Abstract: Systems and methods for accurately measuring changes in biomarker sensitive hydrogel volume and shape due to exposure to various biomarkers include a system for identifying one or more dimensional changes in a biomarker sensitive hydrogel positioned within an in vivo environment. The system includes a biomarker sensitive hydrogel positioned within an in vivo environment and configured to dimensionally change in response to interaction with predefined biomarkers. The system additionally includes an ultrasound transducer for locating and identifying one or more characteristics of the biomarker sensitive hydrogel and a computer system in electrical communication with the ultrasound transducer. The computer system is configured to receive characteristics of the biomarker sensitive hydrogel from the ultrasound transducer and determine dimensional changes of the biomarker sensitive hydrogel based on the received characteristics.

Abstract: Systems and methods for anatomical identification using ultrasonic imaging and acoustic shadow detection methods are provided. At least some embodiments of the disclosure comprise the following steps: acquiring ultrasound image; detecting shadow region; extracting shadow profile; filtering shadow profile with matched filter; identifying anatomical landmarks within shadow; extracting features of anatomical landmarks; classifying anatomy, and determining with a high degree of confidence that the target anatomy is depicted in the image. A determination is made as to the degree of confidence that the target anatomy is depicted in the image. Conditionally, graphics indicating presence and position of target anatomy is displayed including disposition, location and orientation thereof.

Abstract: Systems and method are provided for evaluating a biomechanical property of tissue. A shear wave generator induces a shear wave in the tissue. An optical imaging system captures video in the visible light spectrum comprising a series of image frames of the tissue during the shear wave. An image processing component determines, at each of a plurality of locations, a speed at which the shear wave travels within the tissue from the series of image frames. A parameter calculation component calculates a value for the biomechanical property from the determined speed of the shear wave at a plural subset of the plurality of locations.

Abstract: An imaging device (100) is disclosed comprising an ultrasound transducer array (101, 120, 130) having a plurality of ultrasound transducer elements defining an ultrasound emitting surface of the ultrasound transducer array; and an acoustic window (220) on the ultrasound emitting surface, said acoustic window comprising: a first layer (221) of a hydrocarbon elastomer contacting the ultrasound emitting surface, said first layer further containing an antioxidant; and a second layer (223) of a further hydrocarbon elastomer on the first layer, said second layer having a greater Shore A hardness than the first layer. Also disclosed are an ultrasound imaging system (10) comprising such an imaging device, such as catheter (100), and a method (300) of forming an acoustic window (220) on an ultrasound transducer array (101, 120, 130) for such a device (100).

Abstract: In an ultrasound diagnostic system, in a case where a routine test in which a plurality of parts of a subject are sequentially subjected to ultrasound diagnosis in accordance with a determined procedure is performed and in a case where information on the subject is input from an input unit, a workstation-side control unit makes a workstation-side display unit perform a second display in which one past image and a current image including an ultrasound image newly created in an ultrasound diagnostic device with respect to a part corresponding to the one past image are displayed side by side on a past image region and a current image region adjacent to each other, in an arrangement order of a plurality of past images in a past routine test of the subject stored in the storage unit.

Abstract: Methods and systems are provided for displaying a 3D ultrasound image volume in a desired view orientation. A 3D ultrasound image can be acquired of an anatomical feature in a patient. The actual orientation of the anatomical feature can be determined in space. The 3D ultrasound image including the anatomical feature can be displayed such that the anatomical feature is positioned in a selected orientation that is different than the actual orientation, and in relation to a lighting model for generating lighting and shadowing on the anatomical feature.

Abstract: A system useful for performing ultrasound elastography of organs such as the liver allows efficient and robust data acquisition. The system may be applied to perform real-time, non-invasive ultrasound imaging of the liver in humans. Steady-state, shear wave absolute elastography is used to measure the Young's modulus of the liver tissue. This method involves the use of an external exciter or vibrator to shake the tissue and generate a shear wave. Accurate placement of an ultrasound transducer facilitates measurement of the tissue motion due to the shear wave. The stiffness of tissues in the region being imaged may be computed from the measured tissue motions. The following innovations address both vibrator and transducer placement, as well as some specific methods to ensure adequate wave propagation, in order to obtain accurate and consistent measurements.

