Abstract: A truck cap having a cap body with an opening, and a cap door that is movable between open and closed positions with respect to the opening. At least one hinge that attaches to the cap body and the cap door of the truck cap. The hinge includes a first hinge bracket member and a second hinge bracket member. The first hinge bracket member includes a hinge bracket to receive a pivot pin. The second hinge bracket member includes a hinge bracket with an opening sized to receive at least a portion of the pivot pin. The first hinge bracket member and the second hinge bracket member are pivotable with respect to each other about the pivot pin. A longitudinally extending gas prop pivotably attached to the pin extending from the second angled portion of the first hinge bracket member and to the pin of the second hinge bracket member.

Abstract: A system and method for determining indicators of left ventricular function, and for determining the effectiveness of a cardiac therapy are disclosed. The indicators of left ventricular function can include isovolumetric relaxation time and the negative slope of a V wave obtained from measuring changes in left atrial pressure during diastole. The apparatus may include a catheter comprising an inflatable balloon for insertion into the esophagus of an individual, a compressor device for pressurizing the balloon, and a means for sensing and recording pressure changes on the balloon.

Abstract: A method and apparatus for more precisely determining mean left atrial pressure. A catheter including a balloon is inserted into an esophagus with the balloon positioned adjacent the left atrium and inflated to provide a signal of balloon pressure oscillations effected by the left atrium. By use of the fast Fourier transform, the amplitude of each of simple harmonic wave forms (or a corresponding portion thereof) making up the balloon pressure oscillation signal is corrected for characteristics of the catheter and the corrected wave forms combined into a corrected signal of balloon pressure oscillations. The balloon pressure is measured when the amplitude of the corrected balloon pressure oscillation signal is at a peak, wherein the measured balloon pressure is determined to be mean left atrial pressure.

Abstract: A method and apparatus for more precisely determining mean left atrial pressure. A catheter including a balloon is inserted into an esophagus with the balloon positioned adjacent the left atrium and inflated to provide a signal of balloon pressure oscillations effected by the left atrium. By use of the fast Fourier transform, the amplitude of each of simple harmonic wave forms (or a corresponding portion thereof) making up the balloon pressure oscillation signal is corrected for characteristics of the catheter and the corrected wave forms combined into a corrected signal of balloon pressure oscillations. The balloon pressure is measured when the amplitude of the corrected balloon pressure oscillation signal is at a peak, wherein the measured balloon pressure is determined to be mean left atrial pressure.

Abstract: Apparatus and method for noninvasively determining cardiac performance parameters including 1) lengths of systolic time intervals, (2) contractility index, (3) pulse amplitude ratios while performing the Valsalva maneuver, (4) cardiac output index, and (5) a pulse wave velocity index. A catheter having at least one balloon is inserted into the esophagus and pressurized and positioned adjacent the aortic arch to sense aortic pressure. The effects of aortic pressure on the balloon are utilized to determine at least one of the cardiac performance parameters. The catheter may include a second balloon which is spaced from the aortic balloon a distance such that when the second balloon is in a position adjacent the left atrium to sense left atrial pressure the aortic balloon is in a position adjacent the aortic arch to sense aortic pressure, this distance being related to the distance between the left atrium and aortic arch in most adult persons.

Abstract: Apparatus and method for noninvasively determining cardiac performance parameters including 1) lengths of systolic time intervals, (2) contractility index, (3) pulse amplitude ratios while performing the Valsalva maneuver, (4) cardiac output index, and (5) a pulse wave velocity index. A catheter having at least one balloon is inserted into the esophagus and pressurized and positioned adjacent the aortic arch to sense aortic pressure. The effects of aortic pressure on the balloon are utilized to determine at least one of the cardiac performance parameters. The catheter may include a second balloon which is spaced from the aortic balloon a distance such that when the second balloon is in a position adjacent the left atrium to sense left atrial pressure the aortic balloon is in a position adjacent the aortic arch to sense aortic pressure, this distance being related to the distance between the left atrium and aortic arch in most adult persons.

Abstract: Non-invasive apparatus and method for obtaining a quantitative determination of mean left atrial transmural pressure or otherwise obtaining a quantitative determination of a left atrial pressure value. A balloon is inserted by means of a catheter into the esophagus and positioned adjacent the left atrium. The balloon is gradually inflated. A tracing of mean balloon pressure is obtained as the balloon is inflated. In addition, a tracing of balloon pressure on a steady baseline and with low frequency oscillations due to respiration filtered out is obtained whereby the tracing represents balloon pressure oscillations effected by left atrial pressure. In accordance with the oscillometric principle the mean balloon pressure is measured when the intensity of a sound wave, after its transmission through the balloon, is at a peak. This mean balloon pressure, after adjustment for the effect, if any, of heart weight, is indicative of approximate mean left atrial pressure.

Abstract: Non-invasive apparatus and method for obtaining a quantitative determination of mean left atrial transmural pressure or otherwise obtaining a quantitative determination of a left atrial pressure value. A balloon is inserted by means of a catheter into the esophagus and positioned adjacent the left atrium. The balloon is gradually inflated. A tracing of mean balloon pressure is obtained as the balloon is inflated. In addition, a tracing of balloon pressure on a steady baseline and with low frequency oscillations due to respiration filtered out is obtained whereby the tracing represents balloon pressure oscillations effected by left atrial pressure. In accordance with the oscillometric principle the mean balloon pressure is measured when the intensity of a sound wave, after its transmission through the balloon, is at a peak. This mean balloon pressure, after adjustment for the effect, if any, of heart weight, is indicative of approximate mean left atrial pressure.

