Abstract: The biaxially oriented multilayered films include a stack (A-B)n of n layer units A-B, where n is greater than or equal to 32 each layer unit A-B having individual layers comprising a first layer A and a second layer B overlying the first layer A. The biaxially oriented multilayer films include intralayer voids within a portion of the individual layers in the stack. The intralayer voids have width-to-height aspect ratios from 20:1 to 500:1. The first layers of the layer units have a first composition, and the second layers of the layer units have a second composition. The first composition includes a first thermoplastic and a first polymer immiscible with the first thermoplastic. The second composition includes a second thermoplastic that may be the same as or different from that of the first thermoplastic.

Abstract: Disclosed are embodiments of an apparatus and system for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach. The bougie can be operably configured to define a resection line for the sleeve gastrectomy when the predetermined positive pressure range is achieved within the stomach.

Abstract: Disclosed are embodiments of an apparatus and system for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach. The bougie can be operably configured to define a resection line for the sleeve gastrectomy when the predetermined positive pressure range is achieved within the stomach.

Abstract: Disclosed are embodiments of an apparatus and system for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach.

Abstract: Disclosed are embodiments of an apparatus, system, and method for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach. The bougie can be operably configured to define a resection line for the sleeve gastrectomy when the predetermined positive pressure range is achieved within the stomach.

Abstract: One or more medical devices may be provided that may be used, for example, in bariatric surgery including a vertical sleeve gastrectomy. Occlusion devices can be integrated with a catheter or tube to occlude one or more proximal or distal landmarks of a stomach and a stapling guide may be used to occlude a lateral boundary of the stomach to define a cavity. A volume of the potential resultant sleeve may be determined by inserting fluid or gas into the catheter or tube, measuring pressure, and calculating the volume of the cavity.

Abstract: One or more medical devices may be provided that may be used, for example, in bariatric surgery including a vertical sleeve gastrectomy. Occlusion devices can be integrated with a catheter or tube to occlude one or more proximal or distal landmarks of a stomach and a stapling guide may be used to occlude a lateral boundary of the stomach to define a cavity. A volume of the potential resultant sleeve may be determined by inserting fluid or gas into the catheter or tube, measuring pressure, and calculating the volume of the cavity.

Abstract: A method for performing a sleeve gastrectomy includes providing a first medical device including a tube for insertion into an interior of a stomach, the tube having a proximal end and a distal end, and a shaping portion positioned at the distal end of the tube, providing an inflation lumen, and providing a second medical device, the second medical device being a stapler or clamp positioned externally on the stomach laterally adjacent to the first medical device. The method also includes introducing positive pressure into the stomach via the inflation lumen, defining a resection line for the sleeve gastrectomy, and clamping the stomach using the second medical device. The resection line is defined at least partially by the position of the second medical device relative to the first medical device when a predetermined positive pressure range is provided via the inflation lumen.

Abstract: A method for performing a sleeve gastrectomy includes providing a first medical device including a tube for insertion into an interior of a stomach, the tube having a proximal end and a distal end, and a shaping portion positioned at the distal end of the tube, providing an inflation lumen, and providing a second medical device, the second medical device being a stapler or clamp positioned externally on the stomach laterally adjacent to the first medical device. The method also includes introducing positive pressure into the stomach via the inflation lumen, defining a resection line for the sleeve gastrectomy, and clamping the stomach using the second medical device. The resection line is defined at least partially by the position of the second medical device relative to the first medical device when a predetermined positive pressure range is provided via the inflation lumen.

Abstract: Disclosed are embodiments of an apparatus and system for performing a sleeve gastrectomy. The apparatus can include a bougie for insertion into an interior of a stomach, the bougie having a proximal bougie end and a distal bougie end, an inflation lumen having a proximal lumen end and a distal lumen end, the inflation lumen extending from the proximal bougie end through the distal bougie end, a fluid delivery system coupled with the proximal lumen end, the fluid delivery system being operably configured to deliver positive pressure in a predetermined positive pressure range into the stomach, and a monitor coupled with the proximal lumen end operably configured for the monitoring of pressure or volume within the stomach.

Abstract: Rodents have incisors that continuously grow and need to be worn down over time. Tear N lair consists of pulp, wood and cotton all combined to make 1 sheet of paper. When the pulp, wood and cotton is combined this creates a gnawing object of different grades of material allowing for proper wear on the incisors of a rodent. The process involves creating and forming layers of fibrous material from a pulp base that when combined create a fibrous wood and cotton paper. This process is creating a material of paper that can be layered with cotton, wood and other forms of paper. Added forms of paper may be soft or harder in grade. Added forms of paper may include shredded paper or wax paper. When joined these materials create layers that allow rodents to tear, shred and separate. Layers that are separated can also be used as a laying material allowing the rodent to rest on top. The separated material creates a cushion of padding.