Abstract: Provided are a method and ultrasound diagnosis apparatus for measuring and displaying an elasticity of an object. The ultrasound diagnosis apparatus includes: a processor configured to obtain elasticity data of a measurement target region of an object, calculate elasticity values of a plurality of regions included in the measurement target region based on the elasticity data by using different calculating methods, and combine the calculated elasticity values of the plurality of regions to calculate a final elasticity value; and a display configured to display the final elasticity value.

Abstract: Provided is an ultrasound diagnostic apparatus including an ultrasound probe; an imaging section that generates an ultrasound image on the basis of a reception signal output from the ultrasound probe; an image analysis section that performs image analysis using the ultrasound image generated by the imaging section; a movement detection sensor that is attached to the ultrasound probe and detects a movement of the ultrasound probe to output the movement as a detection signal; a movement amount calculation section that calculates a movement direction and a movement distance of the ultrasound probe in a case where the ultrasound probe is moved from a first inspection portion where inspection is terminated among the plurality of inspection portions to a second inspection portion that is the next inspection target, using the detection signal output from the movement detection sensor; and a portion discrimination section that discriminates the second inspection portion on the basis of an image analysis result in the

Abstract: The invention relates to a method for predicting and testing physiological conditions of a female mammal related to an increased level of ferning present in a dried mucous body fluid sample of the female mammal, comprising: capturing an image of the dried mucous body fluid sample via a camera of a mobile telecommunication device through a magnifying lens releasably coupled to an objective of the camera, detecting the presence of crystals in the sample by processing the image, determining the crystal density within the sample from the detected crystals, predicting the physiological condition of the female mammal by comparing the crystal density to reference crystal density data, wherein increased crystal density is indicative of increased ferning level.

Abstract: An oral fluid collection device is provided that includes a borosilicate glass collection tube that can be capped post-collection for containing a human donor's expectorated oral fluid. The collection tube has a lyophilized reagent disposed therein that is essentially free of surfactants and solvents and includes a bacteriostatic, a peptidoglycan cleaving enzyme, an esterase inhibitor, an antioxidant, and a buffer at a pH range of about 5.7 to about 6.5 for stabilizing drugs and drug metabolites that may be present in the donor oral fluid. Interaction between the collected oral fluid and the buffer-preservative is provided by gravity drawing the collected oral fluid downward into contact with the lyophilized buffer-preservative.

Abstract: A biopsy needle has a central axis and includes one or more sensing regions, each sensing region formed by a plurality of sensing optical fibers located over a particular extent of said central axis and inside the outer shell of the needle. The sensing optical fibers are coupled to a wavelength interrogator. A steerable catheter has a central axis and outer shell, the outer shell coupled to a plurality of optical fibers in sensing regions and actuation regions, the sensing regions formed over particular extents of the central axis by bonding gratings to the inner surface of the outer shell, and the actuation regions formed by coupling optical energy into shape memory alloys bonded to the outer shell.

Abstract: An anatomical sensing system-guided prostate procedure device that includes a housing having a proximal end and a distal end. The housing may be divided into a distal housing section, a mid housing section, and a proximal housing section, wherein the distal housing section is configured for insertion into the anus and retention in the rectum of a subject. The device further includes an instrument convergence point disposed between the proximal end and the distal end, the convergence point configured to allow an instrument pass though the instrument convergence point at a variable angle; and an instrument angle orienting system at the proximal end of the housing, the angle orienting system directing an orientation of the variable angle about the convergence point. Methods of the using an anatomical sensing system-guided prostate procedure device and system including the same.

