Abstract: Implant fixation systems, kits and methods for interbody fusions are described herein. Preferably, the implant has a cage containing two deployable blades and one or more strike plates that are able to deploy the blades. The blades are positioned inside the cage such that one blade faces upward and the other blade faces downward. Protrusions on the ends of the blades fit into correspondingly shaped tracks on the interior surface of the cage, allowing movement of the blades inside the cage. The implant also has two wedge-shaped strike plates that fit into attachment regions located on the blades, which allow the strike plates to slide. Impaction of the strike plate(s) causes them to push the blades superiorly or inferiorly. In the impaction position, a portion of the blades protrudes beyond the superior and the inferior surfaces of the cage and fixes the cage in the adjacent vertebral bodies.

Abstract: The disclosure provides apparatus and methods of use pertaining to a prosthetic finger assembly. In one embodiment, the assembly includes a coupling tip and a distal ring coupled with the coupling tip. The assembly further includes a proximal ring coupled with the distal ring. A rocker formed in a Y-shape with a first end forming a single prong and a second end forming a split prong may extend between the coupling tip and the proximal ring. The coupling tip, distal ring, proximal ring, and Y-shaped rocker may all be hingedly connected such that movements of the residual finger within the proximal ring and the distal articulate the distal ring together with the rocker to curl and bend the coupling tip. Other embodiments are also disclosed.

Abstract: The disclosure provides apparatus and methods of use pertaining to a prosthetic finger assembly. In one embodiment, the assembly includes a coupling tip and a distal ring coupled with the coupling tip. The assembly further includes a proximal ring coupled with the distal ring. A rocker formed in an H-shape with a first end forming a first split prong and a second end forming a second split prong may extend between the coupling tip and the proximal ring. The coupling tip, distal ring, proximal ring, and H-shaped rocker may all be hingedly connected such that movements of the residual finger within the proximal ring articulate the distal ring together with the rocker to articulate the coupling tip. Other embodiments are also disclosed.

Abstract: The disclosure provides apparatus and methods of use pertaining to a bidirectional biomechanical prosthetic finger assembly. In one embodiment, the assembly includes an eccentric metacarpophalangeal (MCP) pivot configured for swivelable attachment to a hand of a user, a distal coupler, and an articulation assembly rotatively coupled therebetween. A ring configured to receive a user's residual finger is disposed upon the articulation assembly, and may be adjusted to a target location based on a length of the residual finger. The articulation assembly is configured to utilize vertical movements of the residual finger within the ring to articulate the distal coupler within a plane parallel to an x-z plane, and the MCP pivot is configured to utilize lateral movements of the residual finger within the ring to articulate the distal coupler within a plane parallel to an x-y plane. Other embodiments are also disclosed.

Abstract: Prosthetic devices and methods of controlling the same are provided. A prosthetic ankle device includes a foot unit and lower limb member moveable relative to one another and defining an ankle angle therebetween. The prosthetic ankle device further includes a controller to operate the device using different ankle angles depending on, for example, a user's gait speed. Methods of controlling the prosthetic ankle device include operating the device at different ankle angles depending on gait speed. For example, the prosthetic ankle device can provide for relatively more dorsiflexion at relatively slower gait speeds and relatively more plantarflexion at relatively faster gait speeds.

Abstract: Prosthetic implant devices and related methods are provided. The prosthetic implant devices includes an internal component and an external component. The internal component has an implant portion associated with one or more rare earth magnets. The internal component being of a size and shape suitable for surgical implantation into the residual limb of the amputee. The implant portion being of a size and shape suitable for surgical implantation into a bone within the residual limb of the amputee. The one or more rare earth magnets generating at least one magnetic field. The external component having a prosthetic connection associated with a magnetic element. The magnet element being in adaptable magnetic association with the at least one magnetic field generated by the one or more rare earth magnets.

Abstract: An adjustable seal system, seal component for use in the system, and method are provided for forming a sealing interface between a residual limb and a prosthetic socket. The seal component is selectively placed over the outer surface of a suspension liner including a plurality of seal bands, which the seal component may removably and securely engage.

Abstract: A pin lock for a prosthetic device in a vacuum assisted suspension system includes a pin defining a longitudinally elongate bore and at least one passageway extending obliquely relative to the bore and communicating therewith at a proximal end of the pin. The pin lock also includes a locking mechanism having a receiving port arranged to receive the pin and a channel located at a distal end of the receiving port and adapted to communicate with the bore to exhaust air through the pin therefrom.

