Abstract: Devices, systems and methods are described herein to provide improved steerability for delivering a prosthesis to a body location, for example, for delivering a replacement mitral valve to a native mitral valve location. The steerable delivery system can contain a steerable rail configured for multi-plane bending to direct a distal end of the delivery system.

Abstract: The expandable sheath and methods of use disclosed herein are used to deliver a prosthetic device through a patient's vasculature. The sheath is constructed to be expandable in the circumferential direction, while maintaining sufficient stiffness in the longitudinal direction to withstand pushing and resist kinking. The sheath includes a plurality of curved arms extending outwardly from a longitudinally extending spine. The curved arms move away from the longitudinal axis of the sheath when pushed radially outwardly by a passing prosthetic device, and move back toward the longitudinal axis once the prosthetic device has passed.

Abstract: An implant system for restoring and improving physiological intracardiac vortical flow in a human heart is provided including a dual force transducting annular implant comprising laterally extending struts transitioning into annular structural members for positioning on the atrial side of the valve annulus; an anchoring system comprising a therapeutic base plate assembly attachable to the apex of the heart; and a tether assembly comprising a tether connected between the implant and the therapeutic base plate assembly.

Abstract: A clip for immobilizing leaflets of a cardiac or venous valve includes a hub having a pair of tangle resistant spring-biased outer arms coupled to an inferior end of the hub. A pair of tangle-resistant spring-biased inner arms lies adjacent to the outer arms and is coupled to a superior end of the hub. The clip may incorporate adjustable spacers and retrievable post implantation. A delivery catheter is used to position the valve clip adjacent a target valve while the outer and inner arms are biased in an opened position relative to each other. After the valve leaflets are located between the opened outer and inner arms, the biasing forces may be released to allow the clip to self-close over the valve leaflets.

Abstract: Cardiac valve repair devices with coaptation members and multiple clip mechanisms and associated systems and methods are disclosed herein. A cardiac valve repair device configured in accordance with embodiments of the present technology can include, for example, an optional fixation member configured to engage tissue within a left atrium proximate to a native mitral valve, a coaptation member depending from the fixation member, and a plurality of clip mechanisms extending from a downstream portion of the coaptation member. The coaptation member can be positioned between the native leaflets and at least partially fill a space between the native leaflets. A first clip mechanism can engage a first portion of one of the native leaflets, and a second clip mechanism can engage another portion of the same native leaflet or an opposing native leaflet.

Abstract: Delivery systems, methods and associated devices to facilitate delivery and deployment of a heart implant. Such delivery systems and methods of delivery include use of a pair of magnetic catheters, including an anchor delivery catheter carrying an anchor, which can be stacked with or can be axially offset from the magnetic head. Such systems further include use of a puncturing guidewire advanceable through the magnetic head of the anchor delivery catheter to establish access to a chamber of a heart and which is attached to a bridging element such that continued advancement of the guidewire draws a bridging element attached to the first anchor across the chamber of the heart while the bridging element remains covered by the magnetically coupled catheters. Methods and devices herein also allow for cutting and removal of a bridge element of a deployed heart implant.

Abstract: A method for grouping prosthetic valve leaflets of an aggregate of prosthetic valve leaflets is provided. Using a computer processor, for each leaflet of the aggregate, a leaflet-flexibility value is derived. A group size value is provided to the processor. Using the processor, at least some of the leaflets of the aggregate are designated into leaflet groups, based on similarity between the respective leaflet-flexibility value of each leaflet of the aggregate. Each of the leaflet groups includes a number of leaflets equal to the group size value. Using the processor, an indication of the designated leaflet groups is outputted. Other embodiments are also described.

Abstract: An anchoring system and related methods are provided for treatment of dilated hearts and of functional valve regurgitation, the system comprising one or more self-expandable or manually expandable anchors and associated devices for fixating a valve splint within the heart. For example, a spade-shaped assembly may be configured to be deployed in a right ventricle of the heart and to stabilize a puncturing instrument to puncture the septum. Various puncturing instruments may also be part of the anchoring system, including one or more of a flexible needle having a multiplicity of slits disposed along the length of the needle, a trocar catheter with a retractable head, and a catheter needle having a blunt introducer to protect nearby tissue within the heart during advancing a guidewire. A cutter catheter and puncture location catheter may also be part of the system and be used during treatment.