Abstract: A device for closure of an atrial septal defect (ASD) by deploying a pericardial patch includes a head including a distal jaw and a proximal jaw, and a distal disc attached to the distal jaw and a proximal disc attached to the proximal jaw. Each of the distal jaw and the proximal jaw includes at least one arm which closes when the distal disc moves forward and the proximal disc moves backward. Based on an engagement status of a distal engagement portion located on the at least one arm of the distal jaw with a proximal engagement portion located on the at least one arm of the proximal jaw, the pericardial patch deploys to close the ASD.

Abstract: An apparatus for sealing a puncture through a vessel wall including a positioning assembly, a sheath releasably engaged with the positioning assembly, and a support member axially advanceable through the sheath. The positioning assembly includes a positioning element positioned at a distal portion of the positioning assembly and a sealant disposed at a distal portion of the positioning assembly. The sheath guides the sealant and positioning assembly to the puncture in the vessel wall.

Abstract: A flexible surgical instrument has structural bones backbones in crossed arrangement, the flexible surgical instrument includes a flexible continuum structure comprising a distal structure, a proximal structure and a middle connection body; the distal structure includes a first distal and a second distal segment, the proximal structure includes a proximal segment; first segment structural backbone(s) on the proximal segment and first segment structural backbone(s) on the first distal segment are fixedly connected respectively one to one or are of the same structural backbone; second segment structural backbone(s) on the proximal segment and second segment structural backbone(s) the second distal segment are fixedly connected respectively one to one or are of the same structural backbone; the middle connection body includes two passage fixing plates, between which structural backbone guiding passage(s) and structural backbone cross guiding passage(s) are fixedly connected; the first segment structural backbone

Abstract: Disclosed is a flexible surgical instrument system (100), comprising a flexible surgical instrument (10) composed of a distal structural body (11), a proximal structural body (12), a driving transmission mechanism (13) and a middle connecting body (14), wherein a surgical end effector (111) is located at a distal end of the distal structural body (11), a proximal end of the distal structural body (11) is linked to the middle connecting body (14), and the driving transmission mechanism (13) is linked to the proximal structural body (12) via the middle connecting body (14); the distal structural body (11) comprises at least one distal structural segment (112, 113), wherein each distal structural segment (112, 113) comprises a distal fixing disk (115, 118) and structural backbones (116, 119); the proximal structural body (12) comprises at least one proximal structural segment (120, 121), wherein each proximal structural segment (120, 121) comprises a proximal fixing disk (122, 126), structural backbones (124, 12

Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: The present invention relates to systems and methods for accessing the spine to place implants. In one embodiment, a system includes an adjustable rod structure having four rods radially surrounding a probe, a ring and a retractor. The adjustable rod structure is configured to have a closed and open profile controlled by the retractor such that the open profile creates a space between rods of the structure. The ring is configured to be placed within retracted rods to maintain the open profile after retraction. In a method embodiment, the adjustable rod structure is inserted through a percutaneous incision in the closed position until it reaches a target site. The retractor is then attached to the rods and used to retract the rods. The probe is then removed from within an opening created and a ring is advanced into the opening to hold the rods in place.

Abstract: A surgical port feature may include a funnel portion, a tongue, a waist portion, and surgical instrument channels. The waist portion may be located between the funnel portion and the tongue. The surgical instrument channels may extend from the funnel portion through the waist portion. The surgical port feature may further include a second tongue, with the wait portion being located between the funnel portion, the tongue, and the second tongue.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices, loops and inserts that are pre-loaded onto knotless anchors to position the self-locking, adjustable construct at the repair site. The splice incorporates an insert in the form of a flexible strand with at least one barb, or simply in the form of a cut length of suture or braid that is inserted into the center of the cinching loop to create a thicker portion. When the cinching loop is tightened, the insert prevents loosening of the loop, locking in the cinching loop and preventing movement of the loop.

