Abstract: A catheter is provided, such as for distal neurovascular access or aspiration. The catheter includes an elongate flexible body, having a proximal end, a distal end and a side wall defining a central lumen. A distal zone of the side wall includes a tubular inner liner, a tie layer separated from the lumen by the inner liner, a helical coil surrounding the tie layer, adjacent windings of the coil spaced progressively further apart in the distal direction. An outer jacket surrounds the helical coil. The outer jacket is formed from a plurality of tubular segments positioned end to end, coaxially about the coil. The flexural load profile of the catheter as a function of catheter length is configured to provide enhanced distal flexibility while maintaining high backup support.

Abstract: Provided is an endoscope sheath including: a sheath body having an elongated rotating section and a stationary section, which are coupled to each other in a relatively rotatable manner about a longitudinal axis; a first passage along the axis; a second passage parallel to the first passage; an outlet through which a proximal end of an injection needle inserted in the second passage is pulled outside, the outlet being capable of changing a pullout position of the proximal end of the needle relative to the stationary section in the circumferential direction; and holders provided in the stationary section and separated by intervals in the circumferential direction, each holder securing an injector having the needle to the stationary section at a position where the needle protrudes from the distal end of the body and releasing the injector at a position where the needle is accommodated inside the body.

Abstract: A microtube guide has a microtube combined with a free-floating and removable core. The microtube is generally hollow with a tube shaft and a distal ring, the tube shaft and the distal ring formed from flexible plastic. The distal ring is conformable to the core and straightenable for insertion into a patient's body, and deploys when the core is withdrawn to form a loop. The core is received by the microtube and is configured to advance into the distal ring to cause a diameter of the distal ring to expand, retract, or straighten. The distal ring diameter is thus adjustable by the user.

Abstract: A magnetic guidance system (20) for guiding a guidewire (70) or other elongate medical device includes a magnet unit (20) disposed in one implementation adjacent a head end of a patient table (30). The magnet unit is disposed on a magnet support which enables the magnet unit (20) to move in a periodic motion substantially around a single plane. The preferred motion is a rotary motion about a patient's head, which creates a repetitive repulsive force at the distal end of the medical device, causing the distal end of the medical device to move in different directions within the patient's vasculature, useful in assisting the guidance of the medical device through tortuous vessel structures. The repetitive alternating medical field makes guidance of a medical device within a patient's vasculature a relatively simple task.

Abstract: An apparatus for performing medical procedures on an anatomical body includes an extension with an element near its distal end to be extended into the body, and a driver that moves the extension axially into the body, and that causes flexure of the distal end of the extension. The movement and flexure of the extension is driven by the driver from the proximal end of the extension, and an electronic controller directs the operation of the driver.

Abstract: The present disclosure provides a medical device comprising an actuator restraining assembly configured to assist in restraining a catheter shaft in a deflected configuration. The actuator restraining assembly may include a brake element, a release element, a connecting sheath, and a connecting rod disposed in a catheter handle, wherein the connecting sheath and connecting rod are attached to an actuator mechanism, and wherein the at brake element is attached to the connecting sheath and the release element is attached to the connecting rod. The brake element is sized and configured to contact an inner wall of the handle to thereby provide resistance to movement of actuator mechanism in a proximal direction with respect to the handle. In one embodiment, the actuator restraining assembly is configured to allow for temporary, i.e., reversible, restraining of the catheter shaft in the deflected configuration.

Abstract: A balloon catheter includes an outer shaft, an inner shaft, and an inflatable balloon. The inner shaft is inserted inside the outer shaft. A part of the inner shaft extends from a leading end of the outer shaft. The balloon includes a base end side joint portion joined to the outer shaft and a leading end side joint portion joined to the inner shaft. The inner shaft has an extension portion configured to in an axial line direction. The extension portion is provided further to a base end side than the leading end side joint portion.

Abstract: An apparatus for performing a medical procedure and, in particular, an aortic valvuloplasty, in a vessel for transmitting a flow of fluid. The apparatus comprises a shaft, an inflatable perfusion balloon supported by the shaft and including an internal passage for permitting the fluid flow in the vessel while the perfusion balloon is in an inflated condition, and a valve for controlling the fluid flow within the passage. The valve may be connected to the shaft, or may comprise an elongated tube partially connected to the balloon. The balloon may comprise a plurality of cells in a single cross-section, each cell including a neck, and the valve may be positioned in a space between the shaft and the necks for controlling the fluid flow within the passage. A connector may also be provided to control the position of the valve.

