Abstract: A catheter including a loop member adjustment mechanism for adjusting a diameter of a loop member is provided. The catheter further includes a longitudinally-extending catheter shaft including a proximal end portion and a distal end deflectable portion, wherein the distal end deflectable portion includes the loop member. The loop adjustment mechanism includes a loop member pull wire, wherein a distal end of the loop member pull wire is attached to the loop member, and a sliding member, located within the handle, wherein the sliding member is configured to translate within the handle, and wherein a proximal end of the pull wire is attached to the sliding member.

Abstract: A guidewire for medical procedures can be maintained in a coiled configuration with a clamp. Multiple clamped and coiled guidewires may be stored in a fluid-filled, storage bowl concurrently. Different clamps may have different colors to differentiate the clamps and clamped guidewires. The clamps may be markable to provide additional differentiation. The clamps can further comprise a guidewire introduction funnel and/or a guidewire torquer.

Abstract: A urinary catheter may include a catheter shaft and a connector coupled with the proximal end of the catheter shaft. The connector may have a first arm ending in a fluid outlet configured to allow urine to flow out of the urinary catheter and a second arm with an aperture and ending in an inflation inlet used for introducing inflation fluid into the urinary catheter. The catheter may further include a primary lumen, an inflation lumen, a retention balloon mounted to the catheter shaft proximal to a fluid inlet and over a distal filling hole, and a pilot balloon mounted on the second arm of the connector over the aperture. The pilot balloon inflates at an inflation pressure that is higher than the inflation pressure of the retention balloon and lower than a predetermined pressure threshold.

Abstract: A catheter assembly including curved urinary catheter and a similarly curved housing for holding and carrying the same are disclosed. A catheter subassembly may be removed from the housing and mounted onto the handle to provide the catheter assembly in an extended deployed condition. The insertable portion of the catheter is curved in a way that compliments the curvature of the female urethra.

Abstract: The present invention relates to the diagnosis and treatment of urinary incontinence. The diagnosis and treatment involves the use of a multiple sensor-enabled catheter capable of providing real-time data regarding the patient's physiology, such as urinary flow and muscular function of the bladder sphincter, as well as the position and movement of the catheter within the patient.

Abstract: A guidewire includes an elongate core member having an intermediate segment, a distal segment and a proximal segment, a distal shoulder between the intermediate segment and the distal segment and a proximal shoulder between the intermediate segment and the proximal segment. A coil having a proximal end and a distal end is disposed about at least a portion of the distal segment of the elongate core member and disposed adjacent to the distal shoulder. A distal tip comprising a polymer material is disposed adjacent to the distal end of the coil and a proximal polymer member, the proximal polymer member disposed adjacent to the proximal shoulder. At least the intermediate segment and the coil have a diameter that is substantially the same.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a catheter. The catheter may include a catheter shaft and a balloon. The balloon may comprise a cone portion, a waist portion, and a body portion. A fiber braid may be disposed along the balloon. An inner surface of the waist portion may be thermally bonded to an outer surface of the catheter shaft and an inner surface of the fiber braid may be adhesively bonded to an outer surface of the waist portion.

Abstract: The invention relates to a method for producing a catheter (1) having a proximal segment, a distal segment, and an expandable element (2) arranged in the distal segment, it being possible to bring the expandable element (2) from a contracted state into an expanded state by supply of a fluid and there being arranged around the expandable element (2) in the contracted state a removable protector in the form of a tube (5), and the tube (5) being pulled over the expandable element (2) and being guided with the catheter (1) through one or more nozzles (6), stretching the tube (5) and reducing the inner diameter of the tube (5). Furthermore, the invention relates to a corresponding catheter (1) having a tube (5) pulled over the expandable element (2). The invention provides a catheter (1) having a particularly small cross section in the region of the distal segment.

Abstract: Provided is a pressure gauge capable of being effectively used for internal pressure measurement of a balloon catheter and capable of providing easy monitoring of a pressure value even when measuring internal pressure of an extracorporeal circulation circuit. The pressure gauge measures internal pressure of a balloon catheter used for treatment and diagnosis or pressure of a body lumen of a living body and includes a coil-shaped tube 2 to elastically deform. One end of the tube 2 is set as an open fixed end and the other end is set as a sealed free end and pressure introduced from the open fixed end can be measured based on a displacement position of the tube 2 due to the pressure.