Abstract: One or more medical devices may be provided that may be used, for example, in bariatric surgery including a vertical sleeve gastrectomy. Occlusion devices can be integrated with a catheter or tube to occlude one or more proximal or distal landmarks of a stomach and a stapling guide may be used to occlude a lateral boundary of the stomach to define a cavity. A volume of the potential resultant sleeve may be determined by inserting fluid or gas into the catheter or tube, measuring pressure, and calculating the volume of the cavity.

Abstract: One or more medical devices may be provided that may be used, for example, in bariatric surgery including a vertical sleeve gastrectomy. Occlusion devices can be integrated with a catheter or tube to occlude one or more proximal or distal landmarks of a stomach and a stapling guide may be used to occlude a lateral boundary of the stomach to define a cavity. A volume of the potential resultant sleeve may be determined by inserting fluid or gas into the catheter or tube, measuring pressure, and calculating the volume of the cavity.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure, the anatomical structure having a first side and a second side, the end effector including an anvil, a cartridge that is configured to house a plurality of staples, and a compression mechanism that movably couples the anvil to the cartridge.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure, the anatomical structure having a first side and a second side, the end effector including an anvil, a cartridge that is configured to house a plurality of staples, and a compression mechanism that movably couples the anvil to the cartridge.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure includes an anvil and a cartridge. The ends of the cartridge are coupled to the ends of the anvil. Each of the anvil and the cartridge is insertable through a trocar. The end effector is operable from outside the patient. A stapling device includes the end effector coupled to a manipulator via a shaft. The manipulator is accessible to the surgeon. The surgeon uses a clamping mechanism to selectively move the anvil and the cartridge to clamp the anatomical structure. A flexible member extends through the shaft and is coupled to at least one of the anvil and the cartridge and to the clamping mechanism. Operating the clamping mechanism withdraws the flexible member (46) from the end effector and clamps the anatomical structure between the anvil and the cartridge.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure includes an anvil and a cartridge. The ends of the cartridge are coupled to the ends of the anvil. Each of the anvil and the cartridge is insertable through a trocar. The end effector is operable from outside the patient. A stapling device includes the end effector coupled to a manipulator via a shaft. The manipulator is accessible to the surgeon. The surgeon uses a clamping mechanism to selectively move the anvil and the cartridge to clamp the anatomical structure. A flexible member extends through the shaft and is coupled to at least one of the anvil and the cartridge and to the clamping mechanism. Operating the clamping mechanism withdraws the flexible member from the end effector and clamps the anatomical structure between the anvil and the cartridge.

Abstract: An microelectronic device includes a substrate, a piezoelectric component formed over the substrate, at least one trench formed in the substrate. The piezoelectric component has a corresponding resonance frequency. The at least one trench is configured to reduce mechanical stress on the piezoelectric component, in response to force applied to the substrate, for stabilizing the resonance frequency.

Abstract: A vacuum shroud is provided for receiving nuts separated from frangible collar fasteners by use of a powered offset ratchet head. The shroud comprises of an offset ratchet head receiving portion and a nut receiving portion. The offset ratchet head receiving portion defines an aperture formed to receive and engage the offset ratchet head. The nut receiving portion defines a nut receiving aperture and a nut discharge port. The nut receiving aperture is disposed adjacent to the offset ratchet head receiving aperture, to receive nuts discharged from the offset ratchet head when the ratchet head is disposed in the ratchet head receiving aperture. The shroud may further define a conduit extending from the nut receiving portion to the nut discharge port. The nut discharge port is engageable to a vacuum source to draw nuts received in the nut receiving portion out of the nut discharge port.

Abstract: A socket is disclosed for securing frangible collar fasteners to bolts, and collecting the separated nut portions of the fasteners to avoid introducing debris into the work area. The socket comprises the socket housing having a first end formed to receive and engage the frangible nut portions, and the second end to receive and engage a ratchet. At least one retention member is disposed within the socket housing, proximate the housing first end. The retention member is resiliently displaceable to allow each nut portion to enter into the socket housing during fastening, and to retain a plurality of nut portions within the socket housing after the nut portions have been separated from the frangible collar fasteners. Nut ejection apparatus is provided having a first portion disposed exterior to the socket housing and a second portion disposed interior to the socket housing.