Abstract: A prosthesis is disclosed for placement across an ostium opening from a main body lumen to a branch body lumen. The prosthesis comprises a radially expansible support, at least two axially elongate longitudinal members, at least one of which can be fronds, extending from an end of the support, and a circumferential member connected to at least one axially elongate longitudinal member and unconnected to at least one other axially elongate longitudinal member.

Abstract: A tubular stent has first and second ends and a longitudinal axis therebetween. The tubular stent is formed from a network of struts which defines a cylindrical surface about the longitudinal axis, the struts delineating a plurality of cells within the network, there being rows of cells parallel to the longitudinal axis. At least one cell in each row is a nodal cell. There is an increase in the maximum length parallel to the longitudinal axis of cells from the nodal cell to a first distal cell in the row that is closer to the first or second end of the tubular stent. There is a second distal cell in the row which has a different maximum length parallel to the longitudinal axis from the nodal cell and the first distal cell. The network of struts comprises a plurality of circumferential rings. Each ring extends perpendicularly to the longitudinal axis and the rings are located adjacent to each other parallel to the longitudinal axis to define the cylindrical surface.

Abstract: A stent including a plurality of curved sections and a connector. The curved sections surround a longitudinal axis to define a tube portion and are distributed along the longitudinal axis to form a helix. The connector includes a bioresorbable material and is positioned between two adjacent curved sections. The stent has a spring constant that changes to a different spring constant after exposure to biological material.

Abstract: A stent defining a longitudinal axis is disclosed. A plurality of circumferential support structures are spaced-apart along the longitudinal axis. At least some of the circumferential support structures are interconnected by connection members that extend generally in a circumferential direction.

Abstract: A concentric tube catheter for positioning a polymeric urethral stent implementing resistance heating to make the stent malleable for insertion into a urinary tract. An inflatable bladder is mounted to one end of the concentric tube catheter with the stent positioned around the inflatable bladder. The concentric tube catheter charged with a quantity of fluid. A static pressure control assembly and a variable pressure control assembly are in fluid connection with the concentric tube catheter. The quantity of fluid is pressurized within the concentric tube catheter with the static pressure control assembly in order to expand the inflatable bladder. A heating control system is used to increase the temperature of the stent allowing to become more malleable. The variable pressure control assembly oscillates the quantity of fluid to distribute heat evenly to the inflatable bladder and therefore to the stent. As the inflatable bladder expands, the malleable stent also expands.

Abstract: A stent graft has a tubular body with a first bifurcation with first and second legs extending from the bifurcation. One of the legs has a further bifurcation to define a side arm. The stent graft can be deployed into the vasculature of a patient with the tubular body being in an aorta of the patient, a first leg extending down an iliac artery, a second leg being directed towards a contralateral iliac artery and the side arm directed to an internal artery of one of the iliac arteries. One of the legs can include a valved aperture to enable the placement of an indwelling catheter therethrough.

Abstract: Delivery systems for polymeric tubular implants, kits that include such delivery systems, and methods of treating patients by implanting tubular implants using the delivery systems. The delivery systems include an inner shaft, an expandable member slidably disposed about the inner shaft and configured to receive the tubular implant, and a tubular outer shaft disposed about the inner shaft.

Abstract: In an operating unit constituting a stent delivery system, a protector for preventing an inner tube body from deforming is provided between a rack member and a containing groove guiding the rack member (so as to be movable. The protector, for example is a bellows shaped cylinder so as to be freely extendable and covers an outer circumferential side of the inner tube body. At the time of releasing a stent, the protector is compressed due to the movement of the rack member toward the proximal side and the inner tube body is prevented from deforming due to the protector, because an inner circumferential surface of the protector comes into contact with the inner tube body.

Abstract: A gastrointestinal device and methods of manufacturing said gastrointestinal device are described and include a flexible tubular structure including an inner surface and an outer surface, at least one microbe-promoting agent associated with at least one of the inner surface and the outer surface, the at least one microbe-promoting agent configured to promote attraction, colonization, and growth of at least one type of commensal microbe, and a proximal end and a distal end, the proximal end and the distal end forming a flow conduit through the flexible tubular structure; and at least one anchor structure including one or more gastric wall-engaging components configured to engage a wall of the gastrointestinal tract of the subject.

