Abstract: A blood circulation assist system includes a ventricular assist device (VAD) and a controller. The VAD is attachable to a heart of a patient to pump blood from a ventricle of the heart into a blood vessel of the patient. The VAD includes an impeller, a motor stator operable to rotate the impeller, and an accelerometer generating an accelerometer output indicative of accelerations of the VAD. The controller controls operation of the motor stator to control rotational speed of the impeller based on the accelerometer output.

Abstract: Embodiments in the present disclosure relate to an anchoring and centering device for a circulatory support pump. An exemplary apparatus comprises an expandable anchoring device extending along a longitudinal axis, wherein the expandable anchoring device is arranged about a central axis. A distal portion of the expandable anchoring device defines an annulus through which the cardiac pump can be arranged and to which the cardiac pump can be releasable coupled. A proximal portion of the expandable anchoring device is configured to circumferentially expand to an unconstrained configuration that has a cross-sectional diameter greater than a diameter of the annulus. The exemplary apparatus also includes a constraining member arranged over the expandable anchoring device to constrain the expandable anchoring device in a constrained configuration for delivery of the anchoring apparatus.

Abstract: An apparatus includes a stent configured to releasably support a blood pump within an inner lumen of the stent. The stent can include one or more arms configured to bend radially inward and releasably couple to attachment portions on a housing of the blood pump. The attachment portions of the blood pump housing may include one or more slotted openings for accepting the arms extending from the stent. A magnetic member may assist in coupling the arms to the blood pump housing. When decoupling the blood pump from the stent, a position of the blood pump may be adjusted relative to the stent to cause the arms to be released from the attachment portions. Once released, the arms may bend radially outward in alignment with a diameter of the stent.

Abstract: The invention relates to an axial flow pump (102) for a ventricular assist device. The axial flow pump (102) comprises a pump housing (104) for arranging in a blood vessel and a pump rotor (108), which is or can be mounted in the pump housing (104) for rotation about an axis of rotation and which consists of a hub (200) and at least one blade element (110) which is helically wound around the hub (200), at least in portions, and is provided for conveying, in the direction of the axis of rotation (302), a medium to be conveyed. In order to increase the pump efficiency, the blade element (110) has at least one blade section (202) having an undulating blade curvature.

Abstract: An intravascular blood pump having a drive section (11), a catheter (14) fastened to the drive section proximally and a pump section (12) fastened to the drive section distally possesses an electric motor (21) whose motor shaft (25) is mounted in the drive section (11) with two radial sliding bearings (27, 31) and an axial sliding bearing (40). During operation, purge fluid is conveyed through the bearing gap of the axial sliding bearing (40) and farther through the radial sliding bearing (31) at the distal end of the drive section (11). The purge fluid is highly viscous, for example 20% glucose solution.

Abstract: In one embodiment, a method for fabricating a neurostimulation stimulation lead comprises: providing a plurality of ring components and hypotubes in a mold; placing an annular frame with multiple lumens over distal ends of the plurality of hypotubes to position a portion of each hypotube within a respective lumen of the annular frame; molding the plurality of ring components and the hypotubes to form a stimulation tip component for the stimulation lead, wherein the molding fills interstitial spaces between the plurality of ring components and hypotubes with insulative material; and forming segmented electrodes from the ring components after performing the molding.

Abstract: An oral care implement having conductive protrusions. In one embodiment, the oral care implement includes a handle and a head coupled to the handle. Furthermore, the oral care implement includes a power source. A plurality of conductive protrusions may be electrically coupled to the power source. The plurality of conductive protrusions may include a base proximate the head and a distal end spaced from the head. Furthermore, at least one of the conductive protrusions may taper from the base to the distal end.

Abstract: An apparatus and method are used to deliver an electrical current to, through or across gingival tissues of a mouth in order to achieve a number of therapeutic, prophylactic, cosmetic, and or regenerative benefits. These benefits include killing or modifying oral microbes, increasing oral vasodilation, reducing oral biofilm, improving oral blood circulation, reversing oral bone resorption, promoting oral osteogenesis, treating gum recession, and fostering gingival regeneration. Other benefits include the treatment of gingivitis, periodontitis, and oral malodor, and other systemic diseases correlated with oral pathogens. Use of systems and methods according to the present invention may effectively tighten epithelial contact with one or more teeth (e.g., by the junctional epithelium and/or the sulcular epithelium) and/or cause a tightening of the oral epithelium, thereby improving an appearance of a human smile.

