Abstract: An atomizer with adjustable air intake quantity is disclosed including: an atomizer body, having a liquid storage chamber formed therein for storing tobacco liquid; an aerosol generator, configured for aerosolizing the tobacco liquid from the liquid storage chamber to generate an aerosol; at least one air inlet, formed on the atomizer body; an air pipe, disposed inside of the atomizer body and configured for conducting the aerosol to flow along the air pipe; the air inlet being in communication with the air pipe; and an adjusting cover, connected with the atomizer body by a thread to cover the air inlet; the adjusting cover is configured for being rotated to move up and down along axial direction of the atomizer body, to adjust a clearance between an edge of the adjusting cover and the atomizer body.

Abstract: Embodiments of the disclosure include an apparatus with a base. The apparatus also includes a cover arranged over the base, the cover comprising a plurality of compartments for storing an active pharmaceutical ingredient (API) within a chamber of each compartment of the plurality of compartments, each chamber being formed within the cover. Additionally, the apparatus includes a plurality of heaters, each respective heater of the plurality of heaters being positioned within the compartment for transmitting energy to the API. Also, the apparatus includes power contacts positioned on the base, the power contacts positioned to transmit received operational power to the plurality of heaters.

Abstract: The invention relates to a fluid delivery device (2, 2?) for delivering a fluid into a human or animal body. The fluid delivery device (2, 2?) comprises a fluid chamber (4, 4?) for receiving a fluid, an oscillator (6, 6?) for imparting oscillations to at least a portion of the fluid and a control for controlling the oscillator (6, 6?). The oscillator (6, 6?) comprises a vibrator (8, 8?) and a resonator (10, 10?). The resonator (10, 10?) has a main body (12, 12?), defining an interior volume (14, 14?), and a neck (16, 16?). The neck (16, 16?) is connected to the main body (12, 12?) and in fluid communication with the interior volume (14, 14?). The vibrator (8, 8?) is configured to impart vibrations to the resonator (10, 10?). The control is configured to control operation of the vibrator (8, 8?) so as to impart vibrations to the resonator (10, 10?) at a resonance frequency of the resonator (10, 10?) or at a frequency which is within ±20% of a resonance frequency of the resonator (10, 10?).

Abstract: An apparatus includes a first member coupled to a second member. The first member defines a chamber containing a dry powder and includes a chamber wall that forms an outer boundary of the chamber. The second member includes a surface covering the chamber and defines an intake channel and an exit channel The exit channel is fluidically coupled to the chamber via an exit opening. The intake channel is fluidically coupled to the chamber via an intake port. A center line of the intake channel is tangential to a portion of the chamber wall such that a portion of an inlet airflow conveyed into the chamber via the intake channel has a rotational motion. The intake port is defined at least in part by an intake ramp. The intake ramp includes a transition surface that forms an exit angle with respect to the surface of less than 105 degrees.

Abstract: A method of synchronizing a feature between an electronic vapor provision system and a mobile communication device of a user includes obtaining a current parameter of a configurable feature on one of the electronic vapor provision system and the mobile communication device; communicating an indication of the parameter to the other of the electronic vapor provision system and the mobile communication device; and the other one of the electronic vapor provision system and the mobile communication device reconfiguring a corresponding feature in response to the communicated indication of the parameter.

Abstract: Several methods of supporting respiratory function of a patient before, during and/or after a medical procedure are disclosed. In certain arrangements, supporting respiratory function while a patient is under general anaesthesia can include providing a high gas flow a high gas flow that is greater than 15 L/min while the patient is under general anaesthesia.

Abstract: A bronchoscope for insertion into a patient's airways for diagnostic and therapeutic purposes. The bronchoscope includes a bronchoscope head configured to be releasably secured and sealed to one tube of a set of interchangeable bronchial and/or tracheal tubes.

Abstract: A silencer having improved ease of maintenance and a small size and light weight and a respiratory assistance device. The silencer is provided to therapy equipment where pressurized air is generated by a blower, and the pressurized air is supplied to an airway of a patient from an attachment part attached to the patient, the silencer being inserted into a flow passage so as to reduce sound generated by the therapy equipment, the pressurized air being introduced from the blower to the patient through the flow passage. The silencer is provided outside a casing which accommodates the blower.