Abstract: An ankle foot orthosis that may be used for children with lower extremity spasticity or muscle weakness to prevent deformity and enhance extremity function. The orthosis includes an adjustable tension assembly connected to an upper leg portion and a lower foot portion. The tension assembly includes a tension adjuster connected with an elastomer band, with the tension adjuster being operable to selectively increase or decrease the amount of stretch applied to the elastomer band to provide a selectable upward biasing force to a patient's foot. The dynamic orthosis creates a variable load stretch below the knee preventing muscle contracture, heel cord shortening, and increases range of motion and is utilized during rest, sleep, and short distant weight bearing providing readings of the range of motion continuously. The orthosis incorporates a circumferential dynamic support system that maintains corrected alignment of the bones of the foot and ankle.

Abstract: An article of footwear includes a sole, an upper defining a foot cavity, and a brace member. The brace member is comprised of a non-elastic resilient material. The brace member is positioned within a pocket in the upper and extends from a heel portion to above an ankle portion of the upper. The brace member may be provided with a top plate member and a base plate member with a central shaft extending between the top plate member and the base plate member. The central shaft may have a C-shape that curves around an ankle of a human foot positioned within the foot cavity.

Abstract: An ostomy appliance comprises a pouch having first and second walls, with an inlet aperture in the first wall. A stoma seal is carried by the second wall, and is disposed generally in register with the inlet aperture for sealing against a stoma in use. An outer coupling element is coupled to the first wall and surrounds the inlet aperture. An inner coupling element for supporting the stoma seal, is coupled to the second wall and/or to the stoma seal. The outer coupling element surrounds a periphery of the inner coupling element. The stoma seal may be of an inflatable type or an insertable type. Manipulation tabs may be provided associated with the inner and outer coupling elements.

Abstract: An embodiment of a system for treating sleep apnea includes a collar, a pump, and a motor. The collar has a vacuum surface and has a sealing surface that is configured to form a seal with a region of a neck of a subject having an airway. The pump is secured to the collar, and is configured to maintain the airway open by drawing a vacuum between the vacuum surface of the collar and a region of a throat of the subject. And the motor is secured to the collar and is configured to drive the pump. As compared to existing systems (e.g., a Continuous Positive Airway Pressure (CPAP) system) for treating sleep apnea, the above-described system may be more portable, more comfortable, may be less likely to require adjustment while a subject using the system is asleep, and, therefore, may be less likely to awaken the subject.

Abstract: A method of treating an airway disorder includes placing an implant in a patient's tongue, wherein the implant has first and second end portions that attach to tissue, and a tensioned medial portion between the first and second ends. The medial portion is configured to apply a pressure of less than a predetermined amount. Device systems associated with such methods are also provided.

Abstract: The present invention relates to an inserter for an intrauterine system, comprising a handle (3) having a longitudinal opening (8) at its first end, said opening (8) having a longitudinal axis parallel to the longitudinal axis of the inserter, a first end (8a) and a second end (8b), a movable slider (5) arranged in said longitudinal opening (8) and having a first end (5a) and a second end (5b), a plunger (2) attached to the handle (3) and having a longitudinal axis, and an insertion tube (6) having a first end, a second end and a longitudinal axis essentially parallel to the longitudinal axis of the plunger (2), the insertion tube (6) being, along said longitudinal axis, movably arranged around the plunger (2).

Abstract: The invention describes methods and apparatus for creating permanent occlusion of body lumens such as the fallopian tubes. The methods and apparatus use non-surgical approaches to deliver permanent implants which create acute occlusion of desired body lumens which resolve to permanent occlusions of the lumens.

Abstract: A wrap apparatus with 3 equal length radially extending arms with 3 pockets or “sleeves” extending the entire length of the arms to house either ice or heat packs. The radially extending arms wrap around the limb contouring and covering the front, sides, and back of the extremity to supply total ice/heat coverage. The 3 pockets are also wide enough to extend the ice above and below the knee to the adjacent tissues. The ice pack surrounding the extremity, such as a knee or hip, is useful to reduce post-operative swelling.