Abstract: Applying therapeutic neural stimuli involves monitoring for at least one of sensory input and movement of a user. In response to detection of sensory input or user movement, an increased stimulus dosage is delivered within a period of time corresponding to a duration of time for which the detected sensory input or user movement gives rise to masking, the increased stimulus dosage being configured to give rise to increased neural recruitment.

Abstract: The device has a device body with a front face at its distal end, and a means for the anchoring of the medical device to a patient's organ wall. The anchoring means includes a screw with a helix wire wound into a plurality of non-contiguous turns, the screw having a clamped end integral with the front face of the device body and a free end with a beveled end defined by at least one oblique surface. The helix wire includes, at its free distal end, a terminal region whose wire bending stiffness is lower than in a proximal region of the helix turns. The stiffness difference may, in particular, be obtained by varying the wire diameter over different successive portions, with decreasing diameters in a proximal to distal direction.

Abstract: Devices and methods for ablating tissue are disclosed. A method for ablating tissue includes applying a first radio frequency ablation current to a target tissue and applying a second radio frequency ablation current to the target tissue. Additionally, the ratio of the frequency of the first radio frequency ablation current to the second radio frequency ablation current is in the range of 1:2 to 1:400.

Abstract: The present invention relates to an apparatus for fractional treatment of skin tissue of a patient comprising a handpiece, at least one first electrode and at least one second electrode, arranged on a base plate for applying radio frequency energy, to at least one layer of the skin, wherein the apparatus is adapted to apply electrical energy to the skin tissue with a first pulse and a second pulse following the first pulse, with the first pulse being a low energy level pulse and the second pulse being a high energy level pulse having a higher energy level than the low energy level pulse.

Abstract: A method of applying electrode elements configured in an array of elements to an individual's skin, the electrode elements being part of an apparatus for delivering a plurality of electromagnetic fields to the body of the individual, the method comprising the steps of: positioning, applying, holding and bowing. The positioning step includes the positioning of each of the electrode elements of the array of elements into corresponding cavities in at least one holding rack. The applying step includes the applying of a medical adhesive to a surface of the plurality of electrode elements. The holding step includes the holding of the holding rack against the skin at a selected location. The bowing step includes the bowing of a portion of the holding rack causing one of the electrode elements to pop out of the holding rack, with the electrode element adhering to the skin by way of the medical adhesive.

Abstract: Provided are devices and methods for preventing an episode of incontinence in an individual in need thereof. The devices comprise a sensor and a stimulator electrode that can be implanted into the body of the individual. Once the device is implanted in the individual, the sensor of the device senses a parameter that is associated with a response from the individual that is intended to prevent an episode of incontinence. Then, the device provides an electrical stimulation using the electrode that, together with the response, helps to prevent the episode of incontinence.

Abstract: A magnet arrangement for an implantable medical device is described. An implantable coil case contains a communications coil and is made of biocompatible resilient material with a top lateral surface. A magnet receptacle is located within the coil case and has a receptacle opening in the top lateral surface. An implant magnet fits within the magnet receptacle and has opposing end surfaces, and a center body region located between the end surfaces. An elastic opening clamp is located radially around the receptacle opening and is configured to normally be closed around the receptacle opening to maintain the implant magnet within the magnet receptacle. The elastic opening clamp also is configured to cooperate with a surgical handling tool to expand the receptacle opening to permit the implant magnet to be removed from the magnet receptacle through the receptacle opening without needing to move the coil case.

Abstract: The present disclosure provides systems and methods for targeted nerve stimulation. In particular, the present disclosure provides systems and methods for determining the location of electrode placement providing the most therapeutic benefit for a particular subject. The various embodiments disclosed herein include methods for identifying a target nerve having the strongest representation and/or the strongest subject perception associated with a peripheral nerve in a patient-specific manner.

Abstract: Apparatuses and methods for treating neurological disorders by electro-stimulation. The apparatus may include a neural input signal acquisition module having a front-end block configured to amplify the potential difference of its input signals (V1a, V2a) and to filter a stimulus artifact and may include a multi-stage fully-differential switched capacitor circuit (e.g., an integrated circuit) configured for discrete-time signal processing.

Abstract: In a patient suffering from neural impairment, stimulation is provided to sensory surfaces of the face and/or neck, or more generally to areas of the body that stimulate the trigeminal nerve, while performing an activity intended to stimulate a brain function to be rehabilitated. The simulation may then be continued after the performance of the activity has ceased. It has been found that the patient's performance of the activity is then improved after stimulation has ceased. Moreover, it tends to improve to a greater extent, and/or for a longer time, when the post-activity stimulation is applied, as compared to when post activity stimulation is not applied.