Abstract: An apparatus for performing a medical procedure and, in particular, an aortic valvuloplasty, in a vessel for transmitting a flow of fluid. The apparatus includes an inflatable perfusion balloon including an internal passage for permitting the fluid flow in the vessel while the perfusion balloon is in an inflated condition, the balloon including a plurality of cells in a single cross section and a covering for at least partially covering the cells. A valve associated with the balloon controls the fluid flow within the passage, the valve being arranged external to the passage. The valve may form a tubular extension of the covering, or may be separate from the covering, and may comprise flaps. A spiral covering may also form the valve.

Abstract: A wound dressing has a micro-architecture to produce appropriate strains in cells to promote the healing a wound. The apparatus includes a wound cover for defining a reservoir over a wound in which a negative pressure may be maintained by forming a substantially fluid-tight seal around the wound, a vacuum source in fluid communication with the reservoir and suitable for providing an appropriate negative pressure to the reservoir to stimulate healing of the wound, and a porous structure positioned in contact with the wound for delivering micro-mechanical forces to localized areas of the wound. The porous structure comprises a three-dimensional film material having directional apertures formed therein.

Abstract: Discloses is a method of manufacturing a micro-needle. The method includes a step of preparing a medicinal solution, a step of forming a plurality of tips with the medicinal solution, and a step of forming a cavity in each of the tips. In accordance with such a configuration, a micro-needle in which cavities are formed is provided, whereby it is possible to administer a fixed amount of medicine in a short time.

Abstract: A microneedle injection apparatus comprising an inverted actuator. The apparatus can include a housing having a base and a cavity, and a microneedle array holder configured to hold a microneedle array within the cavity of the housing. The microneedle array holder can be movable between a retracted position, and an extended position. The apparatus can further include an actuator movable with respect to the housing and the microneedle array holder between a first position and a second position to cause the microneedle array holder to move from the retracted position to the extended position. At least a portion of the actuator can be located on a skin-facing side of the apparatus (e.g., adjacent the base of the housing) and can be configured to be moved from the first position to the second position in response to the apparatus being pressed toward the skin surface.

Abstract: Methods for marking the location of and/or providing for an access point on a tissue wall include navigating an extended working channel (EWC) to an access point and piercing a tissue wall by piercing tool at the access point to create an opening through which the EWC may pass. The opening allows for the deployment of one or more of a diagnostic, imaging, or therapeutic modality from the EWC. Following removal of the one or more diagnostic, imaging, or therapeutic modality, a coagulant may be deposited to permit the opening to close. The location of the piercing is marked to easily identify the location at which the tissue wall was pierced for subsequent procedures.

Abstract: A bag connector system includes a first coupling element, with a self-closing seal and a housing having a fluid inlet port and a fluid outlet port, and a second coupling element, with a housing having a fluid inlet end and a fluid outlet end. The fluid inlet end is configured to displace the self-closing seal when inserted into the fluid outlet port of the first coupling element. A bag connector system optionally includes a locking mechanism to maintain the first coupling element and second coupling element in a coupled state. Uncoupling of the first and second coupling elements results in minimal fluid contamination on the outer surfaces of the coupling elements. The bag connector systems provided herein are included in medical appliances for waste management.

Abstract: A device for connecting first and second medical fluid flow systems includes a linear movement carriage system that is positioned within a housing. The carriage system includes first and second connector holders configured to hold first and second connectors of the first and second medical fluid flow systems, respectively. A coupler holder is configured to hold a coupler and is positioned substantially between the first and second connector holders. The first and second connector holders and the coupler holder are relatively moveable between a separated configuration, where the first and second connectors and the coupler are located in relatively spaced apart positions, and a joined configuration, where the first and second connectors engage the coupler. An ultraviolet light source is positioned in the housing so as to irradiate first and second connectors and the coupler.

Abstract: A connecting device for a medical infusion system includes a connection piece which has a connecting profile for the connection of a functional part of the infusion system. The connecting device also has a resiliently flexible, cup-like valve body which is arranged in the connection piece and has a valve casing and cap-shaped top region which is provided with a slit arrangement. Further, the connecting device has a dimensionally stable base portion on which a base ring of the valve casing is supported and which is firmly connected to the connection piece. In the unloaded initial state, the valve casing has a convex internal contour which, starting from the cap-shaped top region, first expands in the direction of the base ring and subsequently narrows again, forming an O-like internal longitudinal section. The connecting device can be in the form of a three-way stopcock for an infusion system.