Abstract: A subdural drainage device includes a subdural drainage housing defining a drainage passageway. The drainage passageway has a A subdural drainage device includes a subdural drainage housing defining a drainage passageway. The drainage passageway has a lower opening configured to connect to a subdural space of a patient and an upper opening. A blockage removal unit is in the housing, and the blockage removal unit has an end portion that is configured to reduce or remove blockages adjacent the lower opening of the drainage passageway that is movable between a retracted position in which the end portion is in the subdural drainage housing and an extended position in which the end portion of the blockage removal unit extends away from the subdural drainage housing via the lower opening of the drainage passageway. At least one side delivery port is in the housing and in fluid communication with the drainage passageway.

Abstract: Placement of a stent having a tethered ferromagnetic bead may be facilitated with a modified pusher having an opening at the distal end of the pusher to receive the tethered ferromagnetic bead. The ferromagnetic bead may be positioned within the bladder whereby a tether connection to a shortened stent ending within the ureter may be used to reduce the likelihood of patient irritation. The bead, tether, and stent assembly may be advanced into the patient as a unit along a conventional guide wire and using a conventional cystoscope.

Abstract: Devices and methods are provided for controlled delivery of medical substances such as drugs and medication. For example, a microchip medical substance delivery device includes a control system, and a medical substance capsule that comprises a medical substance contained with a reservoir, and a release structure to release the medical substance from within the reservoir in response to an activation signal generated by the control system. The control system comprises a wireless signal receiving element, processor, actuator circuit, and power supply source. The wireless signal receiving element captures a wireless signal. The processor detects an activation code embedded within the captured wireless signal, and generates an actuator control signal in response to the detection of the activation code. The actuator circuit generates the activation signal in response to the actuator control signal generated by the processor. The power supply source provides power to operate components of the control system.

Abstract: A double disk dermal device for administration of one or more active agents to the skin or mucosa of a host, in particular a patch is described including: a) active reservoir film layer; b) a backing overlay adjacent to the active reservoir film layer extending beyond the perimeter of the reservoir layer in all directions; c) second overlay backing layer with a coating of pressure sensitive adhesive which is adjacent to the first backing overlay extending beyond the perimeter of the first backing overlay in all directions; and d) a removable release liner. A method of making the device is also provided.

Abstract: The Peritoneal Conduit is a medical device composed of tubing with an integrated collar made of a flexible and non-absorbable material for surgical implantation to create a conduit for passage of a catheter between two body cavities. The Peritoneal Conduit has a hollow center that spans from one end (shorter proximal portion) to the other end (longer distal portion). The catheter that will be being placed through the Peritoneal Conduit will enter into the proximal portion and will pass through the hollow center of the Peritoneal Conduit to emerge from the distal portion. The catheter is then secured to the Peritoneal Conduit using one suture that is tied around the groove in the proximal portion of the Peritoneal Conduit. The Peritoneal Conduit itself is secured in placed using two sutures that are placed through the integrated collar at the junction of the proximal and distal portions of the Peritoneal Conduit.

Abstract: An apparatus comprises a cardiac signal sensing circuit configured for coupling electrically to a plurality of electrodes and to sense intrinsic cardiac activation at three or more locations within a subject's body using the electrodes; a stimulus circuit configured for coupling to the plurality of electrodes; a signal processing circuit electrically coupled to the cardiac signal sensing circuit and configured to determine a baseline intrinsic activation vector according to the sensed intrinsic cardiac activation; and a control circuit electrically coupled to the cardiac signal sensing circuit and stimulus circuit and configured to: initiate delivery of electrical pacing therapy using initial pacing parameters determined according to the baseline intrinsic activation vector; initiate sensing of a paced activation vector; and adjust one or more pacing therapy parameters according to the paced activation vector.

Abstract: A lead assembly and a method of making a lead are provided. The method of making a multi-contact lead assembly comprises placing monofilament placed in the void spaces not occupied by the plurality of conductor wires and, in one embodiment, thermally fusing the monofilament to the like material spacer by applying heat just below the melting temperature of the monofilament and spacer material. Alternatively, the monofilament and spacer may be of different materials and heat is applied to cause at least one material to thermally reflow or melt. The conductive contacts may be located at either the distal end and/or proximal end of the lead. Oversized spacers may be used in order to provide extra material to fill voids during the thermal fusion/reflow process.