Abstract: Systems and Methods for Monitoring Neural Activity A method of monitoring neural activity responsive to a stimulus in a brain or a subject under general anaesthetic, the method comprising: applying the stimulus to one or more of at least one electrode implanted in a target neural structure of the brain; detecting a resonant response from the target neural structure evoked by the stimulus at one or more of the at least one electrode in or near the target neural structure of the brain; and determining one or more waveform characteristics of the detected resonant response.

Abstract: Systems, devices, and techniques for adjusting electrical stimulation based on a posture state of a patient are described. For example, a system may include sensing circuitry configured to sense an ECAP signal and processing circuitry configured to control delivery of the electrical stimulation to a patient according to a first value of a stimulation parameter and determine a characteristic value of the ECAP signal. The processing circuitry may also be configured to receive, from a sensor, a posture state signal representing a posture state of the patient, determine, based on the posture state signal, a gain value for the stimulation parameter, adjust, based on the characteristic value of the ECAP signal and the gain value, the first value of the stimulation parameter to a second value of the stimulation parameter, and control delivery of the electrical stimulation according to the second value of the stimulation parameter.

Abstract: A method of controlling a neural stimulus by use of feedback. The neural stimulus is applied to a neural pathway in order to give rise to an evoked action potential on the neural pathway. The stimulus is defined by at least one stimulus parameter. A neural compound action potential response evoked by the stimulus is measured. From the measured evoked response a feedback variable is derived. A feedback loop is completed by using the feedback variable to control the at least one stimulus parameter value. The feedback loop adaptively compensates for changes in a gain of the feedback loop caused by electrode movement relative to the neural pathway.

Abstract: Techniques are disclosed for using a cardiac signal sensed via a plurality of electrodes disposed on one or more leads implanted within an epidural space of a patient to control spinal cord stimulation (SCS) therapy. In one example, an implantable medical device (IMD) senses an electrical signal via a plurality of electrodes disposed on one or more leads implanted within an epidural space of a patient. Processing circuitry determines, from the electrical signal, one or more cardiac features indicative of activity of a heart of the patient. The processing circuitry controls, based on the one or more cardiac features, delivery of SCS therapy to the patient.

Abstract: This disclosure relates to methods for modifying neural activity by applying electrical current to a neural tissue, e.g., in a transcranial DC stimulation procedure (tDCS), a transcranial AC stimulation procedure (tACS), a transcranial random noise stimulation procedure (tRNS), a deep brain stimulation procedure (DBS), a transcutaneous electrical nerve stimulation procedure (TENS), or the like. Historically, computed potential, electrical field, and/or current density distributions have been used to select the locations of the electrodes that apply the electrical current. In the present disclosure, a computed charge distribution on the bounding surface of one or more sulci filled with cerebrospinal fluid (CSF) is used in selecting the electrode locations. In one embodiment, the sulcus's bounding surface is divided into pixels and each pixel's charge is determined by the pixel functioning as a sensor for the charges surrounding it, including the charges of other pixels and the charges on the electrodes.

Abstract: An example of a system to program a neuromodulator to deliver neuromodulation to a neural target using a plurality of electrodes may comprise a programming control circuit configured to determine target energy allocations for the plurality of electrodes based on at least one target pole to provide a target sub-perception modulation field, and normalize the target sub-perception modulation field, including determine a time domain scaling factor to account for at least one property of a neural target or of a neuromodulation waveform, and apply the time domain scaling factor to the target energy allocations.

Abstract: A method for heart failure management includes monitoring one or more sensor-based parameters for a patient to determine a pacing therapy. If the one or more parameters indicate atrial tachycardia or atrial fibrillation, a first pacing therapy is delivered. If the one or more parameters do not indicate atrial tachycardia or atrial fibrillation, it is determined whether the patient is asleep. If the patient is asleep, a second pacing therapy is delivered. If the one or more parameters do not indicate atrial tachycardia, atrial fibrillation, or that the patient is asleep, the patient's P-wave duration is evaluated with respect to a P-wave duration threshold value. When the patient's P-wave duration is determined to exceed the P-wave duration threshold value, a third pacing therapy is delivered, and when the patient's P-wave duration is determined to not exceed the P-wave duration threshold value, a fourth pacing therapy is delivered.