Abstract: A dynamic, adjustable annuloplasty ring sizer can include an adjustable ring replica, which can be adjusted through a range of sizes corresponding to available prosthetic annuloplasty repair ring sizes. Actuation of an adjustment trigger on a handle portion of the ring sizer can displace tension wires that extend through a malleable shaft and through a plurality of articulating segments that form the ring replica. Displacement of the tension wires causes flexion of the joints between adjacent articulating segments, thereby reducing the overall size of the ring replica. Releasing the tension wires can allow an elastic extension wire to act on the ring replica, enlarging the ring replica to its maximum, at-rest size. In this manner, the appropriate size of annuloplasty ring prosthesis can be determined with a single device, without requiring a plurality of static ring sizers that require individual insertion and placement for the conventional trial-and-error sizing methods.

Abstract: A process of bone creation between adjacent vertebrae uses an intervertebral stabilizing screw, which includes a main body with an axial through hole, a distal thread and at least one fill hole. A hollow proximal secondary body of the screw includes an external thread a travel stop. The process includes inserting the main body until the distal thread is secured to an upper vertebrae of the adjacent vertebrae such that the at least one fill hole is in inside of the disk, inserting the proximal body until reaching to the limit stop such that the proximal body is threaded inside of a pedicle and secured to a lower vertebrae of the adjacent vertebrae, and injecting a bone remodeling composition into inside of the disk through the axial hole and the at least one fill hole.

Abstract: The invention relates to a method for treating hip joint osteoarthritis with a medical device having a prosthetic part adapted to function as an articulating surface comprising a center axis generally coinciding with the acetabulum and the caput femur center axis when implanted. The method further comprises placing the prosthetic part in a through-going hole in the pelvic bone from the side opposite a concave portion of the acetabulum of the human patient, displacing at least one displaceable protruding supporting member connected to said prosthetic part such that the at least one displaceable protruding supporting member is configured to transfer load from the prosthetic part via the displaceable connection to the pelvic bone when being displaced relative said prosthetic part in a direction more perpendicular than parallel to the prosthetic part's center axis and being implanted.

Abstract: An orthopaedic knee prosthesis includes a tibial insert and a femoral component configured to articulate on the tibial insert. The tibial insert includes a lateral articular surface and medial articular surface that is asymmetrically shaped relative to the lateral articular surface. The medial articular surface is shaped to reduce anterior translation of a medial condyle of the femoral component, while the lateral articular surface is shaped to allow a lateral condyle of the femoral component to pivot, relative to the medial articular surface, along an arcuate articular path. Additionally, one or both condyles of the femoral component may include a femoral articular surface having a curved femoral surface section defined by a continuously decreasing radius of curvature.

Abstract: A placeholder for vertebrae or vertebral discs includes a tubular body, which along its jacket surface has a plurality of breakthroughs or openings for over-growth with adjacent tissue. The placeholder includes at least a second tubular body provided with a plurality of breakthroughs and openings at least partially inside the first tubular body. The first and second tubular bodies can have different cross-sectional shapes, can be are arranged inside one another by press fit or force fit or can be connected to each other via connecting pins and arranged side by side to one another in the first body.

Abstract: An orthopedic implant system is disclosed comprising a staple and a coupling device configured to position tines on the staple relative to a bone to secure an orthopedic implant device to the bone. The orthopedic implant system may comprise the orthopedic implant device also having a wedge and a plate having an external surface configuration. The coupling device may couple the wedge, the plate and the staple whereby when the orthopedic implant is secured in a vertebral body, the external surface configuration of the plate alters the relative orientation of a superior endplate surface plane and an inferior endplate surface plane of the vertebral body and alters the alignment of the spine. In some embodiments, plate tines and staple tines are configured to engage the vertebral body. In some embodiments, the implant device may be used as an arthrodesis device, an intravertebral device or an intervertebral implant device.

Abstract: An example expandable interbody device can include a structural body having an upper endplate and a lower endplate, where the endplates are shaped to nest tightly in a closed position. The device can include at least one wedge block and at least one linkage block arranged between the upper and lower endplates of the structural body. The device can include a drive screw threaded through the at least one wedge block and the at least one linkage block. The drive screw can be configured to rotate and drive the at least one wedge block to expand the upper and lower endplates of the structural body from the closed position to an intermediate position. Additionally, the drive screw can be further configured to rotate and drive the at least one linkage block to expand the upper and lower endplates of the structural body from the intermediate position to an open position.