Abstract: The present invention relates to a guiding tube for stimulation leads, comprising a longitudinal, dimensionally stable tubular body enclosing an inner channel adapted to receive a stimulation lead, wherein at least one section of an otherwise electrically insulated inner surface of the tubular body has electroconductive properties. The present invention further relates to a corresponding stimulation lead placing system comprising such guiding tube, and to a corresponding computer program for placing a stimulation lead, utilizing such guiding tube.

Abstract: An epidural space is cleared of fat and scar tissue in preparation for implantation of a medical lead by utilizing a clearing tool. The clearing tool has a flexible body that allows the clearing tool to deflect when entering the epidural space through a window in the vertebral bone and ligaments. The clearing tool is guided into the epidural space and to a target site by a guidewire present in the epidural space. Upon removal of the guidewire and clearing tool, the medical lead is inserted through the window and cleared epidural space until reaching the target site. The clearing tool may include a distal tip with a shape and size that aids in the clearing of the epidural space. The distal tip may be integral to the clearing tool or may be removable so as to allow for different sizes of the distal tip to be installed as needed.

Abstract: Devices, systems and methods are provided for stimulation of tissues and structures within a body of a patient. In particular, implantable leads are provided which are comprised of a flexible circuit. Typically, the flexible circuit includes an array of conductors bonded to a thin dielectric film. Example dielectric films include polyimide, polyvinylidene fluoride (PVDF) or other biocompatible materials to name a few. Such leads are particularly suitable for stimulation of the spinal anatomy, more particularly suitable for stimulation of specific nerve anatomies, such as the dorsal root (optionally including the dorsal root ganglion).

Abstract: A prosthetic hearing implant kit is disclosed. The prosthetic hearing implant kit comprises internal components configured to be implanted in a recipient and comprises an internal coil; external components configured to be worn by the recipient and comprises an external coil adapted to be inductively coupled with said internal coil; and an alert system having a second external coil and adapted to receive an external alarm and to transmit signals to said implanted components via said external coil for providing the recipient with a corresponding alarm indication.

Abstract: An implantable device having a biocompatible hermetic package made from a biocompatible electrically non-conductive substrate and a cover bonded to the substrate. In integrated circuit and passive circuits all bonded directly to the substrate.

Abstract: An implantable pulse generator (IPG) that generates spinal cord stimulation signals for a human body has a programmable signal generator that can generate the signals based on stored signal parameters without any intervention from a processor that controls the overall operation of the IPG. While the signal generator is generating the signals the processor can be in a standby mode to substantially save battery power.

Abstract: An embodiment in accordance with the present invention is directed to a system and device for applying electrical direct current transcranially to the brain that is combined with a behavioral activity consisting of an isometric force production task. The device is non-invasive or implantable and serves to improve motor symptoms in Parkinson's disease (PD) and other movement disorders. During the stimulation, the patient is engaged in a behavioral task using a system consisting of two force transducers and a controller. The patient holds the transducers, one in each hand, and is engaged in a task that requires the brain to assign forces to each arm so that the sum of the forces matches an instructed amount. In an electrode placement specifically for PD, bilateral primary motor cortices are simultaneously stimulated according to a specific algorithm that depends on the forces that the PD affected individual produces in the behavioral task.

Abstract: Systems and methods for identifying and treating patients with high frequency electrical signals. A representative method for identifying a patient as a candidate for pain treatment includes identifying a first sensory threshold, delivering an electrical signal to a neural population of the patient at a frequency in a frequency range of 1.5 kHz to 100 kHz and, while and/or after delivering the electrical signal to the patient, identifying a second sensory threshold of the patient. If the second sensory threshold is less than the first, the method can include identifying the patient as a candidate for receiving an electrical signal at a frequency in the foregoing range for pain treatment.

Abstract: A method and apparatus for treatment of hypertension and heart failure by increasing secretion of endogenous atrial hormones by pacing of the heart. Pacing is done during the ventricular refractory period resulting in premature atrial contraction that does not result in ventricular contraction. Pacing results in the atrial wall stress, peripheral vasodilation, ANP secretion. Concomitant reduction of the heart rate is monitored and controlled as needed with backup pacing.

Abstract: One aspect relates to a feedthrough system. The feedthrough system includes a feedthrough and a wire. At least a portion of the feedthrough is made of an insulator and at least one area forming an electrically conductive cermet pathway. The cermet pathway may include an electrically conductive metal. The wire may be at least partially connected to the cermet pathway so that the material of the wire forms a joint microstructure with the electrically conductive material in the cermet pathway.