Abstract: A method for controlling activation of Riboflavin applied to an eye includes applying the Riboflavin to a selected region of a cornea of the eye and initiating cross-linking activity in the selected region by activating the Riboflavin with pulsed light illumination. The pulsed light illumination has an irradiance, dose, and an on/off duty cycle. The irradiance, the dose, and the on/off duty cycle are adjusted in response to a determination of photochemical kinetic pathways for Riboflavin cross-linking activity and to control photochemical efficiency.

Abstract: A method and apparatus for delivering energy during a surgical procedure such as phacoemulsification is provided. The method and apparatus include applying energy during at least one pulsed energy on period, typically sufficient or intended to rapidly induce and beneficially employ transient cavitation. Applying energy during the pulsed energy on period comprises applying energy during a first high energy period, and applying energy during a second nonzero lower energy period.

Abstract: A method and shunt device for treating glaucoma includes positioning a first end portion of a tube body into the retrobulbar space of an eye. The method also includes positioning a second end portion of the tube body into the anterior chamber of the eye. The tube body provides fluid passage for aqueous humor such that the aqueous humor flows from the first end portion into the retrobulbar space. A surgical kit for reducing the intraocular pressure in the eye includes the shunt device, an introducer, and a stylet. The introducer has a distal end for positioning in the retrobulbar space and a proximal end for positioning exterior of the eye. The introducer has a radius of curvature adapted to circumvent the eye for insertion into the retrobulbar space.

Abstract: Embodiments of the invention provide systems and methods for treating the retina and/or other areas of a patient's eye. The procedures may involve using one or more treatment beams (e.g., lasers) to cause photocoagulation or laser coagulation to finely cauterize ocular blood vessels and/or prevent blood vessel growth to induce one or more therapeutic benefits. In other embodiments, a series of short duration light pulses (e.g., between 5-15 microseconds) may be delivered to the retinal tissue with a thermal relaxation time delay between the pulse to limit the temperature rise of the target retinal tissue and thereby limit a thermal effect to only the retinal pigment epithelial layer. Such procedures may be used to treat diabetic retinopathy, macular edema, and/or other conditions of the eye. The treatment beam may be delivered within a treatment boundary or pattern defined on the retina of the patient's eye.

Abstract: Protective eyeshields have two lenses, which are interconnected at their proximal ends by an adjustable nose-bridge and are releasably connectable at their distal ends by two conjugate connecting straps. The lenses have a longitudinal convex curvature so that they follow the contours of the wearer's face. They are substantially trapezoidal in shape, tapering from the proximal end to the distal end. The lenses are made of a light-weight semi-rigid plastic, such as plexi-glass, and may be clear transparent or tinted. Plastic foam padding is provided along the longitudinal edges of the lenses to cushion the area of contact between the lenses and the wearer's face. The weight of the lenses is support from below by four support struts, two of which are nose supports and two which are cheek supports. Each of the support struts integrally comprises a stem element and a contact pad element.

Abstract: Systems and methods for treating a patient having a head with a first ear and a second ear, function by aligning a first device with a tympanic membrane of the first ear; inputting a command to an input device operatively coupled to the first device to generate a signal; and actuating the first device in response to the signal so as to drive a penetrator of the device through the tympanic membrane.

Abstract: A therapeutic compression garment made from body and band portions wherein at least one of the body and spine portions is narrower or wider across its mid-section than at either or both of its top and bottom edges such that the garment assumes a non-planar shape when the body and spine portions are attached together.

Abstract: A process for manufacturing a disposable absorbent article is disclosed. The method includes providing a first nonwoven layer with bi-component fibers and having a first surface and an opposing second surface; color printing the first nonwoven layer on at least one of the first or second surface; providing a second nonwoven layer with bi-component fibers and a first and an opposing second surface; joining the first and the second nonwoven layers together to form a laminate structure, wherein the color printing faces the second nonwoven layer; providing a topsheet, an absorbent core, and a backsheet; and placing the laminate between a topsheet and an absorbent core such that the color printing is visible through the topsheet.

Abstract: An easily applied and replaced flexible container pouch applied to the penis end and including a restricted opening collar to grasp the penis shaft. The container pouch comprises a plurality of walls having a fluid absorbent layer between at least 2 walls, the inner wall (proximal to the penis) include apertures allowing the fluid emitted by the penis to be received into the absorbent layer(s). In one embodiment, the inner layer(s) comprise fluid barriers (e.g. fluid impermeable or a thick member providing a mechanical spacing) between the fluid-filled absorbent layer(s) and the penis. The resulting device provides comfort and protection from unnecessary fluid immersion and ease of use, application and replacement.