Abstract: Trigeminal nerves are stimulated based upon pulse counting and chronobiology. A cutaneous electrode assembly is applied to the forehead to stimulate the ophthalmic nerves. A method may include determining a number of pulses to be administered to a patient based upon the disorder being treated, and pulsing current through an electrode assembly to stimulate the patient's supraorbital and supratrochlear nerves with the determined number of pulses. Another method may include determining a pulse repetition frequency for pulses to be administered to a patient based upon the disorder being treated, and pulsing current through an electrode assembly to stimulate the patient's supraorbital and supratrochlear nerves at the pulse repetition frequency.

Abstract: An implantable electrode system of is disclosed that includes a conductive electrode layer, an interconnect coupled to the electrode layer, an insulator that insulates the interconnect, and an anchor that more securely fixes the electrode layer in place. This structure is particularly useful with the electrode layer being a neural interface that is configured to provide either a recording or stimulating function. A method for forming such an implantable electrode system includes forming an interconnect over a base layer, forming an anchoring structure over the base layer, depositing an insulating material layer over the interconnect structure and over the anchoring structure, exposing a portion of the interconnect structure, forming an electrode layer over the insulating layer, the electrode layer contacting the exposed portion of the interconnect structure.

Abstract: An implantable therapy lead is disclosed herein. In one embodiment, the therapy lead includes an elongated lead body and a suture sleeve. The elongated lead body has a proximal region and a distal region opposite the proximal region. The suture sleeve is supported on the lead body and has a proximal end, a distal end opposite the proximal end, an outer surface extending between the proximal end and distal end, and an inner surface radially inward of the outer surface and extending between the proximal end and distal end. The inner surface defines a lumen through which the elongated lead body extends. A helical structure helically extends about a longitudinal center axis of the lumen and along the inner surface.

Abstract: A peripheral nerve stimulator configured as a flexible circuit to stimulate or block the operation of a nerve or nerve bundle, including electrode array, cable and bond pad portions connected to an electronics package. The electrode array is configured for peripheral nerve modulation and may be curved cylindrically to encompass a nerve. A cylindrical curve can be imparted through thermoforming or by applying a stretchable polymer. The stretchable polymer places the electrode array portion into a cylinder when the electrode array portion is in a relaxed position. The electronics package includes low profile, stacked thin chip electronic components that are tunable in-situ, requiring less vertical and lateral space than stacked passives. The thin chip components may be high density trench capacitors, metal-on-semiconductor capacitors positioned on an integrated circuit chip.

Abstract: An iontophoresis system includes a preloaded reservoir containing one or more doses of a therapeutic agent. As a result, the therapeutic agent does not have to be loaded into the reservoir prior to use. In such a system, the preloaded reservoir is generally disposable. Various components of the iontophoresis system can be combined with the reservoir in a disposable cartridge that is selectively connectable to other, reusable components of the iontophoresis system. In addition, the entire iontophoresis system can be formed from one or more disposable, one-time-use modules.

Abstract: The invention relates to an end piece intended for equipping a device for cosmetic treatment of keratin materials with an electric current, the end piece comprising an application member (6) comprising an electrode (1) and a counter electrode (2), said electrode (1) and counter electrode (2) being separated from one another by an electrically insulating zone (3).

Abstract: A system and method are presented that electrically stimulates the phrenic nerve whereby said stimulation results in muscle activation of the diaphragm as observed by a measurement of work or power of breathing associated with the inspiratory portion of a stimulated breath.

Abstract: An EMS training device includes an EMS stimulus generating unit for generating EMS stimuli following a specified excitation pattern with current pulses and/or an alternating current. EMS electrodes are attached to a living body in pairs for applying the EMS stimuli to the body. Line branches connect the EMS electrodes to the EMS stimulus generating unit to apply the EMS stimuli to corresponding EMS electrodes such that a current with a specified amplitude and frequency pattern is conducted through the body. To protect the EMS electrodes and/or other susceptible elements of the line branches from corrosion, the EMS training device has at least one measuring device for measuring a value of a resistance in the line branch, a comparison device for comparing the value with a target value, and at least one compensation device for compensating for a deviation of the actual value from the target value.