Abstract: A feedthrough filter capacitor assembly comprising a terminal pin connector is described. The terminal pin connector is designed to facilitate an electrical connection between the terminal pin comprising a multitude of compositions to a circuit board of an implantable medical device. The terminal pin connector comprises a clip portion positioned within a connector housing. The connector clip mechanically attaches to the terminal pin of the feedthrough with at least one prong and an exterior surface of the connector housing electrically contacts the circuit board, creating an electrical connection therebetween. The connector housing comprises a material that is conducive to a weld or solder attachment process to the circuit board.

Abstract: Apparatus and method for treating an arrhythmia in a patient using an electrotherapy device such as a subcutaneous pacing device. The device applies a series of electrotherapy pulses in response to the presence of the arrhythmia. Various provisions are disclosed for mitigating pain or discomfort as a result of the electrotherapy pulses.

Abstract: Transcranial magnetic stimulation (TMS) is used to modulate permeability of the blood brain barrier in a transient, safe and non-invasive manner. A conventional or deep TMS coil may be placed on a head in a vicinity of a tumor, for example. A series of magnetic pulses is provided to the brain with a tailored stimulation protocol. In one of many possible clinical applications, a pharmaceutical substance may be introduced during a time frame before, during or after providing the magnetic pulses to treat a tumor in the brain.

Abstract: The purpose of the invention is to provide a transcranial magnetic stimulation system capable of being readily set into an optimum position for treatment. The system 1 of the invention includes a support mechanism 30 configured to support a patient, a first mechanism 200 configured to move the coil in a left and right direction of the patient about a first axis 220 extending in a back and forth direction of the patient relative to a head of patient supported by the support mechanism, and a second mechanism 300 configured to move the coil in the back and forth direction about a second axis 320 extending in the left and right direction relative to the head of the patient.

Abstract: The purpose of the present invention is to provide a miniaturized excitation coil with increased safety as an excitation coil used in magnetic stimulation therapy. The present invention provides an excitation coil having a spiral conductive wire part that generates a magnetic field, characterized by the conductive wire end faces of the spiral conductive wire part being parallel with respect to the central axis of the excitation coil.

Abstract: Disclosed here in are a system and method for providing a magnetic resonance treatment to a subject. In one described embodiment, a system for providing a magnetic resonance treatment to a subject is provided, the system including components that provide the system with an ability to treat pain and relieve symptoms of the subject. In another embodiment, a method of providing a magnetic resonance treatment to a subject is provided, wherein the system includes components that provide the system with an ability to treat pain, relieve symptoms, provide relaxation, and improve the overall comfort and well-being of the subject.

Abstract: A light therapy apparatus is described that includes a housing, a laser mounted in the interior of the housing, and a control circuit that controls the laser according to a control program. The housing includes an opening extending through a first surface of the housing from an interior of the housing. The first surface is perpendicular to the bottom of the housing. The laser is mounted in the interior of the housing so as to output laser light in a direction perpendicular to the bottom of the housing, and the housing and the laser are arranged so that eyes of a user are shielded from direct contact with the laser light output by the laser by the laser light output from the laser being indirectly output through the opening.

Abstract: Systems, methods, and apparatuses are provided for an advanced gynecological applicator. In accordance with some embodiments, a brachytherapy applicator head and assembly is provided. The assembly may include two ovoid tubes configured to receive radiation sources, the two ovoid tubes combining to form a rounded applicator having a middle opening and comprising a plurality of needle holes to guide interstitial needles. The assembly may also include a central applicator tube configured to receive a radiation source that is located within the middle opening. Additionally, the assembly may include a vaginal cap that includes a tool-free connection to the two ovoid tubes and includes needle guides that align with the needle holes of the two ovoid tubes. The assembly may include a one-piece template for securing interstitial needles. The assembly may further include a tool-free connector to secure the two ovoid tubes to the central applicator tube.

