anterior or posterior skin incision to a respective anterior or posterior target point of a sacral surface. The percutaneous pathway is generally axially aligned with an anterior or posterior axial instrumentation / fusion line extending from the respective anterior or posterior target point through at least one sacral vertebral body and one or more lumbar vertebral bodies in the cephalad direction. The provision of the percutaneous pathway described herein allows for the formation of the anterior or posterior TASIF bore(s) and / or the introduction of spinal implants and instruments.

A trans-septal guide catheter for providing access through the septum separating a first heart chamber from a second heart chamber that includes an elongated guide catheter body extending between guide catheter proximal and distal ends. A distal segment of the guide catheter is adapted to be inserted through the septum to locate the distal segment of the guide catheter within one of the first heart chamber and the second heart chamber. The catheter body encloses a guide catheter lumen adapted to provide access into the one of the first heart chamber and the second heart chamber through a guide catheter lumen proximal end opening and a guide catheter lumen distal end opening. A retention mechanism engages the septum and maintains the distal segment of the guide catheter extending into the one of the first heart chamber and the second heart chamber.

A vehicle rear door unsequenced articulating mechanism including one or more articulating hinge assemblies having one or more hinge arms pivotally mounted to a vehicle C-pillar at one end thereof via a C-pillar hinge mount and pivotally mounted to a vehicle rear door at another end thereof via a door hinge mount. The hinge arm may include a generally J-shaped profile between the ends thereof for permitting unsequenced articulation of the rear door up to approximately 180° from a rear door closed position. The door hinge mount may include a door stop engageable with a stop surface on the hinge arm for limiting pivotal movement of the vehicle rear door.

A breathing circuit for use with a first gas set (FGS) and a second gas set (SGS), said circuit comprising means for keeping separate the FGS and SGS, and a means for sequentially delivering to a patient, first the FGS, and, on inspiration, when the patient inspires so as to deplete the supply of FGS into the circuit, subsequently delivers substantially SGS for the balance of inspiration.

A minimal incision maximal access system allows for maximum desirable exposure along with maximum access to the operative field utilizing a minimum incision as small as the METRx and Endius systems. Instead of multiple insertions of dilating tubes the design is a streamlined single entry device to avoid repetitive skin surface entry. The system offers the capability to expand to optimum exposure size for the surgery utilizing hinged bi-hemispherical or oval working tubes applied over an introducer obturator which is controllably dilated to slowly separate muscle tissue. Deeper end working and visualization areas with maximum proximal access and work dimensions are provided to makes the operative procedure safer in application and shorten the surgeons's learning curve because it most closely approximates the ability to use open microdiskectomy techniques. a dual frame system enables full or partial spreading of a working tube set, while an open frame facilitates a four point retraction system.

A minimal incision maximal access system allows for maximum desirable exposure along with maximum access to the operative field utilizing a minimum incision as small as the METRx and Endius systems. Instead of multiple insertions of dilating tubes the design is a streamlined single entry device to avoid repetitive skin surface entry. The system offers the capability to expand to optimum exposure size for the surgery utilizing hinged bi-hemispherical or oval working tubes applied over an introducer obturator which is controllably dilated to slowly separate muscle tissue. Deeper end working and visualization areas with maximum proximal access and work dimensions are provided to makes the operative procedure safer in application and shorten the surgeons's learning curve because it most closely approximates the ability to use open microdiskectomy techniques. A dual frame system enables full or partial spreading of a working tube set, while an open frame facilitates a four point retraction system.

Disclosed herein is an electronic combination lock mainly characterized by miniature size and easy-to-use electronic identification access-gaining method that enables a vast variety and type of access codes for user setting and choice. Another battery operated electronic key unit, incorporated with programmed access code to provide as an alternative choice for locking, unlocking and backup power, can be used in conjunction with the electronic combination lock.