Abstract: Various self-cinching suture anchors, self-cinching suture anchor systems, and methods of use are provided. In one exemplary embodiment, a suture anchor is provided that includes an outer member and an inner member configured to be received within the outer member. The inner and outer members can define a gap that allows a suture to be movably disposed within the outer member, e.g., within the gap, when the inner member is disposed within the outer member. The inner member can be configured to be secured within the outer member by a knot of the suture having a diameter greater than a width of the gap so as to fix the inner member within the outer member, while still allowing uni-directional tensioning of the suture.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. Soft tissue repair systems include self-cinching constructs with a fixation device, a flexible strand with multiple flexible limbs, and a shuttle/pull device attached to the flexible strand to shuttle the multiple flexible limbs through the flexible strand and form a locking splice.

Abstract: An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle.

Abstract: A surgical instrument comprising a shaft and a distal head extending from the shaft is disclosed. The distal head comprises a tissue drive configured to engage the tissue of a patient and move the distal head relative to the patient tissue. The tissue drive comprises, among other things, a tiltable or pivotable portion which adapts to changes in tissue thickness.

Abstract: A surgical instrument comprising a shaft, an end effector, and an articulation joint is disclosed. The end effector is rotatably connected to the shaft about the articulation joint, wherein the end effector is rotatable between a first orientation and a second orientation, wherein the shaft comprises a longitudinal axis and the end effector comprises a tissue gap, wherein the tissue gap faces the longitudinal axis when the end effector is in its first orientation, and wherein the tissue gap extends at an angle relative to the longitudinal axis when the end effector is in its second orientation. The surgical instrument further comprises an articulation drive system configured to articulate the end effector relative to the shaft and a dampener configured to prevent the end effector from being back-driven from its second orientation into its first orientation.

Abstract: A surgical clip applier is provided including a channel assembly and overlying a clip carrier having a clip counter plate slidably supported in the channel assembly, wherein the clip counter plate is configured and adapted to display a change in status of the clip applier upon actuation of the handle.

Abstract: The invention is a staple comprising a bridge member having a spherical top surface and a spherical opposing bottom surface defining a constant thickness between and having a constant thickness and a first pair of a first leg and a second leg and a second pair of a first leg and a second leg where the first and second pair of legs are spaced apart along the axis and are joined to the bridge member.

Abstract: A surgical stapling system for stapling the tissue of a patient is disclosed. The stapling system comprises a housing, a shaft extending from the housing, and an end effector extending from the shaft. The end effector comprises a plurality of staples removably stored therein and, also, an anvil configured to deform the staples. The stapling system further comprises a firing mechanism configured to deploy the staples along a staple firing path longer than 60 mm, a camera configured to capture an image of the patient tissue, a display, and a controller configured to generate an image of the staple firing path, wherein the images are displayed on the display.

Abstract: A medical device includes a surgical needle, an elongated suture, and an intervening segment. The elongated suture has a first end proximate to the needle and a second end located away from the needle. The elongated suture also includes a plurality of fibers defining a mesh wall between the first and second ends. A plurality of pores extend through the mesh wall, at least some which are in the macroporous size range of greater than 200 microns for facilitating tissue integration when introduced into a body. The intervening segment is disposed between and connected to either or both ends of the elongated suture and the needle. The intervening segment includes one or more fibers of the plurality of fibers and has a cross-sectional dimension smaller than a cross-sectional dimension of the mesh wall such that the intervening segment facilitates indirect attachment of the elongated macroporous mesh suture to the needle.

Abstract: Tissue adhesions using surgical adjuncts and medicants are provided. In general, an implantable adjunct can have one or more medicants releasably retained therein that are configured to induce tissue adhesions. The adjunct can be configured to be applied to lung tissue in conjunction with surgical staples using a surgical stapler. Pleurodesis can be encouraged through delivery of the adjunct to the lung tissue.

Abstract: Various systems and methods of controlling the display of a knife position of a surgical cutting instrument according to the position of a displacement member. The surgical instrument includes a displacement member movable between a first position and a second position to drive a cutting member between an unfired position and a fire position, a sensor configured to detect a position of the displacement member and provide a signal indicative thereof and a display. The surgical instrument determines whether the knife is retracting and then only begins decrementing the displayed knife position once the displacement member has retracted from the distal or second position of its firing stroke by a particular distance.