Abstract: A spinal implant for insertion into and positioning in an intervertebral space is provided. The insert comprises a compressible support configured to change the height of the insert, wherein the insert comprises a first portion having a first surface and a compressible support adjacent to the first surface; and a second portion having a second surface and a second compressible support adjacent to the second surface. A method for fusing two adjacent vertebrae utilizing the spinal implant including the bone insert is also provided.

Abstract: Surgical instrumentation may be used to insert a spinal implant into an intradiscal space while in a non-deployed condition and then deploy the spinal implant within the intradiscal space.

Abstract: The present disclosure provides for a device and method of control for an artificial prosthetic knee. A prosthetic knee according to the present disclosure relies on strictly passive means of providing support during weight bearing and supplements a resistive swing-phase mechanism with a small powered actuator. This actuator adds power to the knee, exclusively during swing phase, to improve swing-phase behavior. In particular, the knee still relies on the resistive swing-phase mechanism to provide nominal swing-phase knee motion, but supplements that motion as needed with the small powered actuator.

Abstract: An ankle-foot prosthesis comprises a foot structure having a foot keel leaf spring, a heel leaf spring, and an upper J leaf spring above the keel leaf spring. An ankle bearing block is mounted to the keel leaf spring and a shank shell is mounted to the ankle bearing block. A shank interface mounts to the shank shell. A processor controlled active element extends along an axis between the shank shell and the upper leaf-spring.

Abstract: A prosthetic liner has a ventilated structure communicating with an interior volume to an exterior of the prosthetic liner, thereby permitting a transfer of air and moisture therebetween. The prosthetic liner includes a facing layer defining a periphery of at least part of the interior volume of the liner, and forming a plurality of apertures extending therethrough. A cushion layer is juxtaposed to the facing layer and forms a lattice structure including a plurality of interstices in communication with the apertures of the facing layer.

Abstract: A mechanical interface connecting a biological body segment, such as a limb, portion of a limb or other body segment, to a wearable device such as a prosthetic, orthotic or exoskeletal device, is fabricated by quantitatively mapping a characterized representation of the body segment to form a digital representation of the mechanical interface shape and mechanical interface impedance. The mechanical interface includes a continuous socket defining a contoured inside surface and a contoured outside surface, and includes a material having an intrinsic impedance that varies through the material, so that the intrinsic impedance varies along the contoured inside surface.

Abstract: An intraluminal vascular prosthesis assembly, having a hollow cylindrical body with a first end and a second end is provided. The assembly includes, at its first end, a first vascular prosthesis portion, and at its second end, a second vascular prosthesis portion which has only a prosthesis material. The vascular prosthesis assembly has a stent portion which is provided between the first vascular prosthesis portion and the second vascular prosthesis portion, the stent portion being free of prosthesis material to allow fluid flow there through and received within the aortic arch and spanning the brachiocephalic artery, left common carotid artery, and left subclavian artery when placed within the aortic arch of a patient.

Abstract: An extravascular access system includes a tubular stent configured to be deployed in a blood vessel, the stent having a sidewall and a proximal end opening and an internal scaffolding comprising one or more structural members, and an elongate access catheter having a distal end portion configured to access the blood vessel wherein when the stent is deployed in the blood vessel, and the distal end portion of the catheter is inserted into the proximal end opening of the stent, the one or more internal structural members of the stent deflect the distal end portion of the catheter towards a wall of the blood vessel.

Abstract: An illustrative endoluminal implant having an elongated tubular member. The elongated tubular member having a stent and a retrieval suture interwoven with the stent. The retrieval suture including a first suture loop extending about a circumference of the stent and adjacent to a suture retrieval loop and a second suture loop extending about a circumference of the stent and longitudinally spaced from the first suture loop. The first and second suture loops coupled via one or more interconnecting segments. At least one of the first or second suture loops has an arc length of less than 270° of the circumference of the stent.

Abstract: The present disclosure describes implantable medical devices comprising covers, such as a balloon cover. Such devices can comprise a first layer of a porous polymeric material, such as ePTFE, surrounded by layers of a porous polymeric material having an imbibed elastomer, such as polyurethane. The cover can be used to assist in deployment of an expandable implant, such as a stent-graft, within the body of the patient.

