Abstract: Disclosed are methods and apparatus for cleaning heat exchangers and similar vessels by introducing chemical cleaning solutions and/or solvents while maintaining a target temperature range by direct steam injection into the cleaning solution. The steam may be injected directly into the heat exchanger or into a temporary side stream loop for recirculating the cleaning solution or admixed with fluids being injected to the heat exchanger. The disclosed methods are suitable for removing metallic oxides from a heat exchanger under chemically reducing conditions or metallic species such as copper under chemically oxidizing conditions. In order to further enhance the heat transfer efficiency of heating cleaning solvents by direct steam injection, mixing on the secondary side of the heat exchanger can be enhanced by gas sparging or by transferring liquid between heat exchangers when more than one heat exchanger is being cleaned at the same time.

Abstract: A malleable cannula having multiple lumens, constrained at the proximal end portion to provide rigidity and malleable at the distal end portion. The cannula has a combination of flexibility and stiffness that assists in accessing body passageways without kinking.

Abstract: An inflation device useful for inflating a balloon provided with a surgical instrument, such as a balloon sinus dilation instrument. The inflation device includes a syringe, a connector, and mechanical pressure indicator. The syringe includes a plunger slidably disposed within a barrel. The connector is configured to fluidly connect an outlet of the syringe with a surgical instrument balloon in establishing a closed inflation system between the syringe and an interior of the balloon. The pressure indicator is associated with the syringe and is configured to transition from a non-alert state to an alert state when a pressure of the inflation system has reached a predetermined level. In some embodiments, the inflation device is characterized by the absence of a pressure gauge.

Abstract: A sinus dilation instrument useful with a navigation system and including a handle, a rigid probe, a balloon, and an identifier device. The probe extends from the handle, forms a curved segment, and carries the balloon. The identifier device is programmed to generate a signal indicative of an instrument identification assigned to the instrument, and is a frontal, maxillary or sphenoid sinus instrument. The signal is formatted to be recognized by an IGS. Once connected, the IGS recognizes the instrument and can retrieve information indicative of a spatial location of the balloon, for example via an instrument tracking device. A surgeon can “plug and play” the sinus dilation instrument with the IGS to perform a procedure.

Abstract: An apparatus for monitoring EMG signals of a patient's laryngeal muscles includes an endotracheal tube having an exterior surface and a first location configured to be positioned at the patient's vocal folds. A first electrode is formed on the exterior surface of the endotracheal tube substantially below the first location to receive EMG signals primarily from below the vocal folds. A second electrode is formed on the exterior surface of the endotracheal tube substantially above the first location to receive EMG signals primarily from above the vocal folds. The first and second electrodes are configured to receive the EMG signals from the laryngeal muscles when the endotracheal tube is placed in a trachea of the patient.

Abstract: The present invention provides methods and compositions useful for conditioning and removing solid deposits that have formed on or otherwise accumulated within one or more components including, for example, scale formed within a steam generating system. The aqueous cleaning compositions incorporate one or more quaternary ammonium hydroxides characterized by pKa values no less than about 13.5. These quaternary ammonium hydroxides may be used alone or in combination with one or more additives including, for example, chelating agents, reducing or oxidizing agents, pH adjustment agents, surfactants, corrosion inhibitors, complexing agents, dispersants and combinations thereof.

Abstract: An apparatus for monitoring EMG signals of a patient's laryngeal muscles includes an endotracheal tube having an exterior surface and a first location configured to be positioned at the patient's vocal folds. A first electrode is formed on the exterior surface of the endotracheal tube substantially below the first location. A second electrode is formed on the exterior surface of the endotracheal tube substantially above the first location. The first and second electrodes are configured to receive the EMG signals from the laryngeal muscles when the endotracheal tube is placed in a trachea of the patient.

Abstract: A machining apparatus and method for fabricating endodontic instruments adapted for use in performing root canal procedures is disclosed. The machining apparatus includes computer numerical control (CNC) machining that automates much of the fabrication process. The disclosed machining apparatus and method is programmable to efficiently produce varying configurations of endodontic instruments on the same machining apparatus.