Abstract: A method and device for detecting phrenic nerve stimulation (PNS) in, or using, a cardiac medical device. A test signal sensitive to contraction of a diaphragm of a patient may be sensed and signal artifacts of the test signal within each of a first window of the test signal prior to a predetermined cardiac signal and a second window of the test signal subsequent to the predetermined cardiac signal may be determined. The PNS beat criteria may be evaluated, for example, using the test signal, which may be a heart sounds signal.

Abstract: A design for an implantable medical device (IMD) is disclosed in which a charging coil and a short-range RF antenna in the IMD's header are physically integrated, and in which the short-range RF antenna includes intentional coupling to the charging coil. A pick-up is capacitively coupled to the charging coil in the header, such as by wrapping the pick-up at least partially around the turns of the charging coil. The charging coil is used to receive power via a magnetic inductive link at a first (preferably lower) frequency, while the combined charging coil and pick-up-together acting as the short-range RF antenna-receive and transmit short-range RF data (e.g., Bluetooth) via a short-range RF data link at a second (preferably higher) frequency. Resonance of the charging coil and short-range RF antenna can be independently tuned, and circuitry can prevent interference between them.

Abstract: A feedthrough for an AIMD includes a ferrule with an insulator hermetically sealing a ferrule opening, both cooperatively separating a body fluid side from a device side. A circuit board disposed adjacent to the insulator device side has a ground plate or ground trace electrically connected to a circuit board ground conductive pathway disposed in a circuit board ground via hole. An anisotropic conductive layer disposed between the circuit board and the insulator device side has an electrically insulative matrix supporting a plurality of electrically conductive particles. The anisotropic conductive layer has a first thickness where at least one first electrically conductive particle is longitudinally aligned and in electrical contact with the ferrule and the circuit board ground conductive pathway electrically connected to the at least one circuit board ground plate or ground trace.

Abstract: A wearable medical device is provided for monitoring the cardiac health of a patient, for example, for indications of cardiac anomalies, where the device includes ECG sensors in electrical contact with the patient's body, therapy electrodes for providing electrical therapy to the patient's heart, and a control unit having at least one touch control with force sensor disposed on its housing for contacting with a finger. Signals from the touch control may be analyzed to identify force application below a first force threshold and at or above a second force threshold below the first force threshold, and, responsive to detecting such application of force, user input may be registered. User inputs to the at least one touch control may be used to delay therapy by the therapy electrodes.

Abstract: Methods of the present invention comprise photoinactivation of catalase in combination with low-concentration peroxide solutions and/or ROS generating agents to provide antibacterial effects.

Abstract: Interstitial brachytherapy is a cancer treatment in which radioactive material is placed directly in the target tissue of the affected site using an afterloader. The accuracy of radiation placement is monitored during the cancer treatment. The location plan for the radioactive material may be adjusted during the cancer treatment based on real-time analysis of the location and dosage of radiation measured in, at and around the target tissue of the affected site.

Abstract: A method for treating a tumor, comprising identifying a tumor as a breast cancer tumor and implanting in the tumor identified as a breast cancer tumor, at least one diffusing alpha-emitter radiation therapy (DaRT) source (21) with a suitable radon release rate and for a given duration, such that the source (21) provides during the given duration a cumulated activity of released radon between 3.5 Mega becquerel (MBq) hour and 9 MBq hour, per centimeter length.

Abstract: Presented systems and methods enable efficient and effective radiation treatment planning and treatment, including accurate and convenient transmission of the radiation towards a tissue target. In one embodiment, a radiation system includes a particle source, a bremsstrahlung target, and a pinhole collimator. The particle source is configured to produce a particle beam (e.g., an electron beam, etc.). The bremsstrahlung target is configured to receive the particle beam and generate a photon radiation beam. The received particle beam and generated photon radiation beam can correspond to an inflected image. The inflected image can be associated with a tumor/tissue target. The pinhole collimator is configured to receive the photon radiation beam in a pattern that corresponds to the inflected image, invert the photon radiation beam pattern, and forward the results towards a tissue target.

Abstract: Computer-implemented methods for planning radiation treatment are used to identify, for a given isocenter and given beam energy, beam delivery angles where beam fields satisfy a criterion for transmission fields (fields with a Bragg peak that is significantly or entirely outside of a patient's body). Those beam angles can be determined and evaluated before dose calculations are performed. Treatment planning can be performed using selected, satisfactory beam angles.

Abstract: Systems and method for automatically generating structures, such as target volumes, in a treatment image using structure-guided deformation to propagate the structures from a planning image onto the subsequently acquired treatment image.