Abstract: A method for positioning an esophageal catheter for determining a pressure associated with the left atrium. As a bi-polar electrode is moved up the esophagus, an electrogram is obtained at each of a series of incremental depths. The length of the negative portion of the largest absolute value segment of the respective P wave is determined for at least one P wave in each of the incremental electrograms. The depth of the left atrium is selected to be that which corresponds to the incremental electrode depth at which the electrogram therefor shows the greatest negative portion length. A balloon for determining a pressure associated with the left atrium is positioned at the selected depth.

Abstract: Non-invasive apparatus and method for obtaining a quantitative determination of mean left atrial pressure or otherwise obtaining a quantitative determination of a left atrial pressure value. A balloon is inserted by means of a catheter into the esophagus and positioned adjacent the left atrium. The balloon is gradually inflated. A tracing of mean balloon pressure is obtained as the balloon is inflated. In addition, a tracing of balloon pressure on a steady baseline and with low frequency oscillations due to respiration filtered out is obtained whereby the tracing represents balloon pressure oscillations effected by left atrial pressure. In accordance with the oscillometric principle the mean balloon pressure is measured at the time when the amplitude of the balloon pressure oscillations effected by the left atrial pressure is at a peak. This mean balloon pressure is indicative of approximate mean left atrial pressure.

Abstract: Non-invasive apparatus and method for obtaining a quantitative determination of mean left atrial pressure or otherwise obtaining a quantitative determination of a left atrial pressure value. A balloon is inserted by means of a catheter into the esophagus and positioned adjacent the left atrium. The balloon is gradually inflated. A tracing of mean balloon pressure is obtained as the balloon is inflated. In addition, a tracing of balloon pressure on a steady baseline and with low frequency oscillations due to respiration filtered out is obtained whereby the tracing represents balloon pressure oscillations effected by left atrial pressure. In accordance with the oscillometric principle the mean balloon pressure is measured at the time when the amplitude of the balloon pressure oscillations effected by the left atrial pressure is at a peak. This mean balloon pressure is indicative of approximate mean left atrial pressure.

Abstract: Non-invasive apparatus and method for obtaining a quantitative determination of mean left atrial pressure or otherwise obtaining a quantitative determination of a left atrial pressure value. A balloon is inserted by means of a catheter into the esophagus and positioned adjacent the left atrium. The balloon is gradually inflated. A tracing of mean balloon pressure is obtained as the balloon is inflated. In addition, a tracing of balloon pressure on a steady baseline and with low frequency oscillations due to respiration filtered out is obtained whereby the tracing represents balloon pressure oscillations effected by left atrial pressure. In accordance with the oscillometric principle the mean balloon pressure is measured at the time when the amplitude of the balloon pressure oscillations effected by the left atrial pressure is at a peak. This mean balloon pressure is indicative of approximate mean left atrial pressure.

Abstract: Non-invasive apparatus and method for obtaining a quantitative determination of mean left atrial pressure or otherwise obtaining a quantitative determination of a left atrial pressure value. A balloon is inserted by means of a catheter into the esophagus and positioned adjacent the left atrium. The balloon is gradually inflated. A tracing of mean balloon pressure is obtained as the balloon is inflated. In addition, a tracing of balloon pressure on a steady baseline and with low frequency oscillations due to respiration filtered out is obtained whereby the tracing represents balloon pressure oscillations effected by left atrial pressure. In accordance with the oscillometric principle the mean balloon pressure is measured at the time when the amplitude of the balloon pressure oscillations effected by the left atrial pressure is at a peak. This mean balloon pressure is indicative of approximate mean left atrial pressure.

Abstract: A method and appartus are provided for measuring left atrial pressure by inserting a sensing probe into the esophagus and positioning the probe so that pressure from the left atrium is sensed by the probe. More particularly, the invention provides a method for measuring left atrial pressure by inserting a balloon-containing catheter into the esophagus and positioning the catheter so that when the balloon is inflated, pressure from the left atrium affects the balloon; inflating the balloon; and, determining the left atrial pressure by the effect of the atrial pressure upon the balloon.

Abstract: A push-pull exercise device has a pair of parallel first rods and a pair of parallel second rods. The second rods are arranged to straddle the first rods. The two pairs of rods are longitudinally overlapped. A first member is mounted fast to the overlapped marginal end portions of the first rods and has openings therethrough to accommodate sliding passage of the second rods. A second member has a pair of first openings to accommodate sliding passage of the first rods, and has a pair of second openings to accommodate sliding passage of the second rods. A first handle is mounted to the outer ends of the first rods, and a second handle is mounted fast to the outer ends of the second rods. The first and second rods carry various abutment stops. A first pair of coil springs surround the first rods and are arranged to act between the first and second members. A second pair of coil springs surrounds the second rods and are arranged between the first member and the second handle.

Abstract: A push pull exercise device having two sets of coil springs telescoped around respective members of parallel sets of rods that are moved endwise to each other. Pulling forces on the rods are opposed by one set of the springs, and pushing forces on the rods are opposed by the other set of springs. The device can be quickly knocked down to a package of parallely touching parts.