Abstract: Embodiments of the invention provide apparatus, systems and methods for facilitating introduction of a urinary drainage catheter (UDC) into the urinary tract (UT). One embodiment provides a UDC including electrodes for delivering high frequency current to a patient's pudenal nerves to relax the urinary sphincter (US) before passing the UDC therethrough so as reduce the resistance force on the UDC and discomfort to the patient. The electrodes can comprise at least one pair of bipolar electrodes and may be flexible so as to bend and flex within the urethra. The UDC includes one or more lumens including a drainage lumen and an inflation lumen for inflating an anchoring device on the UDC. The UDC can include a pressure sensor to assess relaxation of the US. The UDC may include a second set of electrodes and irrigation lumen for relaxing the US and flushing the urethra with the UDC in place.

Abstract: A transcutaneous electronic nerve stimulation device configured to provide therapy to a patient includes a control unit assembly, a power source, and a therapy plate electrically coupled to the power source. The therapy plate includes an electrical source configured to deliver electrical stimulation to the patient, a heat source configured to deliver heat to the patient, and a radiation source configured to deliver radiation to the patient. The transcutaneous electronic nerve stimulation device further includes a rigid connector electrically coupling the therapy plate to the power source such that the therapy plate is fixed relative to the power source.

Abstract: Described herein are methods and apparatuses for the application of transdermal electrical stimulation (TES) in order to modulate a user's cognitive state to induce a state of calm or relaxation. The apparatuses described herein include neck-worn devices having electrodes (or configured to connect to electrodes, including automatically self-connecting to electrodes) adapted to couple to the midline of the back of user's neck. A neck-worn controller may be configured as a cord, band, wire, torc, necklace, loop, strap, or the like, and may be rigid or semi-rigid and may be worn at least partially around the subject's neck. The controller may controllably apply one or more waveforms to the electrodes of the electrode pad (e.g., patch) to deliver TES adapted to induce or enhance a relaxed cognitive state.

Abstract: Described herein are electrical stimulation patterns and methods of use thereof for treating dry eye disease, tired eye, or other forms of ocular discomfort. The methods generally include applying patterned stimulation to an anatomical structure located in an ocular region or a nasal region to increase tear production.

Abstract: A positionally sensitive spinal cord stimulation apparatus and method using near-infrared (NIR) reflectometry are provided for automatic adjustments of spinal cord stimulation. The system comprises an electrode assembly with an integrated optical fiber sensor for sensing spinal cord position. The integrated optical fiber sensor, comprising a pair of optical elements for emitting light from an IR emitter and for collecting reflected light into a photodetector, determines a set of measured photocurrents. As the spinal cord changes position, the angles of incidence for light from the IR emitter and the measured optical intensities change. Electrode pulse characteristics are adjusted in real time, based on the set of measured optical intensities, to minimize changes in stimulation perceived by the patient during motion. The system includes automatic calibration of the optical fiber sensor when the patient is at rest, and a patient orientation detection.

Abstract: An apparatus comprises a cardiac signal sensing circuit configured to sense a plurality of intrinsic cardiac signals using a plurality of cardiac pacing sites, a heart sound sensing circuit, a stimulus circuit configured to provide an electrical cardiac pacing stimulus to the plurality of pacing sites, and a control circuit electrically coupled to the cardiac signal sensing circuit and the stimulus circuit. The control circuit includes a pacing site locating circuit configured to generate an indication of a preferred pacing site as one of a) a subset of the respective cardiac pacing sites selected using the intrinsic ventricular activation time interval value, from which subset the preferred pacing site is selected using the heart sound characteristic value; or b) a subset of the respective cardiac pacing sites selected using the heart sound characteristic value, from which subset the preferred pacing site is selected using the ventricular activation time interval value.

Abstract: A system and method to sense heart sounds with one or more implantable medical devices according to one or more signal processing parameters. The method alters one or more of the parameters as a function of one or more physiologic triggering events. The method then senses heart sounds with the one or more implantable medical devices according to at least the one or more altered signal processing parameters.

Abstract: An implantable medical device (IMD) may include a housing having a proximal end and a distal end and a set of one or more electrodes connected to but spaced apart from the housing. The IMD may further include a controller disposed within the housing, wherein the controller is configured to sense cardiac electrical signals, and deliver electrical stimulation pulses via the first set of one or more electrodes. In some embodiments, a first portion of the housing is configured to be disposed at least partly within a coronary sinus of a patient's heart and a second portion of the housing is configured to be disposed at least partly within a right atrium of the patient's heart.