Abstract: A memory has a fluence map that corresponds to a particular patient stored therein. This memory also has at least one deep learning model stored therein trained to deduce a leaf sequence for a multi-leaf collimator from a fluence map. A control circuit operably coupled to that memory iteratively optimizes a radiation treatment plan to administer therapeutic radiation to that patient by, at least in part, generating a leaf sequence as a function of the at least one deep learning model and the fluence map that corresponds to the patient.

Abstract: Systems and methods are provided for performing operations comprising: generating a radiotherapy treatment plan for treating an ablation volume comprising a myocardial scar based on a first image of a patient that is generated using contrast-enhanced magnetic resonance (MR) imaging information; identifying, based on the first image of the patient, the ablation volume comprising the myocardial scar in a second image of the patient that is generated using MR imaging information without contrast; adjusting the radiotherapy treatment plan based on the ablation volume identified in the second image of the patient; acquiring a cine image of the patient during delivery of a radiotherapy treatment fraction by a radiotherapy treatment device based on the adjusted radiotherapy treatment plan; and comparing the cine image to the second image of the patient to control delivery of a radiotherapy beam by the radiotherapy treatment device.

Abstract: An ultrasound probe for treating body tissues, which includes a focused ultrasound emitter arranged inside a main body provided with a porn that can be gripped, and a means for connection to a remote unit for the power supply and control of the probe. The particularity of the present invention resides in that it includes a means for adjusting the penetration depth of a beam of focused ultrasound, emitted by the emitter, in a tissue of a patient.

Abstract: In one embodiment of the present invention, a system for treating an occlusion within a patient's vasculature with ultrasonic energy comprises a catheter configured to be passed through the patient's vasculature such that a portion of the catheter is positioned at an intravascular treatment site. The system further comprises an ultrasound radiating member, an ultrasound signal generator configured to supply a drive signal to the ultrasound radiating member, an infusion pump configured to pump a therapeutic compound into the fluid delivery lumen so as to cause the therapeutic compound to be delivered to the treatment site and a controller configured to control the ultrasound signal generator and the infusion pump.

Abstract: A filter mask for filtering air inhaled and exhaled from the mouth and nostrils while providing a secure fit and comfort to the wearer is provided. The filter mask has upper and lower edges which are provided with at least one malleable stiffener for conforming to the shape of the wearer's nose and cheek area and/or the lower jaw and chin area. In some embodiments, the filter masks further comprises a malleable stiffening member configured to conform the filter material to at least a chin portion and a jaw portion of the face. In some embodiments, the malleable stiffener can have a bend portion, which allows the wearer of the mask to know which part, center and side of the mask is to be properly placed on the nose and cheek area. The masks provide excellent filtration and provide a secure and comfortable fit to the wearer.

Abstract: A portable electric rescue tool, such as spreader and cutter tool, that allows for manual or remote operation, and operates on a DC power source, which may be an external power source and/or an onboard rechargeable battery. For example, the tool includes a battery cradle or battery attachment portion adapted to removably receive a rechargeable battery pack and electrically couple the battery pack to the tool. The tool also includes a power adapter that is adapted to be removably coupled to the battery attachment portion instead of the battery pack, and allows the tool to be electrically connected to an external DC power source, such as a vehicle battery or other DC power source.

Abstract: A wearable continuous positive airway pressure assembly for protecting a user from breathing airborne particles includes a continuous positive airway pressure machine that has an intake and an exhaust. A pair of shoulder straps is each coupled to the continuous positive airway pressure machine for wearing the continuous positive airway pressure machine on the user's back. An intake hose is fluidly coupled to the intake of the continuous positive airway pressure machine, a filter is fluidly coupled to the intake hose, and an exhaust hose is fluidly coupled to the exhaust of the continuous positive airway pressure machine. A face mask is fluidly coupled to the exhaust hose to receive the pressurized air from the exhaust hose thereby inhibiting the user from breathing ambient air.

Abstract: A method of providing a deluge system (10) on a boom (12) such as a boom that is used to conduct well flaring operations at an end thereof. The deluge system comprises a base unit (30), a stanchion (20), and a nozzle apparatus (22); the method comprising attaching the deluge system to a burner boom with a walkway, such that there remains a width of at least 30 cm clear passage on the boom's walkway after the deluge system has been attached. This provides an escape and/or rescue route for personnel should a dangerous situation occur, such as uncontrolled fire or personnel falling overboard. In preferred embodiments, the deluge system is attached to the boom outboard of handrail supports (which includes on a single handrail). The deluge system may have its own mechanism e.g. a winch, for moving the stanchion from a stowed position to an operative position which allows a safe and more optimum positioning of the stanchion away from the well flaring operation, as herein described.