Abstract: A system for humidifying respiratory gases has a humidification apparatus, a humidification chamber, a heating apparatus and a sensor. The sensor is configured to determine a characteristic of the gases flow and communicate this to a controller which controls the power supplied to the heating apparatus with respect to information regarding the characteristic of the gases flow. A structure partially encloses the humidification chamber and allows energy loss through a wall of the humidification chamber. The humidification chamber may have features to promote heat loss through the wall of the chamber.

Abstract: A method for controlling the delivery of a breathing gas to a patient. The method comprises: delivering a flow of breathing gas to a patient, the breathing gas having a breathing gas flowrate and a fraction of inspired oxygen; measuring an oxygen saturation level of the patient; determining a respiratory rate of the patient; automatically adjusting the fraction of inspired oxygen of the breathing gas based on the measured oxygen saturation level of the patient and a breathing gas flowrate set-point; and automatically adjusting the breathing gas flowrate set-point based on the determined respiratory rate of the patient.

Abstract: Ventilation therapy systems and methods are disclosed. The system comprises a computing device, and a plurality of sensors for acquiring a physiological bioelectrical impedance signal from a patient, wherein the sensors are functionally connected to the computing device. The computing device receives the physiological bioelectrical impedance signal from the sensors, analyzes the physiological bioelectrical impedance signal, based on the analyzed physiological bioelectrical impedance signal, monitors the patient's respiratory status before and/or after extubation, and provides audible or visual recommendations for additional respiratory treatment or medications based on the patient's respiratory status.

Abstract: The present invention relates to a device for inserting a tracheostomy tube, comprising a guide element and a dilator, wherein the guide element has a shield, wherein, according to the invention, the guide element has a first securing means and the dilator has a corresponding second securing means, whereby the guide element can be detachably connected by positive locking to the dilator in a position in which a distal end of the dilator is engaged with an inner surface of the shield when the latter is in the first state.

Abstract: A patient interface device is for use in a pressure support system delivering a flow of breathing gas to an airway of a patient. The patient interface device includes a sealing apparatus having a cushion structured to sealingly engage about the airway of the patient and defining a passage therethrough which is structured to receive the flow of breathing gas. A first magnetic material is coupled to the cushion, and a second magnetic material coupled to the cushion or another element of the sealing apparatus. The second magnetic material and the first magnetic material are configured such that there is a repulsive magnetic force therebetween. The coupling of the first magnetic material and the second magnetic material provides an adjustable coupling that provides selective adjustment of the magnitude of the repulsive magnetic force.

Abstract: A cushion assembly for a patient interface includes a foam cushion and an elastomeric support portion configured to support the foam cushion. The foam cushion is more compliant in a nasal bridge region than other regions of the cushion assembly, the nasal bridge region being a region configured to engage the patient's nasal bridge when the cushion assembly is mounted on the patient's face.

Abstract: A conduit for use in a pressure support system for communicating a flow of pressurized gas to the airway of a patient includes a first strip of a first material disposed helically about a central longitudinal axis such that subsequent helical convolutions of the first strip are disposed adjacent each other, and a second strip of a second material disposed helically about the central longitudinal axis along the first strip. The second strip is coupled between the subsequent helical convolutions of the first strip so as to form a hollow conduit. The first material is structured to prevent the passage of fluids therethrough. The second material is structured to allow passage of a liquid therethrough while inhibiting passage of gases therethrough.

Abstract: Some embodiments provide for an inspiratory limb for a breathing circuit that includes a first segment that comprises a first heater wire circuit and a second segment that comprises a second heater wire circuit. The inspiratory limb can include an intermediate connector that includes a connection circuit that electrically couples the first heater wire circuit to the second heater wire circuit. The inspiratory limb can be configured to operate in two modes wherein, in a first mode, electrical power passes through the first electrical connection to provide power to the first heater wire circuit without providing power to the second heater wire circuit, and in a second mode, electrical power pass through the first electrical connection to provide power to both the first heater wire circuit and the second heater wire circuit.

Abstract: A medical tube has a tube wall, a first end and a second end. At least one heater wire is wrapped around the wall. Near or at one of the first end or the second end, there is at least one recess in an outer surface of the wall. The heater wire passes over the at least one tube recess such that the wire does not contact the wall in the area of the tube recess. Also disclosed are methods of making the tube and components used in making the tube.