Abstract: A method for subcutaneously treating pain in a patient includes first providing a neurostimulator with an IPG body and at least a primary, a secondary, and a tertiary integral lead with electrodes disposed thereon. A primary incision is opened to expose the subcutaneous region below the dermis in a selected portion of the body. A pocket is then opened for the IPG through the primary incision and the integral leads are inserted through the primary incision and routed subcutaneously to desired nerve regions along desired paths. The IPG is disposed in the pocket through the primary incision. The primary incision is then closed and the IPG and the electrodes activated to provide localized stimulation to the desired nerve regions and at least three of the nerves associated therewith to achieve a desired pain reduction response from the patient.

Abstract: This document discusses, among other things, an implantable dielectric compartment including a channel in an outer surface of the implantable dielectric compartment, the channel configured to constrain a portion of an implantable antenna in a specific configuration along the length of the portion of the implantable antenna. In certain examples, the implantable antenna can be configured to wirelessly transfer information electromagnetically at a specified operating frequency provided using the specific configuration of the portion of the implantable antenna.

Abstract: A system or method for programming an electrical stimulation system can utilize any combination of a number of aids to facilitate communication between the patient and the programmer or clinician. For example, a three dimensional model or two dimensional representation of the human body or portion of the human body can be used by the patient to indicate sites of symptoms, stimulation effects or side effects. Non-textual icons or a graphical scale can be used by the patient to respond to queries by the programmer or clinician.

Abstract: This document describes an automated external defibrillator comprising a control configured to switch between a pediatric operating mode and an adult operating mode, wherein each operating mode comprises a mode-specific energy configuration and a mode-specific user configuration; an indicator configured to provide an indication of the operating mode in use during a resuscitation process; one or more processors configured to switch to the mode-specific energy configuration and the mode-specific user configuration upon a change of operating mode between the pediatric operating mode and the adult operating mode such that the automated external defibrillator delivers a defibrillating shock to a patient based on the mode-specific energy configuration; and an interface of the automated external defibrillator provides resuscitation instructions to a user based on the mode-specific user configuration.

Abstract: A dynamically adjustable biphasic or multiphasic pulse generation system and method are provided. The dynamically adjustable biphasic or multiphasic pulse generator system may be used as a pulse generation system for a defibrillator or other type of electrical stimulation medical device.

Abstract: A cardiac pacing system comprising one or more leadless cardiac pacemakers configured for implantation in electrical contact with a cardiac chamber and configured to perform cardiac pacing functions in combination with a co-implanted implantable cardioverter-defibrillator (ICD). The leadless cardiac pacemaker comprises at least two leadless electrodes configured for delivering cardiac pacing pulses, sensing evoked and/or natural cardiac electrical signals, and bidirectionally communicating with the co-implanted ICD.

Abstract: Devices and methods for cosmetic skin treatment using a magnetic field are provided. A device can include a case, a stimulation head coupled with the case and including at least one coil of conductive wire for generating a magnetic field, and an electronic circuit housed in the case for driving the coils to generate the magnetic field.

Abstract: Carriers for embodying radioactive seeds, as well as a device for loading and customizing brachytherapy carriers based on the principles of optimizing a more precise and predictable dosimetry, and adaptable to the geometric challenges of a tumor bed in a real-time setting. The present disclosure relates to a specialized loading device designed to enable a medical team to create a radionuclide carrier for each patient and tumor reliably, reproducibly and efficiently.

Abstract: The present invention relates to a respiratory gating system for a patient using a natural breathing method during radiation therapy, and a method for emitting radiation thereby.

Abstract: Particle radiation therapy and planning utilizing magnetic resonance imaging (MRI) data. Radiation therapy prescription information and patient MRI data can be received and a radiation therapy treatment plan can be determined for use with a particle beam. The treatment plan can utilize the radiation therapy prescription information and the patient MRI data to account for interaction properties of soft tissues in the patient through which the particle beam passes. Patient MRI data may be received from a magnetic resonance imaging system integrated with the particle radiation therapy system. MRI data acquired during treatment may also be utilized to modify or optimize the particle radiation therapy treatment.

Abstract: The invention provides for magnetic resonance antenna (100), wherein the magnetic resonance antenna is a surface coil and is a receive coil. The magnetic resonance antenna comprises one or more antenna elements (104, 404). The magnetic resonance antenna further comprises a preamplifier (402) for the antenna element and a coil former (106) for supporting the antenna element. The coil former is formed from a porous material. The antenna is divided into an irradiation zone (204) and at least one reduced radiation zone (202, 206). The preamplifier for each of multiple antenna elements is located within the at least one reduced radiation zone. The multiple antenna elements are located at least partially within the irradiation zone. The coil former has a perimeter, wherein the irradiation zone extends continuously from a first edge (208) of the perimeter to a second edge (210) of the perimeter. The first edge and the second edge are opposing edges.