A vehicle rear door unsequenced articulating mechanism including one or more articulating hinge assemblies having one or more hinge arms pivotally mounted to a vehicle C-pillar at one end thereof via a C-pillar hinge mount and pivotally mounted to a vehicle rear door at another end thereof via a door hinge mount. The hinge arm may include a generally U-shaped profile between the ends thereof for permitting unsequenced articulation of the rear door up to 180° from a rear door closed position. The door hinge mount may include a door check engageable with a stop on the hinge arm, for limiting pivotal movement of the vehicle rear door to a first intermediate open position from the rear door closed position, upon pivotal movement of the door check relative to the hinge arm.

A method and structure for furnishing pressure-evenized, dynamic-reaction anatomical support. The method includes (a) supporting the anatomy with a 100% open cell viscoelastic foam, and (b) within the foam, reacting to both static and dynamic, anatomically-produced foam indentations to expand and contract cell-openness size, whereby deeper / sharper indentations result in greater-size cell-openness. Such reacting includes laterally stretching and flowing regions of the foam adjacent such an indentation The overlay structure features (1) a dynamic-response core expanse formed of a 100% open-cell, compressible and flowable, polyurethane, viscoelastic foam possessing a compressed, relaxed-state volume, and (2) an elastomeric, moisture- and gas-flow-managing coating, load-transmissively, bonded to the entirety of the core expanse's outside surface to function as a dynamically-responsive unit with the expanse. The coating possesses a relaxed-state, prestressed tension condition which is responsible for the expanse's compressed condition.

A minimal incision maximal access system allows for maximum desirable exposure along with maximum access to the operative field utilizing a minimum incision as small as the METRx and Endius systems. Instead of multiple insertions of dilating tubes the design is is a streamlined single entry device to avoid repetitive skin surface entry. The system offers the capability to expand to optimum exposure size for the surgery utilizing hinged bi-hemispherical or oval working tubes applied over an introducer obturator which is controllably dilated to slowly separate muscle tissue. Deeper end working and visualization areas with maximum proximal access and work dimensions are provided to makes the operative procedure safer in application and shorten the surgeons's learning curve because it most closely approximates the ability to use open microdiskectomy techniques.

A subsea hydrocarbon production system comprises a tubing hanger which is positioned at an upper end of a well bore, a tubing string which extends from the tubing hanger into the well bore and is fluidly connected to the tubing hanger production bore, and a christmas tree which is positioned above the tubing hanger. The christmas tree comprises a production bore which is fluidly connected to the tubing hanger production bore, a production outlet which is connected to the production bore, a first barrier element which is positioned in the production outlet, and a first closure device which is positioned in the production bore above the production outlet. In this manner access from above the christmas tree through the production bore does not require passage through a barrier element.

A lightweight one man screed apparatus to automatically strike off and level uncured concrete flatwork, includes a tri-pod framework beneath which a cutting / leveling member operates. The apparatus is controlled by two grade setting devices, adjustably mounted to the screed tool, which may be adjusted relative to a laser plane generating system. Physical control of the screed member may be provided by at least one screed tool pivotal arm assembly moved for and aft by a carriage operated under the tri-pod framework within a fore and aft footprint. The screed tool is adjusted to grade by being raised or lowered by at least one linear actuators responding to an electronic controller. When moving the framework and screed assembly into freshly poured concrete, an operator is assisted by retractable wheels. The wheels are rotationally stowable or used deployed as part of the tripod / transport system facilitating mobility.

A method and structure for furnishing pressure-evenized, dynamic-reaction anatomical support. The method includes (a) supporting the anatomy with a 100% open cell viscoelastic foam, and (b) within the foam, reacting to both static and dynamic, anatomically-produced foam indentations to expand and contract cell-openness size, whereby deeper / sharper indentations result in greater-size cell-openness. Such reacting includes laterally stretching and flowing regions of the foam adjacent such an indentation The overlay structure features (1) a dynamic-response core expanse formed of a 100% open-cell, compressible and flowable, polyurethane, viscoelastic foam possessing a compressed, relaxed-state volume, and (2) an elastomeric, moisture- and gas-flow-managing coating, load-transmissively, bonded to the entirety of the core expanse's outside surface to function as a dynamically-responsive unit with the expanse. The coating possesses a relaxed-state, prestressed tension condition which is responsible for the expanse's compressed condition.