Abstract: The invention relates to an inhaler component for forming a vapor-air mixture and/or condensation aerosol by vaporizing a liquid material and optionally condensing the vapor formed, including: a heating element for vaporizing a portion of the liquid material; a wick for automatically supplying the liquid material to the heating element, wherein the wick comprises at least two end sections arranged apart from each other; a first capillary gap for automatically supplying the liquid material to the wick, wherein a first end section of the wick projects into the first capillary gap. In order that the heating element can be supplied more quickly and ore reliably with the liquid material, a second capillary gap is provided, which receives therein the second end section of the wick.

Abstract: A ventilator (100) configured to control a pressure and gas mixture for an air flow. The ventilator include: a gas source (220); a proportional valve (210) configured to control a gas flow rate from the gas source; a mix controller (170) in communication with the proportional valve, the mix controller configured to monitor a flow of gas through the blower, and further configured to control a percentage of oxygen in the output flow; a blower motor (160); and a blower motor controller (162) configured to control a speed of the blower motor using a current feedback loop, a blower speed feedback loop, a flow feedback loop, and a pressure feedback loop. The ventilator can also include, for example, a pseudo-derivative feedback compensator, a complimentary filter, and/or a speed controller.

Abstract: Introduced herein are techniques for bringing scented advertisements into digital content (e.g., visual content and non-visual content). Such technology is able to address a fundamental challenge that is inherent in digital transactions, namely, an inability to accurately gauge different characteristics of a product. Several embodiments pertain to scent delivery systems that are able to produce scent(s) as part of a direct advertising campaign or an indirect advertising campaign. More specifically, a scent delivery system may be configured to produce scents that correspond to features of the digital content. For example, different scented materials can be dispensed based on characteristics of a product that is the subject of a scented advertisement.

Abstract: Integrated systems for providing audio, video, light stimulus and/or measuring brain activity through the use of one or more electrodes, e.g., EEG dermatrodes, are described. A system, e.g., a head mounted VR device, for providing stimulation to a user and detecting user responses to said stimulation includes a head mount, a plurality of light emitting elements, e.g., sets of LEDs, a housing secured to said head mount, and at least one or more electrodes for making contact with skin of a user. In various embodiments, the system further determines a user's mental state and provides audio and/or visual feedback to the user.

Abstract: A lamp for generating flickering at a selectable frequency corresponding to a desired human brainwave state comprises a base supporting a light source, a shade having a plurality of regularly circumferentially spaced apertures defined therein and a drive mechanism for rotating the shade about the light source. At least one speed control is coupled to the drive mechanism for controlling the rotational speed of the shade. Rotation of the shade while the light source is emitting light produces flickering for an observer looking at the lamp from a fixed position, and the speed control can be used to select a rotational speed of the shade to produce flickering at a frequency corresponding to a pre-selected human brainwave state.

Abstract: Embodiments of the present invention include a medical apparatus that includes a probe having a distal end configured for insertion into a body cavity and containing a lumen that opens through the distal end, and an inflatable balloon deployable through the lumen into the body cavity, the balloon having an exterior wall. The medical apparatus also includes a flexible printed circuit board having a first side attached to the exterior wall of the inflatable balloon and a second side opposite the first side, and an ultrasonic transducer mounted on the first side of the flexible printed circuit board and encapsulated between the exterior wall of the balloon and the flexible printed circuit board.

Abstract: An applicator 16 for gripping a urinary catheter. The applicator includes a body 30 having a proximal end 32, a distal end 34 and a lumen 38 extending therethrough for receiving a catheter. The body includes at least one projection 44 disposed within the lumen which contacts the catheter shaft to resist movement of the body along the catheter shaft.

Abstract: Certain aspects relate to a handle mechanism that permits control of linear motion of a shaft secured within the handle via two different interfaces for actuating the linear motion. In some aspects, a rotational interface can allow for fine control linear positioning of the shaft, for example by allowing a user to rotate the rotational interface to extend or retract the shaft. In some aspects, a plunging interface can enable a faster linear motion, for example by implementing a biasing mechanism that releases to drive rapid linear motion.