Abstract: The present disclosure relates to systems and methods that use computer-vision processing systems to improve patient safety during surgical procedures. Computer-vision processing systems may train machine-learning models using machine-learning techniques. The machine-learning techniques can be executed to train the machine-learning models to recognize, classify, and interpret objects within a live video feed. Certain embodiments of the present disclosure can control (or facilitate control of) surgical tools during surgical procedures using the trained machine-learning models.

Abstract: A heel float therapeutic footwear for people that spend a large amount of time in bed. The heel float therapeutic footwear includes a lower leg support portion, a foot support portion, and a wing support structure. The foot support portion extends from the lower leg support portion and includes a foot support platform. The wing support structure is permanently attached to the foot support platform. The wing support structure is adjustably fastenable to a side of the lower leg support portion to adjustably support a position and an angle of the foot support platform with respect to the lower leg support portion. A method of making a heel float therapeutic footwear is also disclosed.

Abstract: Systems, methods, and devices are described for providing a fluid control for an inflation system. The control directs fluid flow from an inlet to one or more outlets of the control. The outlets are independently connected in fluid communication with the inlet by through the control. The control allows a user to create a fluid path between the inlet and a selected outlet by positioning the control in an orientation corresponding to the desired outlet. Each outlet is independently connected in fluid communication with the inlet in various orientations of the control.

Abstract: A conformable and reconfigurable orthosis is provided. The conformable and reconfigurable orthosis comprises a central core metallic wire resistive heating element, an electrically insulating layer such as glass fiber or nylon fiber, and a structural layer of carbon fiber composites. The conformable and reconfigurable orthosis further comprises a thermal insulation and/or a skin compatible cushioning layer.

Abstract: The present wrist brace includes an advantageous lacing configuration that provides a cast-like compression on a patient's forearm, wrist, and hand. Pulling the lacing mechanism equilibrates lace tension along the length of the wrist brace in a way that applies consistent compression to the patient's forearm and wrist.

Abstract: An ostomy appliance having an appliance wall of flexible sheet material forming a cavity for containing a stomal output. The wall has a stomal inlet for receiving the stomal output and a gas vent for allowing the stomal gas to migrate out of the cavity. A filter arrangement is mounted to the appliance wall and has a filter channel extending from a filter channel inlet to a filter channel outlet. The filter channel inlet is located in the cavity for receiving the stomal output from the cavity and the filter channel outlet is mounted in communication with the gas vent for allowing stomal gas to migrate out of the filter channel to the gas vent. A separation element extends along the filter channel for maintaining the filter channel in an open configuration along part of the filter channel for allowing stomal gas to pass therethough.

Abstract: A menstrual device with a reservoir portion attached to a rim portion where the rim of the device is configured to improve use and comfort. The edge of the reservoir portion may be molded into the defined geometry of the rim portions. Additionally, the rim may have one or more channels and/or elements positioned within the defined geometry of the rim.

Abstract: Provided is a mandibular advancement device including: a driving unit including an intraoral device; a main body configured to generate a driving force for driving the driving unit; and a connection unit configured to connect the driving unit and the main body to transmit the driving force generated by the main body to the driving unit, wherein the driving unit includes a driving case having an empty space therein, a coupling unit having fixed thereto the intraoral device and coupled to a front of the driving case, and a rear cover coupled to a rear of the driving case and accommodating a piston therein, the intraoral device includes a first frame and a second frame located to overlap each other, a first seating portion covering a portion of the first frame located in an oral cavity of a user, a second seating portion covering a portion of the second frame located in the oral cavity of the user, and a fixing unit coupled to the first frame and the second frame, the first frame is coupled to the fixing unit to

Abstract: A method of preparing cryogenic air for use in cryotherapy procedures, using liquid nitrogen and gaseous oxygen, characterized in that liquid nitrogen (1) is fed from a cryogenic nitrogen tank (2) via a cryogenic duct (3) to a reactor (4), wherein simultaneously a gas (7) containing oxygen in a concentration from 20% to 100% is fed from an oxygen source (5) to the reactor (4), through a gas duct (6), then, in the reactor (4), the liquid nitrogen (1) is evaporated using the gas (7) and both these components are mixed together, forming a cold breathable mixture (8), cooled to a set temperature of minus 80° C. to minus 160° C., which is further fed through a cold duct (9) terminated with an outlet (10) to a cryochamber (11).