Abstract: A surgical instrument for treating the tissue of a patient is disclosed. The surgical instrument comprises a housing including a handle, a housing frame comprising a housing connector, and a drive system comprising at least one electric motor. The surgical instrument further comprises a shaft assembly releasably assembled to the housing including a shaft frame comprising a proximal connector and a distal connector, wherein the proximal connector is releasably coupled to the housing connector and a shaft drive system comprising at least one rotatable shaft operably coupled to the electric motor. The surgical instrument further comprises an end effector releasably assembled to the shaft assembly including an end effector frame comprising an end effector connector releasably coupled to the distal connector of the shaft assembly, a plurality of staple cartridges removably stored in the end effector, and a plurality of end effector drivers operably coupled to the rotatable shaft.

Abstract: A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, and an end effector extending from the shaft, wherein the end effector comprises a plurality of staples and an anvil configured to deform the staples. The surgical stapler further comprises a firing mechanism configured to deploy the staples, a sensor configured to detect a target, a controller configured to calculate the firing path based on the target, and a motorized drive system configured to move the end effector toward the target along the firing path.

Abstract: A surgical instrument comprising a shaft, a distal head, and an articulation joint rotatably connecting the distal head to the shaft is disclosed.

Abstract: A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, a plurality of staple cartridges, and an end effector comprising a tissue compression surface and an anvil comprising staple forming pockets, wherein the anvil is movable toward the tissue compression surface during a closing motion. The surgical stapler further comprises an anvil closing system configured to move the anvil through the closing motion, a staple firing system configured to deploy the staple cartridges along a path, and means for gripping the patient tissue and creating relative movement between the end effector and the patient tissue to re-position the end effector along the path.

Abstract: A surgical stapler comprising stored or storable staple cartridges is disclosed. The staple cartridges can have different unfired sizes. In at least one instance, a first stored staple cartridge comprises first staples having a first unfired height and a second stored staple cartridge comprises second staples having a second unfired height which is different than the first unfired height.

Abstract: A surgical instrument for treating the stomach tissue of a patient is disclosed. The surgical instrument comprises a handle comprising a display, a shaft extending from the handle, and an end effector extending from said shaft. The surgical system comprises a tissue treatment system configured to treat the stomach tissue along a path, an imaging system configured to capture a tissue image of the stomach tissue, and a controller configured to determine an edge of the stomach tissue, generate an image representing at least a portion of the edge of the stomach tissue, and display the image along with at least a portion of the tissue image on the display.

Abstract: A surgical stapler for stapling the tissue of a patient, comprising: is disclosed. The surgical stapler comprises a handle comprising a display, a shaft extending from the handle, and an end effector extending from the shaft, wherein the end effector comprises a group of staples and an anvil configured to deform the staples. The surgical stapler further comprises a firing system configured to deploy the staples along a firing path, a vision system configured to capture a tissue image of the patient tissue, and a controller configured to generate an image overlay representing the firing path and to display the image overlay over the tissue image on the display.

Abstract: A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, and an end effector. The end effector comprises a tissue compression surface, a plurality of staples, and an anvil comprising staple forming pockets, wherein the anvil is movable toward the tissue compression surface during a closing stroke to clamp the patient tissue against and tissue compression surface. The surgical stapler further comprises an anvil closing system configured to move the anvil through the closing stroke, a staple firing system configured to deploy the staples during a staple firing stroke, and means for clamping and holding the patient tissue during the staple firing stroke and moving the end effector relative to the patient tissue after the staple firing stroke.

Abstract: A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, a plurality of staple clusters, and an end effector. The end effector comprises a tissue compression surface and an anvil movable toward the tissue compression surface during a closing stroke, an anvil closing system configured to move the anvil through the closing stroke, and a staple firing system configured to deploy a staple cluster positioned in the end effector during a staple firing stroke. The surgical stapler further comprises a tissue cutting system configured to cut the patient tissue during a tissue cutting stroke and a propulsion system configured to move the end effector relative to the patient tissue during a propulsion stroke.