Abstract: An extinguishing system and method for extinguishing fires. The extinguishing system includes-a pump system for pumping extinguishing agent; one or more nozzles connected operatively to the pump system for the purpose of spraying extinguishing agent at a source of fire; a supply or inlet arranged on the pump system for the purpose of supplying extinguishing agent to the pump system; an extinguishing conduit with an extinguishing length arranged on the pump system for the purpose of supplying extinguishing agent to the at least one nozzle; and an extinguishing controller provided with an input system for inputting system data, including data about the extinguishing conduit, the pump system and the at least one nozzle. The extinguishing controller is configured to determine with the system data an operating pressure at or close to the at least one nozzle and thereby control the pump system.

Abstract: A dry sprinkler has a casing tube having an inlet orifice and an outlet orifice. When the sprinkler is in a non-actuated state, an inlet seal assembly operatively seals the inlet orifice and an outlet seat assembly operatively seals the outlet orifice. A translating member extends through the casing tube between an inlet and an outlet. The translating member axially translates from a first position, in which the translating member retains the inlet seal assembly in a sealed state, to a second position, in which the translating member releases the inlet seal assembly, toward the outlet when the outlet seat assembly is released. The sprinkler has a nominal K-factor greater than 17 gpm/(psi)1/2. A difference between a cross-sectional area of the casing tube and a cross-sectional area bounded by an outer perimeter of the translating member is more than 30% of the cross-sectional area of the casing tube.

Abstract: A fire protection nozzle includes a body having two frame arms having proximal ends connected to an outlet of the body, and distal ends, the two frame arms defining a frame arm plane, and a junction formed by the distal ends of the frame arms, the junction including a central bore and an outer wall. A deflector is mounted to the body, and includes a planar member having a mounting hole in a center of the planar member to receive the outer wall of the junction, and a plurality of slots on a periphery of the planar member. The plurality of slots includes first slots, second slots, third slots, and fourth slots.

Abstract: A fire detection and suppression system includes a first linear heat detector configured having a first activation temperature, a second linear heat detector having a second activation temperature different than the first activation temperature, a connector assembly electrically coupling the first linear heat detector and the second linear heat detector, a source of fire suppressant at least selectively coupled to at least one nozzle, and a controller coupled to the first linear heat detector and the second linear heat detector and configured to initiate distribution of the fire suppressant through the at least one nozzle in response to receiving an activation signal. The activation signal indicates at least one of (a) the first linear heat detector has reached the first activation temperature or (b) the second linear heat detector has reached the second activation temperature. The connector assembly is configured to be positioned within the ventilation hood.

Abstract: The present invention is related to sports training devices and, more particularly, to an arm training device for use in running related sports. The purpose of the invention is to hold the arm as close as possible at a 90 degree angle while running. The device comprises of a pair of poly-elastic webbing that is attached to both arms. The device is connected by a central segment. The central segment is attached to the lower wrist and upper bicep crease by buckles that the webbing is inserted through and then attached by Velcro releasable hook and loop fastening material to create a loop. The loop can be adjusted to fit most arm and wrist sizes. The poly-elastic webbing holds the arm at approximately a 90 degree angle while running. As result of the elasticity of the material, the arm will move forward and backwards faster while improving speed and technique.

Abstract: A connecting assembly designed for use with an exercise device is herein disclosed. The connecting assembly includes a ball joint linkage, a ball, and a ball joint arm. The ball joint linkage is designed to couple to a base. The ball is pivotally mounted in the ball joint linkage, with the ball joint arm extending from the ball and being designed to couple to various types of exercise equipment. The ball permits three degrees of rotational freedom movement of the ball joint arm relative to the ball joint linkage, offering a plethora of diverse exercises while increasing safety of the exercise activity.

Abstract: A system and method for providing an exercise bar for a user to use for rowing or other exercises in the water of the spa or adjacent to the spa. The exercise bar may comprise a central hub, and two sides, each with a first inner tube attached to opposing side of the central hub and a an outer tube in telescoping connection with the inner tube, and a handgrip in connection with the first outer tube. A connector may be mounted to the central hub, the connector to enable the exercise bar to be connected to one or more resistance cables. The exercise bar may be adjustable from a first, shorter length for use with exercises in which a user's hands are positioned closer together and a second, longer length for use with exercises in which a user's hands are positioned father apart.