Abstract: A heating device is provided comprising: a wearable layer conformable to a part of a user's body; a heat source attached to the wearable layer for applying heat to a region of a user's body; a blood flow sensor attached to the wearable layer configured to detect a parameter indicative of blood flow in or adjacent to the region of the user's body and generate a signal indicative thereof; and one or both of: (i) a processor in electrical communication with the blood flow sensor for determining the blood flow in or adjacent to the region of the user's body based upon the signal; or (ii) a transmitter for transmitting the signal to a remote device.

Abstract: A therapeutic device having a first removable pack having a first temperature, a second removable pack having a second temperature, a flexible receptacle having a first compartment and a pocket. The first compartment of the flexible receptacle is configured to receive the first removable pack. The pocket is connected to the outer wall surface of the flexible receptacle and forms a second compartment configured to receive the second removable pack through a first opening of the pocket. The therapeutic device combines both hot and cold therapy to work simultaneously together. The application of both hot and cold to the site of an injury of a user stimulates blood circulation to an injured muscle with heat and reduces inflammation with cold to facilitate a faster and more efficient recovery process of the afflicted area.

Abstract: Devices, systems and methods for controlling a patient's body temperature by endovascular heat exchange.

Abstract: Methods and apparatus for the treatment of a body cavity or lumen are described where a heated fluid and/or gas may be introduced through a catheter and into treatment area within the body contained between one or more inflatable/expandable members. The catheter may also have optional pressure and temperature sensing elements which may allow for control of the pressure and temperature within the treatment zone and also prevent the pressure from exceeding a pressure of the inflatable/expandable members to thereby contain the treatment area between these inflatable/expandable members. Optionally, a chilled, room temperature, or warmed fluid such as water may then be used to rapidly terminate the treatment session.

Abstract: A vitrectomy probe with combined vibration dampening and attenuating. The probe may include a variety of features to lessen the vibrations felt by a surgeon during a vitrectomy procedure. These may include minimizing the degree of flow restriction through a housing that facilitates cutter reciprocation by way of air pressure. Further, utilizing softer stops at a diaphragm that drives the cutter reciprocation may be of benefit as is strategically lessening compressive forces by seals at an extension tube coupled to the diaphragm where possible. The use of a softer gripping component that is actually held by the surgeon may be of benefit in terms of vibration attenuation.

Abstract: A phacoemulsification system including a phacoemulsification probe having a probe body, a horn disposed at least partially in the probe body, a needle coupled with the horn and configured to be inserted into an eye, and a piezoelectric actuator disposed in the probe body and configured to vibrate the horn and the needle in a first direction with a stroke length with respect to the probe body; a signal generator configured to generate a drive signal to drive a vibration of the piezoelectric actuator; a stroke measurement apparatus configured to provide indications of the stroke length of the needle over time; and a controller configured to dynamically adjust a frequency of the drive signal so as to maximize the stroke length and maintain mechanical resonance of the needle responsively to the provided indications of the stroke length.

Abstract: A shunt 10 for implantation in the human body for treating ocular disorders related to disorders of intraocular or intracranial pressure by providing for flow of aqueous fluid in the anterior chamber A of the eye and cerebrospinal fluid in the subarachnoid space B surrounding the optic nerve C. The shunt has a proximal end 12 which is implanted in the ocular anterior chamber and a distal end 14 which is implanted in the subarachnoid space. The shunt has a two-part construction, including a flexible distal tube 18 and a rigid proximal tube 20. The distal tube has a distal stop formation 26 near the distal end 14 which is located in the subarachnoid space upon implantation of the distal end, resisting withdrawal of the shunt. The proximal tube has a curved portion which conforms to the anatomical curvature of the ocular globe.

Abstract: A surgical system corrects a surgical parameter based on a nomogram specific for a refractive laser surgery system to provide a nomogram-based corrected surgical parameter; stores the surgical parameter and the nomogram-based corrected surgical parameter as data for a patient or for one or both eyes of the patient; and compares the surgical parameter and nomogram-based corrected surgical parameter to generate a graphical representation of the surgical parameter, a target outcome parameter associated with the surgical parameter, or both, and the nomogram-based corrected surgical parameter, to generate a warning based on a comparison of the nomogram-based corrected surgical parameter to the surgical parameter or an absolute value, or both.