A subsea hydrocarbon production system comprises a tubing hanger which is positioned at an upper end of a well bore, a tubing string which extends from the tubing hanger into the well bore and is fluidly connected to the tubing hanger production bore, and a christmas tree which is positioned above the tubing hanger. The christmas tree comprises a production bore which is fluidly connected to the tubing hanger production bore, a production outlet which is connected to the production bore, a first barrier element which is positioned in the production outlet, and a first closure device which is positioned in the production bore above the production outlet, and a outlet. In this manner access from above the christmas tree through the production bore does not require passage through a barrier element.

A vehicle rear door unsequenced articulating mechanism including one or more articulating hinge assemblies having one or more hinge arms pivotally mounted to a vehicle C-pillar at one end thereof via a C-pillar hinge mount and pivotally mounted to a vehicle rear door at another end thereof via a door hinge mount. The hinge arm may include a generally J-shaped profile between the ends thereof for permitting unsequenced articulation of the rear door up to approximately 180° from a rear door closed position. The door hinge mount may include a door stop engageable with a stop surface on the hinge arm for limiting pivotal movement of the vehicle rear door.

A minimal incision maximal access system allows for maximum desirable exposure along with maximum access to the operative field utilizing a minimum incision as small as the METRx and Endius systems. Instead of multiple insertions of dilating tubes the design is a streamlined single entry device to avoid repetitive skin surface entry. The system offers the capability to expand to optimum exposure size for the surgery utilizing hinged bi-hemispherical or oval working tubes applied over an introducer obturator which is controllably dilated to slowly separate muscle tissue. Deeper end working and visualization areas with maximum proximal access and work dimensions are provided to makes the operative procedure safer in application and shorten the surgeons's learning curve because it most closely approximates the ability to use open microdiskectomy techniques. a dual frame system enables full or partial spreading of a working tube set, while an open frame facilitates a four point retraction system.

A method and structure for furnishing pressure-evenized, dynamic-reaction anatomical support. The method includes (a) supporting the anatomy with a 100% open cell viscoelastic foam, and (b) thereafter, and within the foam, reacting to both static and dynamic, anatomically-produced foam indentations to expand and contract cell-openness size, whereby deeper / sharper indentations result in greater-size cell-openness. Such reacting includes laterally stretching and flowing regions of the foam adjacent such an indentation The overlay structure features (1) a dynamic-response core expanse formed of a 100% open-cell, compressible and flowable, polyurethane, viscoelastic foam possessing a compressed, relaxed-state volume and (2) an elastomeric, moisture-resistant coating, load-transmissively, interfacially bonded to the entirety of the outside surface of the core expanse to function as a dynamically-responsive unit with the expanse. The coating possesses a relaxed-state prestressed tension condition which is responsible for the expanse's compressed condition.

A layer two forwarding protocol (L2F) provides virtual direct dial-up service into private networks through public internet service providers. An authorized remote client appears as a direct dial-up client to the home gateway, even through the client is accessing the home gateway remotely through the ISP. The new forwarding protocol allows the remote client to conduct point-to-point link protocols, such as point-to-point protocol (PPP) and serial line interface protocol (SLIP) directly with the local network home gateway. The network access server changes from a routing mode where a communication protocol is conducted with the client to a switching mode where the POP simply sends data from one port to a tunnel. The tunnel then transmits the data to another port, regardless of the header information on transmitted data packets. The remote client can then be managed through databases controlled by the local network and gain access to resources not typically accessible through the internet. The layer two forwarding protocol conducts an independent authorization session to prevent unauthorized access to the private network and provides point-to-point protocol transport over the internet independently of internet transport protocols.

A lightweight one man screed apparatus to automatically strike off and level uncured concrete flatwork, includes a tri-pod framework beneath which a cutting / leveling member operates. The apparatus is controlled by two grade setting devices, adjustably mounted to the screed tool, which may be adjusted relative to a laser plane generating system. Physical control of the screed member may be provided by at least one screed tool pivotal arm assembly moved for and aft by a carriage operated under the tri-pod framework within a fore and aft footprint. The screed tool is adjusted to grade by being raised or lowered by at least one linear actuators responding to an electronic controller. When moving the framework and screed assembly into freshly poured concrete, an operator is assisted by retractable wheels. The wheels are rotationally stowable or used deployed as part of the tripod / transport system facilitating mobility.