Abstract: A dual braided catheter shaft includes an inner helical braid and outer helical braid than encapsulate an axially extending steering wire there between. In one embodiment, the shaft includes an inner polymer jacket, an inner braid formed on the inner jacket, a steering wire disposed along an outside surface of the inner braid, an outer braid formed over the inner braid and steering wire assembly and an outer jacket formed on the outer braid. The braiding parameters of the inner and outer braids can be varied along the length of the catheter to provide varying mechanical properties.

Abstract: A tube securing device is provided comprising: a base including a lower plate and a pair of inner walls, each of the inner walls including a ledge extending therefrom which forms a notch between the ledge and the lower plate, the base further including a groove between the inner walls sized to receive a tube in communication with a cavity of a patient; and a retainer including an upper plate and a pair of retention beams, each of the retention beams including a ridge extending therefrom, the retainer further including a groove between the retention beams sized to receive the tube. The tube is retained in the groove of the base and the groove of the retainer when the retainer is attached to the base by forcing the ridges over the ledges until the ridges snap into notches.

Abstract: A catheter assembly is disclosed, which includes a catheter, a catheter hub fixed to a base end portion of the catheter, an inner needle having a needlepoint, inserted into the catheter, a needle hub coupled to the inner needle, and a needle support portion for supporting the inner needle through the catheter on a leading end side beyond the catheter hub, wherein the needle support portion has a pair of support arms openable and closeable in a left and right direction, and a restraining portion capable of restraining the pair of support arms in a closed state and releasing a restraint of the pair of support arms, the needle hub having an extension portion extending in a leading end direction beyond the catheter hub, the pair of support arms being laterally disposed between the restraining portion.

Abstract: A heart vent catheter includes an elongate, flexible tube that defines a first passageway. The catheter has a distal end, a central portion, and a proximal end. A balloon is included as part of the distal end and surrounds at least a portion of the tube. A plurality of first openings are formed in the tube adjacent the balloon on the forwardmost side of the balloon. A plurality of second openings can be formed in the tube adjacent the balloon on the proximal side of the balloon. After the distal end has been inserted into a desired part of a patient's heart, such as the left ventricle, the balloon can be inflated so as to engage a part of the heart such as the mitral valve and thereby prevent undesired withdrawal of the catheter. The proximal end includes a formation that can be connected to a vacuum source. The openings in the tube in the distal end permit blood, other fluid, debris and/or air to be withdrawn from the heart through the first passageway under suction.

Abstract: Disclosed herein are improved over-the-wire balloon catheters having at least one of a lockable structure that is removably engageable with a guidewire, a partial-flow opening in the catheter body to allow fluid flow through and out of the guidewire lumen, and a partial-flow channel defined in the inflatable body of the catheter, or some combination thereof. Also disclosed herein are methods of using fluid pressure detection devices in combination with the catheter embodiments to detect fluid pressure distal of the inflatable body.

Abstract: A medical elongated body is disclosed, which is able to make a nick in a stenosed site and is capable of preferably widening the stenosed site in which the nick is made. A balloon catheter is disclosed, which includes a shaft, a dilation member that is fixed to the shaft on a distal side, and an elastic member that is disposed on an inner surface of the dilation member. The dilation member includes a projection portion, which is a part of the dilation member protruding in a radial direction due to the elastic member disposed at a position where the inner surfaces of the dilation member face each other. A material of the elastic member is configured to be a material, which is further stretched than a material of the dilation member in a circumferential direction when the dilation member dilates.

Abstract: Described embodiments include apparatus (28) that includes a shunt (26). The shunt includes a flared distal portion (40), a flared proximal portion (44), and an intermediate portion (42), disposed between the distal portion and the proximal portion. The apparatus further includes a constricting flexible longitudinal element (38) passing circumferentially along the intermediate portion of the shunt, configured to constrict the intermediate portion of the shunt, and one or more proximal-portion-collapsing flexible longitudinal elements (36) configured to collapse the proximal portion of the shunt. Other embodiments are also described.

Abstract: The procedure to place antegrade hemodynamic support (AHS) combine currently available procedures and devices in a unique fashion to solve a significant problem for patients who need large bore hemodynamic support. The AHS procedure involves delivering an AHS device or a catheter connected to an AHS device to a patient's aorta in an antegrade fashion, alleviating the workload on the patient's heart and supporting the patient hemodynamically to maintain normal functions of the body organs.