Abstract: A laser eye surgery system includes a laser to generate a laser beam. A topography measurement system measures corneal topography. A processor is coupled to the laser and the topography measurement system, the processor embodying instructions to measure a first corneal topography of the eye, A first curvature of the cornea is determined. A target curvature of the cornea that treats the eye is determined. A first set of incisions and a set of partial incisions in the cornea smaller than the first set of incisions are determined. The set of partial incisions is incised on the cornea by the laser beam. A second corneal topography is measured. A second curvature of the cornea is determined. The second curvature is determined to differ from the target curvature and a second set of incisions are determined. The second set of incisions is incised on the cornea.

Abstract: A method for controlling an eye surgical laser is disclosed for the separation of a volume body. The method includes determining a target position of a pupil relative to a laser beam and determining an optical zone with a treatment center on interfaces relative to an optical axis of the laser beam, determining a transition zone at the volume body as an extension of the interface, capturing a current actual position of the pupil, determining a deviation between the target position and the actual position, and decentering the determined optical zone relative to the optical axis depending on the determined deviation such that the edge of the volume body is generated concentrically to the optical axis and the optical zone is generated concentrically to the determined treatment center and within the transition zone. Further disclosed are a treatment apparatus, a computer program and computer-readable medium capable of performing the method.

Abstract: A welding helmet can record a welding time based on an arc intensity detected by a sensor mounted on the helmet. A configured level is compared with the arc intensity detected by the sensor to determine a welding duration. Individual welding times from multiple welding instances can be accumulated over a period of time to provide a total welding time for an operator. The total welding time may be stored in the welding helmet.

Abstract: An embodiment of the present disclosure discloses an eye protection structure for protecting a worker, the eye protection structure including a window convex outward to cover both eyes of the worker, wherein the window includes a transmissive portion, the transmissive portion includes an inner surface facing the worker's face and an outer surface opposite to the inner surface, a first radius of curvature of the outer surface of the transmissive portion and a second radius of curvature of the inner surface of the transmissive portion are different from each other, and a thickness of a central portion of the transmissive portion is greater than a thickness of an edge portion of the transmissive portion.

Abstract: A patient transport apparatus for transporting a patient over a surface. The patient transport apparatus has support wheels coupled to a base and swivelable about swivel axes. An auxiliary wheel assembly is coupled to the base and includes an auxiliary wheel configured to move between a plurality of wheel positions, and an actuator operably coupled to the auxiliary wheel to move the auxiliary wheel between the plurality of wheel positions. A sensing system with a sensor is provided to detect a motion condition of the patient transport apparatus. A controller is coupled to the sensing system and to the actuator, and is configured to drive the actuator to move the auxiliary wheel between the plurality of wheel positions based on the motion condition of the patient transport apparatus.

Abstract: A patient transport apparatus transports a patient over a floor surface. The patient transport apparatus comprises a support structure and support wheels coupled to the support structure. An auxiliary wheel is coupled to the support frame to influence motion of the patient transport apparatus over a floor surface. The auxiliary wheel is movable to a deployed position with the auxiliary wheel engaging the floor surface and a stowed position with the auxiliary wheel spaced a distance from the floor surface. An actuator assembly coupled to the support frame and to the auxiliary wheel. The actuator assembly includes a lift actuator and a spring cartridge assembly. The lift actuator is operable to move the auxiliary wheel to the deployed position and to the stowed position. The spring cartridge assembly is configured to bias the auxiliary wheel towards the deployed position.

Abstract: An apparatus and method for storing medical products such as pharmaceutical and medical products in climate controlled storage devices includes climate control systems in communication with inventory access and tracking systems.

Abstract: Vehicle (100) having a body (1), the body comprising a door (2R) movable between a closed position and an open position. A piece of equipment (3R, 90R) is mounted at an inner side of the door in such a manner that when the door opens, said piece of equipment moves to take up an open position in which at least part of said piece of equipment is outside the body of the vehicle (100). The piece of equipment (3R, 90R) may comprise a seat cushion (36), a plurality of shelves, or a box. The vehicle further comprises a equipment positioning mechanism (60) capable of moving said piece of equipment relative to the door (2R).