Abstract: A radiation treatment system is described, including a linear accelerator (LINAC), having a housing, to emit a treatment beam to a target location and a Cerenkov emission detector, coupled to the housing of the LINAC, to capture a set of images of optical Cerenkov emission generated at the target location by charged particles of the treatment beam. A method is described including emitting the treatment beam from the LINAC to the target location and capturing, using the Cerenkov emission detector coupled to the LINAC, the set of images of optical Cerenkov emission generated at the target location by the treatment beam.

Abstract: The invention comprises a system for patient specific control of charged particles in a charged particle beam path using one or more trays inserted into the charged particle beam path, such as at the exit port of a gantry nozzle in close proximity to a tumor of a patient. Each tray holds an insert, such as a patient specific insert for controlling the energy, focus depth, and/or shape of the charged particle beam. Examples of inserts include a range shifter, a compensator, an aperture, a ridge filter, and a blank. Trays in a tray assembly are optionally retracted into an output nozzle of a charged particle cancer treatment system. Optionally and preferably, each tray communicates a held and positioned insert to a main controller of the charged particle cancer therapy system.

Abstract: There is provided a particle beam treatment system which has a simple mechanism and which is excellent in maintainability. Irradiation devices 10a and 10b respectively have a plurality of irradiation ports 102a, 102b, and 102c for irradiating a target with a particle beam in a plurality of directions. In addition, an irradiation nozzle unit 105 of the irradiation devices 10a and 10b is movable between the plurality of irradiation ports 102a, 102b, and 102c. A fixed cover structure 107 is disposed between the plurality of irradiation ports 102a, 102b, and 102c and the irradiation nozzle unit 105. In addition, the cover structure 107 has a slit 110 for allowing the irradiation nozzle unit 105 to move therethrough.

Abstract: An ultrasound emission device includes an ultrasound emission unit that emits an ultrasound, a drive unit that drives the ultrasound emission unit, and a support unit that supports the ultrasound emission unit and the drive unit so as to be installed in a human body. The ultrasound emission unit has a shape to be installed in an external auditory canal of the human body. The support unit has a shape to be installed in an auditory capsule of the human body. The ultrasound emission unit has a through-hole installed in order to transmit a sound to an eardrum of the human body.

Abstract: The invention relates to a rescue cage (4) for a hoisting rescue vehicle (1) having a turntable ladder (3), comprising a cage base (5), a cage barrier (6) and at least one column-type support element (7) that projects from the cage base (5) and is located in the outer peripheral region of the cage base (5). A first receiving device (15) is arranged or formed on the cage base (5) in the area of the support element (7). On the side facing the cage base (5), the support element (7) includes a first connecting element (16) that is connected to the first receiving device (15) in such a way as to be detachable as required. The invention further relates to a hoisting rescue vehicle (1) equipped with a rescue cage (4) of said type as well as a person holding unit.

Abstract: An assembly includes first and second ropes and a suspension element. The first rope is securable to a first attachment in a work area. A person can be coupled to the first rope. The second rope is available for lowering the person. The suspension element is secured in a securing region. A force-transmitting coupling is creatable between the second rope and the suspension element. The first and second ropes are coupled to each other over a first lowering region. The second rope is decoupleable non-destructively from the first rope from an end of the first lowering region. A person can be lowered in a second lowering region by the second rope. The weight of the person in the second lowering region is transferable from the second rope via the suspension element to the securing region.

Abstract: A door breaching device comprising: a longitudinal chassis having a first and a second extremity; a piston assembly located at said first extremity of the chassis, said piston assembly comprising a piston rod, said piston rod having, at a first end, a head and a second end located inside a piston chamber, said piston chamber having two opposite ends, a first end having an opening adapted for the movement of the piston rod therethrough and a second end located opposite said first end; wherein said piston rod is adapted for linear displacement between a first position where the second end of the piston rod is positioned at the second end of the piston chamber and a second position where the second end of the piston rod is at the first end of the piston chamber; a motor operatively connected to a hydraulic pump which is operatively connected to the piston chamber; a control unit for user input, said control unit being operatively connected to the motor; a two-part head assembly comprising: a fixed jaw, attac