A breathing circuit for use with a first gas set (FGS) and a second gas set (SGS), said circuit comprising means for keeping separate the FGS and SGS, and a means for sequentially delivering to a patient, first the FGS, and, on inspiration, when the patient inspires so as to deplete the supply of FGS into the circuit, subsequently delivers substantially SGS for the balance of inspiration.

A trans-septal guide catheter for providing access through the septum separating a first heart chamber from a second heart chamber that includes an elongated guide catheter body extending between guide catheter proximal and distal ends. A distal segment of the guide catheter is adapted to be inserted through the septum to locate the distal segment of the guide catheter within one of the first heart chamber and the second heart chamber. The catheter body encloses a guide catheter lumen adapted to provide access into the one of the first heart chamber and the second heart chamber through a guide catheter lumen proximal end opening and a guide catheter lumen distal end opening. A retention mechanism engages the septum and maintains the distal segment of the guide catheter extending into the one of the first heart chamber and the second heart chamber.

This invention discloses a hollow-body guitar with a large rectangular sound hole between the neck and bridge, with two pickup mounting slots on each side of the sound hole in removable top plates, including a system of top plates and mounting adapters for 7 different single-coil and dual-coil pickup types. The invention has a system humbucking pickup circuit mixing modules that can be cascaded in linear or tree form to mix all the types of pickups in the output, providing a much wider range of tones than current 3-way and 5-way switching systems. For example, three matched single-coil pickups and one humbucker can be mixed to provide 19 humbucking circuits and 18 circuits with hum. Mixed a different way, using switchless analog circuits, they can produce the tones of all 19 switched humbucking circuits, plus all the continuous variations in between.

A device for adjusting the length of a cord for carrying a wind instrument comprises two parts which can be pushed into one another, of which the first cup-shaped part has a recess and four openings and the second part has, as insert, a groove with a U-turn as well as a recess and two guide grooves. A cord piece is guided around the groove, out of the device and through an eyelet of a hook. A further cord piece is guided through the guide grooves and the four openings. The device allows the cord piece to be guided through the groove, which is completely separated from the guidance of cord pieces through the guide grooves. The guide grooves contain elements for deflecting and inhibiting the movement of the cord pieces. The device enables a stable and torsion-proof handling of the length adjustment of the cord. The device makes it possible that the cord length cannot adjust automatically, not even if the cord is not tensioned.

Methods and apparatus for providing percutaneous access to the presacral space in a minimally invasive, low trauma, manner. A number of related methods and surgical tool sets form a percutaneous pathway from an incision through the patient's skin adjacent to the coccyx and inserting an elongated guide assembly through the incision to locate the guide assembly against the anterior surface of the sacrum to access a presacral target point. The provision of the percutaneous pathway described herein allows for the introduction of therapeutic devices or media, diagnostic instruments, and / or drug delivery to the presacral space.

A locking rod flange and a vertical locking rod for a vehicle door, and method of assembling a vehicle door. The locking rod flange may be integral with a glass run channel or an integrated channel and regulator, and may include a locking rod carrier with a rod pass through hole through which the vertical locking rod extends. A rod pass through seal may be mounted on the locking rod carrier, and the locking rod carrier may include a bridge portion over which a water deflector seal is applied.

Systems and methods which provide data exchange using a distributed ledger, wherein data is exchanged off-chain and information for accessing the off-chain data is exchanged through the blockchain, are disclosed. Embodiments may provide a hybrid blockchain data exchange platform storing large amounts of data (e.g., IoT data) in a data server outside of the blockchain, wherein a data consumer may obtain data from the data server using a token obtained from the blockchain. Embodiments of a hybrid blockchain data exchange platform provide for accuracy and security of the data without requiring storage of the full contents of the data within the blockchain, and / or provide data exchange in which the irrefutability of the data exchanged is ensured.