Abstract: A surgical instrument for treating the tissue of a patient is disclosed. The surgical instrument comprises a handle, a shaft extending from the handle, and an end effector. The surgical instrument further comprises a motorized drive system, a first drive system configured to perform a first end effector drive motion, wherein the first drive system is operably coupled to the motorized drive system, and a second drive system configured to perform a second end effector drive motion, wherein the second drive system is operably coupled to the motorized drive system. The surgical instrument further comprises synchronizing means for repetitively sequencing the first end effector drive motion and the second end effector drive motion.

Abstract: A surgical stapler comprising an end effector and a system configured to feed staples into the end effector is disclosed.

Abstract: A method is disclosed. The method can comprise obtaining a first staple cartridge and obtaining a second staple cartridge, wherein the first staple cartridge and the second staple cartridge comprise the same length and the same width. The method can further comprise inserting the first staple cartridge into a channel comprising a keyed profile, wherein complete insertion of the first staple cartridge into the channel is prevented by the keyed profile. Additionally, the method can comprise inserting the second staple cartridge into the channel, wherein complete insertion of the second staple cartridge into the channel is permitted by the keyed profile.

Abstract: A system for stapling tissue is disclosed. The system can include a channel and a compatible staple cartridge comprising a plurality of staples. The channel and the compatible staple cartridge comprise mating or cooperating alignment features for permitting complete insertion of the compatible staple cartridge and for preventing an incompatible staple cartridge from being completely inserted in the channel.

Abstract: A system is disclosed. The system can comprise a replaceable staple cartridge comprising a plurality of staples, a proximal laterally-protruding lug, and a distal laterally-protruding lug. The system can further comprise a channel configured to receive the replaceable staple cartridge, wherein the channel comprises a sidewall comprising a proximal receptacle positioned and dimensioned to receive the proximal laterally-protruding lug and a distal receptacle positioned and dimensioned to receive the distal laterally-protruding lug.

Abstract: A system is disclosed. The system can comprise an end effector configured to receive a compatible replaceable staple cartridge, wherein the end effector comprises a first outer surface, and wherein a classifying identification of the end effector is inscribed on the first outer surface. The system can also comprise the compatible replaceable staple cartridge comprising a second outer surface, wherein a classifying identification of the compatible replaceable staple cartridge is inscribed on the second outer surface. The classifying identification of the compatible replaceable staple cartridge can correspond to the classifying identification of the end effector.

Abstract: The invention is an inserter for a staple having a bridge member and opposing open legs and the inserter holds the staple between a pair of cylindrical expanders which splay apart in response to a camming mechanism having a pair of followers that carry the expanders. The followers are activated as they are drawn over the camming ramp in response to a trigger action. The ramp also includes a detent which alerts the user that the staple is engaged in an activated position, and a safety that keeps the followers from returning to the un-loaded position.

Abstract: Surgical stapling instruments surgical stapling cartridges are disclosed. At least one embodiment includes an end effector that has an elongate channel that is configured to operably support a surgical staple cartridge therein and an anvil that is movably supported on the elongate channel between an open position and closed positions in response to an application of opening and closing motions applied thereto. An anvil lock member cooperates with the anvil to retain the anvil in an open position when a staple cartridge has not been installed in the elongate channel and prevent the anvil from moving to a closed position until the staple cartridge has been seated within the elongate channel. Surgical staple cartridges are configured to move the anvil from an open position to an actuatable position when the cartridge has been installed in the end effector.

Abstract: A detachment system for delivering an implantable medical device to a target location of a body vessel has a generally hollow distal tube. The distal tube includes a proximal end, a distal end, and a compressible portion of the tube itself, between the proximal and distal ends which is axially movable from a compressed to an elongated condition. A generally hollow proximal tube has a proximal end and a distal end. A coupling joins the proximal and distal tubes. An engagement system engages and deploys the implantable medical device engaged at the distal end of the distal tube. The engagement system moves the compressible portion to the compressed condition when engaging the implantable medical device, and deploys the implantable medical device and releases the compressible portion to the elongated condition.