Abstract: In one aspect, the invention relates to an immunogenic composition that includes a mutant Clostridium difficile toxin A and/or a mutant Clostridium difficile toxin B. The mutant toxin may include a glucosyltransferase domain having at least one mutation and a cysteine protease domain having at least one mutation, relative to the corresponding wild-type C. difficile toxin. The mutant toxins may include at least one amino acid that is chemically crosslinked. In another aspect, the invention relates to methods and compositions for use in culturing Clostridium difficile and in producing C. difficile toxins.

Abstract: A surgical system includes a surgical instrument that is sensitive to backlash that would adversely affect the transmission of controlled torque and position to the surgical instrument. The surgical instrument is coupled to motors in a surgical instrument manipulator assembly via a mechanical interface. The combination of the mechanical interface and surgical instrument manipulator assembly have low backlash, e.g., less than 0.7 degrees. The backlash is controlled in the surgical instrument manipulator assembly. From the drive output disk in the surgical instrument manipulator assembly to the driven disk of the surgical instrument, the mechanical interface has zero backlash for torque levels used in surgical procedures.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has three openings including a prosthesis opening and two implant insertion openings. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the first implant insertion end of the bellow is placed through the patient incision while allowing the bellow to be manipulated to force the first implant into a surgical pocket of a patient. Then the bellow is rotated 180 degrees so that the second implant insertion end becomes the opening through which the second implant is inserted into the second incision while allowing the bellow to be manipulated to force the second implant into a surgical pocket.

Abstract: An apparatus and method for inserting prosthesis implants into apatient pocket. The apparatus has three openings including a prosthesis opening and two implant insertion openings. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the first implant insertion end of the bellow is placed through the patient incision while allowing the bellow to be manipulated to force the first implant into a surgical pocket of a patient. Then the bellow is rotated 180 degrees so that the second implant insertion end becomes the opening through which the second implant is inserted into the second incision while allowing the bellow to be manipulated to force the second implant into a surgical pocket.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has three openings including a prosthesis opening and two implant insertion openings. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the first implant insertion end of the bellow is placed through the patient incision while allowing the bellow to be manipulated to force the first implant into a surgical pocket of a patient. Then the bellow is rotated 180 degrees so that the second implant insertion end becomes the opening through which the second implant is inserted into the second incision while allowing the bellow to be manipulated to force the second implant into a surgical pocket.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has multiple openings including a prosthesis opening, a proximal opening, and a small opening to receive a lubricating fluid. The prosthesis bag is a container with a wide sealed distal end and passage to a narrow apex. The apparatus reduces infection; eases insertion and placement of a cohesive silicone gel implant; and reduces complications. In use, the prosthesis bag is placed through the patient incision while allowing the bag to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has two openings including a prosthesis opening and a proximal opening. The prosthesis bag is a container with a wide sealed distal end and passage to a narrow apex. The apparatus reduces infection; eases insertion and placement of a cohesive silicone gel implant; and reduces complications. In use, the prosthesis bag is placed through the patient incision while allowing the bag to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has multiple openings including a prosthesis opening, a proximal opening, and a small opening to receive a lubricating fluid. The prosthesis bag is a container with a wide sealed distal end and passage to a narrow apex. The apparatus reduces infection; eases insertion and placement of a cohesive silicone gel implant; and reduces complications. In use, the prosthesis bag is placed through the patient incision while allowing the bag to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has three openings including a prosthesis opening and two implant insertion openings. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the first implant insertion end of the bellow is placed through the patient incision while allowing the bellow to be manipulated to force the first implant into a surgical pocket of a patient. Then the bellow is rotated 180 degrees so that the second implant insertion end becomes the opening through which the second implant is inserted into the second incision while allowing the bellow to be manipulated to force the second implant into a surgical pocket.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has three openings including a prosthesis opening, a large proximal opening, and a small proximal opening. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the bellow is placed through the patient incision while allowing the bellow to be manipulated to force the prosthesis into a surgical pocket of a patient. Then the bellow is rotated so the distal end becomes the proximal end and inserted into the second incision while allowing the bellow to be manipulated to force the prosthesis into the second pocket.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has three openings including a prosthesis opening, a larger proximal opening, and a small distal opening. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the inverse bellow is placed through the patient incision while allowing the bellow to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus includes a universal bellows, prosthesis, and a retractor. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the retractor anchors the universal bellows to the patient while allowing the bellows to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus includes a universal bellow, prosthesis, and a retractor. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the retractor anchors the universal bellow to the patient while allowing the bellow to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus includes a universal bellows, prosthesis, and a retractor. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the retractor anchors the universal bellows to the patient while allowing the bellows to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has two openings including a prosthesis opening and a proximal opening. The prosthesis bag is a container with a wide sealed distal end and passage to a narrow apex. The apparatus reduces infection; eases insertion and placement of a cohesive silicone gel implant; and reduces complications. In use, the prosthesis bag is placed through the patient incision while allowing the bag to be manipulated to force the prosthesis into a surgical pocket of a patient.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has three openings including a prosthesis opening, a larger proximal opening, and a small distal opening. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the inverse bellow is placed through the patient incision while allowing the bellow to be manipulated to force the prosthesis into a surgical pocket of a patient.