Abstract: The present disclosure relates generally to the field of devices and procedures for placement of a medical device between adjacent tissue structures. In particular, the present disclosure relates to systems and methods for percutaneous placement of a drainage stent between the gallbladder and gastric lumen (e.g., cholecystogastrostomy), or gallbladder and duodenum (cholecystoduodenostomy).

Abstract: The present invention provides a cerebrospinal fluid shunt system that monitors the intracranial pressures over a portion of a monitoring cycle to calculate short intervals of drainage for every monitoring cycle necessary to produce the desired pressure correction. The system operates to significantly reduce the time during which draining occurs allowing tissue surrounding the catheter to rebound from the catheter holes returning to its normal position for a sufficient amount of time to recover its normal shape.

Abstract: The present disclosure relates to the treatment of venous incompetence. More specifically, the present disclosure reduces the volume of chemical needed to treat incompetent veins by distorting the luminal vessel. A device for treating incompetent veins comprises a catheter disposed within a sheath; and an expansion element disposed within the sheath in a compressed state and attached to the catheter, the expansion element configured such that when the sheath is retracted within a luminal vessel the expansion element expands to contact a wall of the luminal vessel, wherein expansion of the expansion element is configured to reduce a cross-sectional area of the luminal vessel. Related methods of venous incompetence are also disclosed.

Abstract: A vaginal detoxing kit comprises a vaginal insert apparatus and a hollow tube. The vaginal insert apparatus comprises a pearl shaped body and a string. Further, the pearl shaped body comprises a plurality of herbal ingredients. The string is fixedly attached to the pearl shaped body and wrapped around it. The hollow tube comprises first and second openings. A user unravels the string, inserts the string into a first opening, and draws the string through the second opening of the hollow tube. The vaginal insert apparatus is seated against the first opening of the hollow tube. The user wraps the drawn out string around a finger of the user to ensure the vaginal insert is seated firmly against the first opening. The user inserts the vaginal insert apparatus inside a vagina of the user to perform vaginal detoxing of an interior of the vagina.

Abstract: An applicator for a topical agent includes a handle and an applicator body. The applicator further includes a cartridge for carrying the topical agent insertable into the applicator body. The cartridge includes an actuator to cause dispensation of the topical agent through an exit aperture. The applicator body also includes an applicator surface and a fluid path to fluidly couple the exit aperture and the applicator surface. The cartridge may be single-use and disposable, or may be refillable and reusable.

Abstract: A device and method for directing an agent that is magnetic or magnetizable having a magnetic configuration in which a first magnet has a first magnetization that is opposite to a second magnetization of the second magnet. The first magnet and the second magnet define a minimal convex set and the push node is outside the convex set. The first magnetic field and the second magnetic create a combined field and a pushing force.

Abstract: A needling device may be used for needling of a subject's skin, and a drug applicator device may be used for applying a drug to a subject's skin. For example, a needling device may be applied to a subject's skin for hair growth applications, or may be used for wrinkle, scar, or tattoo removal. A drug applicator device may be used for multiple drug application purposes such as applying a hair growth compound to the skin of a subject.

Abstract: The invention relates to an implantable access device for accessing the vascular system of a human or animal body, particularly subcutaneously implantable access port, comprising: at least one inlet opening, at least one outlet opening and at least one passageway between the at least one inlet opening and the at least one outlet opening, further comprising at least one valve assembly in the at least one passageway, which in a first, unactuated operating condition prevents a fluid flow through the at least one passageway and in a second, actuated operating condition permits a fluid flow through the at least one passageway, which is characterized in that the at least one valve assembly in the first, unactuated operating condition is longitudinally elongated and radially compressed in such a way to prevent a fluid flow through the at least one passageway and that the at least one valve assembly in the second, actuated operating condition is longitudinally compressed and radially elongated in such a way to permit

Abstract: Embodiments of the application are directed toward an enteral feeding connector, comprising a stem member of a male enteral feeding connector configured to fit inside a shroud skirt of a female enteral feeding connector, wherein an end of the stem member comprises a positive taper funnel-shaped opening. In some cases, an outer radial surface of the end of the stem member is shaped to match a profile of an inner radial surface of the shroud skirt, such that the outer radial surface of the end of the stem member is flush with the inner radial surface of the shroud skirt when the stem member is disposed within the shroud skirt.