Abstract: A disposable absorbent undergarment is disclosed. It includes an absorbent assembly comprising a core formed of a synthetic tow or of synthetic nonwoven layers and having first section comprising a slow acting but high absorption capacity SAP and a second section comprising a fast acting but lower absorption capacity SAP, all of which is wrapped in a wrapper to hold the SAP in place. The absorbent assembly may be quilted and corrugated. The undergarment also includes releasably securable fasteners to enable it to be readily removed and a suspension system to ensure that the garment fits properly and doesn't leak even when holding a large amount of exudate. Odor removal/masking and treatment features may be provided. It addition the undergarment may include a wetness indicator.

Abstract: An equine bandage wrapping device includes a motor with a rotating drive shaft mounted on a hinged bracket. A forked spindle coupled to the motor engages the bandage. The hinged bracket pivots in response to external force causing a torque on the hinge. The external force is supplied by the user pulling slightly against the bandage while it is secured to the forks. Such force is resisted by a spring disposed between a base plate and the underside of the floating end of the hinged bracket. If sufficient force is applied to overcome the spring force, then the electrical circuit between the motor and power source is closed, resulting in the motor turning on. The circuit is opened by removing the external force to cause the spring to return to its extended position, resulting in the motor stopping movement.

Abstract: A spine board for evacuating a patient from an accident site. At least one cleat is positioned on a longitudinal edge of the spine board and having a proximal end coupled to the spine board, and a distal end disposed away from the spine board and formed in a hook shape, so that securing means, such as straps, can be quickly attached to the cleat to secure to the spine board, the head of a patient placed on the spine board, the head immobilizer placed at the sides of the head, and a cervical collar wrapped around the neck of the patient, without having to lift the spine board off the ground the spine board while the patient laying thereon, and that can be used in any weather or ambient light conditions, and can even be attached by feel. In accordance with a exemplary embodiment, the cleat is coupled to a groove or on an axle extending along a longitudinal edge of the spine board and positioned adjustably along the groove.

Abstract: Apparatus for a manually-powered wheelchair comprising a frame and first and second wheel rotatably coupled to the frame. Each wheel includes a hand rim and a drive wheel. For each of the first and second wheels, a multiple speed transmission coupled to the wheel comprises a transmission output coupled to the drive wheel, a transmission input coupled to the hand rim, and at least two gears selectively coupling the transmission output to the transmission input. The transmission allows the drive wheel and the hand rim to rotate concentrically with one another but at different speeds. A selector is provided for selecting one of the at least two gears. A controller controls the selector to operate the transmission for the first and/or second wheel.

Abstract: The invention relates to a seat, backrest, lateral support bracket, and footrest that are able to be adapted to suit the needs of a physically disabled user. In general, the seat comprises a base frame, a seat base that is supported by the base frame, and a backrest. The backrest may be adapted to tilt with respect to the seat base and comprises a backrest angle adjustment system including a vertically extending angle adjustment slot located centrally on the backrest support and a pair of links pivotally attached to the seat frame and the angle adjuster wherein the angle adjuster comprises a lock with a projection through the angle adjustment slot and a fastener that engages with the projection.

Abstract: A walker seat may include a seat bottom and a support structure. The seat bottom may include an anterior region, a posterior region, an upper side, and a lower side. The lower side may include a central segment retention portion. The support structure may include a central segment, a left-side segment, and a right-side segment. The central segment may be retained by the central segment retention portion. The left-side segment may be extendable from a left side of the central segment, whereby the left-side segment extends beyond a left side of the seat bottom. Similarly, the right-side segment may be extendable from a right side of the central segment, whereby the right-side segment extends beyond a right side of the seat bottom.

Abstract: This disclosure describes certain exemplary embodiments of a patient support having a plurality of vertically-oriented on substantially can-shaped inflatable bladders. In one embodiment, the patient support includes a support layer positioned above the vertical bladders. In another embodiment, the patient support includes a high air loss device. In still another embodiment, the patient support includes a pneumatic device located within the patient support.