Abstract: A positioning apparatus and a positioning method has a control element and function 40 includes a radiograph acquisition element 41 that acquires radiograph data detected by two radiography systems selected from a group consisting of a flat panel detector, a DRR (Digital Reconstructed Radiograph) generation element 42 that generates DRR in two different directions by virtually performing fluoroscopic projection relative to the 3-dimensional CT data obtained through the network 17, a positioning element 43 that positions a CT to the X-ray fluoroscopic radiograph obtained from two radiography systems, and a displacement distance calculation element 44 that calculates a displacement distance of the tabletop 31 based on the gap between radiographs for improved positioning.

Abstract: Provided is a radiation therapy apparatus on which quality management is performed. The radiation therapy apparatus includes: a body unit; a gantry coupled to one side of the body unit and formed to be rotatable in at least one direction with regard to the body unit; a radiation irradiating head formed at one side of the gantry to irradiate a radiation; and a level control module formed at one side of the radiation irradiating head to measure a rotation angle of the gantry or the radiation irradiating head, compare the measured rotation angle with a rotation angle indicated by an angle indicator of the radiation therapy apparatus, and correct an error of the angle indicator.

Abstract: An ultrasound deep brain stimulation method and system, the ultrasound deep brain stimulation method comprises: medically imaging a head of an animal or a human being, to generate image data; creating a head 3D digital model according to the image data; creating a 3D digital model of an ultrasound transducer array according to structure, density and acoustic parameters information of the ultrasound transducer array; generating a first ultrasound transmitting sequence according to the head 3D digital model, the 3D digital model of the ultrasound transducer array, structure, density and acoustic parameters of the skull and brain tissues, and structure, density and acoustic parameters of the ultrasound transducer array; and controlling the ultrasound transducer array to transmit ultrasound waves in accordance with the first ultrasound transmitting sequence, to implement ultrasound deep brain stimulation to the brain nucleus to be stimulated.

Abstract: A discharger structure on earloop facemasks includes at least one opening hole on an earloop facemask covered by a cover. The cover is in a streamline shape and has a passage space for airflow. A check valve is disposed in the opening hole at an inner side of the cover, and the cover further has a discharging hole at an opposite side of the check valve, defining an area within the passage space between the check valve and the discharging hole for airflow. Thereby the check valve is closed by a diaphragm when air pressure within the facemask is negative, and the check valve is opened by the diaphragm when air pressure within the facemask is positive, so as to control airflow through the check valve.

Abstract: A harness including a belt and a pair of thigh straps connected by a strap, the harness including a ventral suspension point including a connector attached to the ventral part of the belt. The connector includes: a rod of longitudinal axis AA mechanically connecting the connector to the belt, a first part including a connecting ring, and mounted movable in rotation with respect to the belt around the rod, a C-shaped second part mounted movable in rotation around a second axis BB parallel to the axis AA and defining a closed contour with the axis BB, the first part and second part being able to be separated from one another so as to allow insertion of at least one accessory for progression on a rope in the C-shaped second part. Also relates to a method for fitting a connector and using a connector on such a harness.

Abstract: The invention relates to a harness comprising a belt and a pair of thigh straps and a ventral suspension point. The ventral suspension point comprises: a connector positioned on the belt, the connector comprising a connecting ring fitted movable in rotation with respect to the belt by means of a rod of longitudinal axis, the rod comprising a first end and a second end opposite the first end along the axis of rotation of the connecting ring, a first attachment part and a second attachment part designed to be connected to an external device, the first attachment part and the second attachment part being placed on the connector along the axis of rotation of the connecting ring and outside the connecting ring.

Abstract: A releasable sling device includes first, second, and third attachment devices. The first attachment device is configured to an elevating device. The second attachment device is configured to be attached to an object. The third attachment device configured to be attached to a structure. A connection element is connected between the first attachment device and the second attachment device. A securing device has a first end that is connected to the second attachment device and a second end that is connected via a releasable connection device to the third attachment device. A releaser element is connected between the first attachment device and the releasable connection device. The releasable connection device is configured to release the third attachment device from the securing device when the releaser element is pulled away from the releasable connection device with a predetermined force threshold.

Abstract: A load indicator for use with a fall protection apparatus having a line and a connector for connecting to a user includes a housing having a pass-through opening and a covered indicator region. At least a portion of the housing is configured for connecting to the line. The load indicator also includes a shear pin supported by the housing and extending across the pass-through opening, and a saddle extending across at least a portion of the pass-through opening and supported by at least a portion of the shear pin. The saddle is configured for connecting to at least a portion of the connector. The saddle is movable relative to the housing between a first position and a second position when a force exceeding a predetermined threshold value is applied on the saddle causing the shear pin to shear or break. At least a portion of the indicator region is uncovered in the second position of the saddle when the shear pin shears or breaks.

