Abstract: An adjustable weighted speculum for use during vaginal surgery to separate the vaginal walls. The speculum includes a telescopic blade including a primary blade having first and second ends and a recess extending therethrough, and a secondary blade having a first and second end telescopically positioned within the recess of the primary blade. A handle extends from the second end of the primary blade. A locking mechanism is contained within the handle and connected to the secondary blade for selectively moving the secondary blade or locking the secondary blade in position. A weighted element is releasably attached to the second end of the handle. A plurality of channels extend along a side of the secondary blade from the first end to a point along a length of the secondary blade and a single channel extending along the side of said secondary blade from the second end to the point along the length of the secondary blade wherein the single channel mates with the plurality of channels at the point.

Abstract: A method of establishing a voice communication session with a multimedia access device employable in a multimedia communication system. In one embodiment, the method includes initiating a session request from a first endpoint communication device employing an instant messaging client and coupled to a packet based communication network. The method also includes processing the session request including emulating the instant messaging client for a second endpoint communication device coupled to said packet based communication network. The second endpoint communication device is a non-instant messaging based communication device. The method still further includes establishing a voice communication session between the first and second endpoint communication devices in response to the session request.