Abstract: A method of positioning an occupant (98) of a bed includes identifying (204) the presence of a discrepancy between an existing occupant position and a target occupant position, and establishing (206) an elevation gradient having a direction, magnitude and position compatible with moving the occupant from the existing occupant position to the target position. In one variant of the method the step of establishing an elevation gradient is one substep of a preordained sequence of bladder inflations and deflations. In another variant, the method includes determining (210) if the discrepancy has been corrected and responding to any noncorrection of the discrepancy. An associated bed (20) includes a mattress (82) at least one layer (100) of repositioning bladders (102, 104, 106, 108) a sensor array (130) a controller (140) and a pump (142).

Abstract: A person support apparatus comprises a lower frame, an upper frame, a drive structure, and a control system. The upper frame is movably supported above the lower frame. The drive structure is coupled to the upper frame and configured to selectively engage a surface to, when activated, propel the person support apparatus along the surface. The control system is configured to determine an engagement status of the drive structure with the surface and trigger a response based on the engagement status.

Abstract: A patient rotation device including a leverage bar member having a removable padded housing, a first cross-bar member attached to a top end of the leverage bar member, and at least a second cross-bar member disposed on a rear side of the leverage bar member at the concave portion, wherein the leverage bar member is moved by a winch mechanism attached thereto by an upper hook on the end of a first cable, and a lower hook on the end of a second cable attached to an underside of a bed frame.

Abstract: The present invention relates to an inversion exercise machine having a rocking-chair function. An inversion exercise machine having a chair function has been developed that can combine the functions of inverted exercise and a chair, such that the invention can be transformed into an inversion exercise machine from being used as a chair; the invention being easy to use and the versatility of the machine being enhanced.

Abstract: A wearable robot includes a mechanism unit for assisting an wearer of the wearable robot in walking motion; a detection unit equipped on the wearer's body for detecting a moving direction of an arm of the wearer; and a controller for determining a walking intent of the wearer based on the moving direction of the arm of the wearer detected by the detection unit, and controlling the mechanism unit to produce auxiliary torque corresponding to the determined walking intent.

Abstract: The present invention provides a device which can generate commands for controlling a physical therapy apparatus adapted to accept external commands. The device has a base, a motion manipulation portion and a moveable portion of substantially the same shape and dimensions as the portion of the physical therapy apparatus which interacts with at least one part of the body of a patient. The device also includes conversion means for converting stored time-dependent output signals to a series of command signals and means for transmitting the command signals to the physical therapy apparatus. The command signals are produced by the movements of the moveable portion, and, when transmitted to the physical therapy apparatus, can induce the physical therapy apparatus to undergo a series of motions substantially identical to those of the moveable portion.

Abstract: An attachment to a walker that automatically positions a slip resistant surface under the foot of the user. Side-by-side slip resistant surfaces are attached to a walker. A retraction mechanism biases each of the slip resistant surfaces towards the walker. Upon stepping on one of the slip resistant surfaces and advancing the walker the retraction mechanism is extended. When taking a step removing pressure from the slip resistant surface, the slip resistant surface moves towards the walker positioned for receiving the user's foot during another step. Secure footing is obtained on wet or slippery surfaces preventing falls. The attachment is easily folded and closed to be positioned out of the way or removed for storage.

Abstract: A folding walker is provided, including methods of using the folding walker. The folding walker includes two side members. Each of the side members includes a leg assembly; a handle assembly; and two first hinges coupled between the leg assembly and the handle assembly. The folding walker also includes a front member. The front member includes a horizontal member having a first portion and a second portion; and a second hinge coupled between a first end of the first portion and a first end the second portion, wherein a second end of the first portion is rotatably coupled to one side member and a second end of the second portion is rotatably coupled to the other side member.

Abstract: A gastrointestinal capsule (GIC) including a capsule housing having a longitudinal axis; a thrusting mechanism, disposed within the housing; and a battery adapted to power the and a battery adapted to power the thrusting mechanism; the thrusting mechanism having an active mode, and a passive mode with respect to the active mode, the thrusting mechanism adapted to exert a radial force on the housing, in a radial direction with respect to the axis, such that when the capsule is disposed within a gastrointestinal tract of a user, and the mechanism is in the active mode, the gastrointestinal capsule stimulates a wall of the tract; the active mode including a series of at least two pulses of the radial force, the series having a first duration, the passive mode having a second duration, wherein an activation cycle is defined by the series of pulses followed by the second duration.