Abstract: A medical connector can include a body having a fluid path with an inlet port, an outlet port, a luer portion, and a post extending through a fluid path. An arm having a latch member is coupled to the body to engage a ridge or thread on an exterior surface of a reciprocal connector. The arm may also include an extension. When the connector is in an open position, the latch member restricts retraction of the reciprocal connector from the outlet port. A seal is coupled to the body and includes a flap extending across the outlet port or a bellows to compress along an axis. In a closed position, the post restricts flow through the luer portion. In an open position, the post permits flow through the luer portion.

Abstract: The present adjustable-length dual-lumen hemodialysis catheter can eliminate the need to stock various lengths of hemodialysis catheters and can provide a hemodialysis catheter, which can be trimmed to various lengths in order to precisely accommodate patients of various shapes and sizes. Specifically, the present adjustable-length dual-lumen hemodialysis catheter can comprise a cuff ring assembly, which can be secured at selected locations along the trailing limbs of the catheter allowing the cuff ring assembly to be installed in a location chosen to precisely fit a particular patient.

Abstract: A system to detect occlusion of an intravenous catheter may include a housing, which may include a distal end configured to couple to a proximal end of a catheter adapter and an inner lumen forming a fluid pathway. The system may also include one or more transmitters, which may be disposed within the housing. The transmitters may be configured to transmit first energy waves along a length of an intravenous catheter at a first frequency, and a portion of the first energy waves that are reflected back from the catheter may be detected by the system. Based on the portion of the first energy waves that are reflected back from the catheter, the transmitters may transmit second energy waves along the length of the catheter at a second frequency, which may be greater than the first frequency and configured to reduce formation of blood clots within the catheter.

Abstract: A connector for medical fluid vessels includes a fluid-seal fitting such as a male plug defining a lumen and mating with a cooperating connector, a mechanical fastener such as a screw thread for mating with the cooperating connector, and an outer housing positioned around the plug to form an annular space. A cap can be provided with a fluid-seal fitting such as a male plug for mating with the lumen of the connector. In example embodiments, the male plug is tapered and can comprise one or more projections for sealingly engaging with the lumen of the connector. According to some example embodiments, the cap can be tethered to the connector.

Abstract: A disposable dental valve device is disclosed having a valve body having a tip receiving end, a hose receiving end, a lumen formed between the tip receiving end and the hose receiving end, a partial opening formed in the valve body, and a rotatable valve sealing body adapted to being inserted into the partial opening, the rotatable valve sealing body having a bore for alignment with the lumen formed between the tip receiving end and the hose receiving end, the bore having a tip receiving opening and a hose receiving opening, the rotatable valve sealing body having a check valve positioned on the tip receiving opening, and the rotatable valve sealing body having a top and a handle portion connected to the top.

Abstract: A method includes acquiring a bipolar signal from a first electrode and a second electrode contacting a first location and a second location, respectively, in a heart of a living subject. The method further includes acquiring a unipolar signal from the first electrode while in contact with the first location, and deriving from the bipolar signal and the unipolar signal a point in time at which the first location is generating the unipolar signal. The method also includes computing a metric for a conduction velocity of the unipolar signal at the first location based on a shape of the unipolar signal at the point in time.

Abstract: A tool for inserting an elongate medical device into a body includes a track (e.g. defined by inner surfaces of a base wall and opposing sidewalls), and a deployment assembly for moving the device along the track. A retainer of the assembly, fitted in sliding engagement within the track and limited to move only along a portion of the track, grips a first portion of a proximal length of the device; a slider of the assembly, also fitted in sliding engagement within the track and detachably joined to the retainer, receives a second portion of the device proximal length. When detached from the retainer, the slider is free to move along a distal length of the device, and can be moved along a distal segment of the track to disengage therefrom by separating from a distal terminal end of the guide.

Abstract: An IMD may include a housing with a controller and a power supply disposed within the housing. A distal electrode may be supported by a distal electrode support that biases the distal electrode toward an extended position in which the distal electrode extends distally from the distal end of the housing and allows the distal electrode to move proximally relative to the extended position in response to an axial force applied to the distal electrode in the proximal direction. In some cases, the distal electrode support may include a tissue ingrowth inhibiting outer sleeve that extends along the length of the distal electrode support and is configured to shorten when the distal electrode moves proximally relative to the extended position and to lengthen when the distal electrode moves back distally toward the extended position in order to accommodate movement of the distal electrode.