Abstract: The present invention concerns a portable building fire suppression system which allows fire-fighters to position the device within a building early on in the firefighting process. The device may use automated controls to begin fire suppression. Further, a number of electronics including lighting, smoke detection, alarms, camera, motion sensor, and the like may be included on the portion of the device inserted into the building. These electronic systems may provide vital information early in the firefighting process to inform fire fighters about conditions within the building.

Abstract: A firefighting or rescue apparatus includes a frame, cab and/or body to which a signal light grab handle or elongated light integrated handle is mounted. The handle is operable in an illumination mode in which the grab handle emits illumination in a predefined manner, and a sleep mode in which the grab handle emits no illumination. The grab handle includes a light strip including a plurality of light sources, such as LEDs. This strip can be coupled to a wire that extends through one or more handle attachment brackets, and through an exterior outer panel of the apparatus. The light grab handle provides at least one of warning lights, brake lights and signal lights to observers of the firefighting apparatus when actuated.

Abstract: A nozzle access device is configured to be installed in a structural element and to accept connection by a fire hose nozzle to introduce firefighting fluid into an enclosed space. The device has a housing configured to be inserted in a hole formed in the structural element. The housing has a cylindrical body and a first face with an opening surrounded by an inwardly extending cylindrical socket. The housing has a second face, with an opening, which is attached to the cylindrical body. A movable nozzle connector in the housing has a connection portion configured to receive an inserted fire hose nozzle in a locking connection and a cylindrical nozzle stop portion extending from the connection portion. The nozzle stop portion is movably coupled within an interior of the socket of the first face.

Abstract: A fire suppressant system is a device that uses steam/super-heated water to suppress and put out fires rather than the traditional water method. The invention uses steam/super-heated water under high pressure to blow out and suppress the fire. The wet pressurized steam/super-heated water “blows out” the fire and the pressure removes (displaces) the oxygen and spark needed for the fire to continue burning. The wet steam/super-heated water works much like water to suppress and put out the fire but the additional benefits of the pressure help to reduce the fuel (air and spark) for the fire as well.

Abstract: A hazardous drug deactivation wipe kit includes a first pouch having a one-way valve coupled to an end thereof, a second pouch, and a third pouch. The first pouch contains a wipe saturated in a hypochlorite solution, the second pouch contains a wipe saturated in thiosulfate solution, and the third pouch contains a wipe saturated in isopropyl alcohol solution. The deactivation wipe kit may be used in a clean room to deactivate most hazardous drugs on a work surface.

Abstract: A foam exercise block in the shape of a wedge having an inclined front face, a vertical rear face, and a bottom face defining forward, upper, and rear edges. A ball socket is formed in the front face, and upper and lower semi-circular grooves running between the front and rear faces at the upper and forward edges of the wedge provide support for an exercise ball and portions of the body. The continuity of the lateral edges at their ends is interrupted by right-angled cutouts to provide corner handholds for various exercises using the wedge as a brace against a flat surface.

Abstract: A collapsible exercise machine includes a stationary base, a moving member, and a supporting frame. The stationary base includes a pivotally connecting portion and a first supporting portion. The moving member is pivotally connected to the pivotally connecting portion of the stationary base, can be pivoted to an extended position and a collapsed position with respect to the stationary base, and includes a second supporting portion. The supporting frame includes a third supporting portion, is fixedly connected to the stationary base, and lies under the pivotally connecting portion. When in the extended position, the stationary base and the moving member are supported by the third supporting portion as well as the first supporting portion and the second supporting portion.

Abstract: The gluteal muscles are exercised using a vertical lift strategy. It is much improved over common buttock exercise methods of sitting, laying, squatting or pushing weight horizontally. The (GM) power lift apparatus is operated in a standing position. Using commercial exercise design methods, the GM power lift apparatus is designed around the lifting of a variable weight plate stack. Three pullies redirect the pull force of the weight plate under the operator's foot as lift on the gluteus maximus muscle group. The new standing design allows improved muscle agitation by making the gluteus maximus muscle group lift a vertical payload, the maximum angle of force. During the power lift stroke, the foot, leg and back muscles are vertically synchronized to horizontal stretched forearms providing greater strength management.