Abstract: An aqueous cleaning solution that has been previously used to remove deposits from a nuclear steam generator (or other vessel) is reused after being transferred from the steam generator into an external vessel. The spent cleaning solution may be reconditioned and reused in a further cleaning of the same steam generator or a different steam generator. The different cleanings being accomplished by the cleaning solution may be of the same type or different types (e.g., iron oxide removal and/or copper removal).

Abstract: A system and method can support processing a transaction with a plurality of transaction branches. A transaction manager operates to send, to a resource manager, a prepare request for each said transaction branch in the plurality of transaction branches with the exception of at least one transaction branch. Furthermore, after receiving an indication from the resource manager that the received preparation requests are handled successfully (i.e. the transaction branch is read-only and has been committed), the transaction manager operates to send a commit request to commit said at least one transaction branch, which is on hold, to the resource manager.

Abstract: A system and method can support application interoperation in a transactional middleware environment. A first transaction server operates to initiate a global transaction, wherein the first transaction server that is associated with a first format identifier (ID), and wherein the global transaction includes a plurality of branches and each said branch is associated with an individual branch qualifier. Furthermore, the first transaction server can direct at least one branch of the global transaction from the first transaction server to a second transactional server, wherein each said transactional server is associated with a second format identifier (ID), and configure a plurality of branches in the global transaction to share a common format identifier (ID).

Abstract: A system and method can support a tightly-coupled global transaction. One or more transaction servers operate to span the global transaction with a plurality of branches across a plurality of transaction domains, wherein each said branch is associated with an individual branch qualifier, and each said transaction domain is associated with a different global transaction identifier (GTRID). Furthermore, the transaction servers can configure the plurality of branches in the global transaction to share a common global transaction identifier (ID), and associate a composite branch qualifier with at least one branch of the global transaction in a transaction domain, wherein the composite branch qualifier includes a global transaction identifier (GTRID) that is associated with the transaction domain and an individual branch qualifier that is associated with the at least one branch.

Abstract: A surgical system which may include a controller, a data entry device, a powered surgical handpiece and a surgical tool adapted to couple to the surgical handpiece. The surgical handpiece can include motor direction control and feedback, safety stop features, stimulation and nerve integrity monitoring, a tool connector assembly configured to retain a variety of surgical tools and optional navigation and/or electric ratcheting features.

Abstract: Systems and methods are provided for supporting transaction recovery based on inline delegation of transaction logs to a database. The system can retrieve transaction recovery information of a transaction from a persistence store, wherein the transaction recovery information is persisted on a resource manager that is associated with the persistence store during a prepare phase. Furthermore, the system can retrieve one or more in-doubt transactions from one or more participating resource managers of the transaction. Then, the system can determine whether to commit or roll back the one or more in-doubt transactions by matching the one or more in-doubt transactions to the transaction recovery information.

Abstract: Disclosed are methods and apparatus for cleaning heat exchangers and similar vessels by introducing chemical cleaning solutions and/or solvents while maintaining a target temperature range by direct steam injection into the cleaning solution. The steam may be injected directly into the heat exchanger or into a temporary side stream loop for recirculating the cleaning solution or admixed with fluids being injected to the heat exchanger. The disclosed methods are suitable for removing metallic oxides from a heat exchanger under chemically reducing conditions or metallic species such as copper under chemically oxidizing conditions. In order to further enhance the heat transfer efficiency of heating cleaning solvents by direct steam injection, mixing on the secondary side of the heat exchanger can be enhanced by gas sparging or by transferring liquid between heat exchangers when more than one heat exchanger is being cleaned at the same time.

Abstract: A delivery system for delivering multiple components that is assembled using snap-fit assembly and threadless engagement of syringes and associated parts.

Abstract: A malleable cannula having multiple lumens, constrained at the proximal end portion to provide rigidity and malleable at the distal end portion. The cannula has a combination of flexibility and stiffness that assists in accessing body passageways without kinking.

Abstract: A turbulence-inducing mixing device facilitates mixing, solvating or hydrating materials while passing the materials between fluid delivery devices.