Maryland Gov. Hogan: 'Really good chance' new Amazon headquarters will come to Montgomery County
BETHESDA, Md. - Gov. Larry Hogan said there is a "really good chance" the much sought-after second headquarters for Amazon will be delivered to Maryland. The prediction comes after he cast concerns over how the next county executive in Montgomery County might hurt the effort to land Amazon.
On Tuesday, Hogan said he has been hearing from local leaders concerned that Montgomery County Councilmember Marc Elrich's possible election as Montgomery County Executive would discourage Amazon from picking the county as the site of its new headquarters. Elrich won the Democratic nomination for county executive.
Montgomery County is one of 20 locations, and the only one in Maryland, on Amazon's shortlist of candidates.
Two days later, Hogan was in Bethesda for a talk at the Economic Club of Washington D.C., and he stressed his close work with current County Executive Ike Leggett for his optimism to land Amazon by the end of the year.
"I think it's a really good chance it's going to happen," said Hogan. "We are already on the shortlist. We had a great presentation with them. Ike Leggett, the county executive here in Montgomery County - we're a team, again a bipartisan effort working together, and I believe we have an excellent chance."
Two weeks ago, Elrich sent a letter to Amazon reassuring the company that if elected as county executive, he would honor any commitments made by the current administration.
However, former Montgomery County Executive Doug Duncan told FOX 5 he has heard the same concerns as Hogan and that Elrich needs to do more to reassure companies that Montgomery County would be business-friendly.
"I do think there is some concern, certainly in the business community, that Marc Elrich sends the wrong signal to Amazon about being a business-friendly climate here in Montgomery County and that's why he wrote the letter to Amazon saying that's not true," said Duncan. "The problem is that letter sort of belies his 12 years on the council."
FOX 5 reached out to Elrich for comment about Hogan's comments and the Amazon bid, but his office declined our interview request.
Amazon founder Jeff Bezos will speak to the Economic Club of Washington D.C. next month in D.C.


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The Dow Jones Industrial Average today (Wednesday, July 13) closed at another record level as the post-Brexit rally continues to push the markets into the stratosphere. The mainstream media is abuzz about the possibility of the Dow Jones reaching 20,000. Despite concerns about the Brexit's impact on the European Union and news that U.S. consumer spending is cooling off, the markets continue their surge.
While the mainstream headlines are saying that the "Global Rally" is just taking a breather on Wednesday, investors need to know about a number of other critical stories that might have slipped under the radar. No matter what happens on Thursday, Friday, or after the 2016 presidential election, there are always opportunities to make money in any market. And we're going to highlight a few key ways to profit from today's headlines.
Before we get to those stories, check out the results for the Dow Jones Industrial Average, S&P 500, and Nasdaq:
Dow Jones: 18,372.12; +24.45; +0.13%
S&P 500: 2,152.43; +0.29; +0.01%
Nasdaq: 5,005.73; -17.09; -0.34%
Now, here's the top stock market news today – and your best ways to profit…
DJIA Today: More Stimulus, Lower Oil Prices
The Dow Jones Industrial Average today added another 24 points as investors continue to anticipate more action by central banks to help bolster global growth. Markets are back on their sugar high after the Bank of Japan ordered another round of stimulus in order to boost growth, and traders anticipate the Bank of England will cut interest rates for the first time in almost eight years during its meeting tomorrow.
Meanwhile, the U.S. economy showed little signs of inflation in June despite news the U.S. economy continued to expand through the first six months of the year. Last night, Minneapolis Federal Reserve Bank President Neel Kashkari warned the central bank is falling short on its target goals for domestic employment and inflation. He said investors can expect increased patience from the Fed on interest rate policy.
As of Wednesday afternoon, the markets see a limited chance of a rate hike in 2016. According to CME FedWatch, the probability the Fed will increase rates in December currently sits at a little less than 33%.
The mainstream media won't admit it, but central banking lies are propping the markets up right now. And as Money Morning Capital Wave Strategist Shah Gilani explains, it could get very ugly, very fast for traders.
Oil prices were falling today after the International Energy Agency (IEA) said it anticipates an increased supply glut in the coming months. Meanwhile, the U.S. Energy Information Administration (EIA) reported a much smaller drawdown in domestic crude levels last week than economists had expected. WTI crude oil prices were off 4.4% to close at $44.75, while Brent crude oil prices slumped 4.1% to settle at $46.26.
As Money Morning Global Energy Strategist Dr. Kent Moors explains, the mainstream financial media was harping about this "oil glut," while short sellers worked to push oil prices down. The problem is no one in the mainstream press seems to have the faintest clue about this oil glut. Moors is sticking to his bullish oil forecast, and it can help you earn a tidy profit thanks to the market's overreaction to news out of Canada and Nigeria. Click here to see Moors' forecast that you won't find on CNBC or anywhere else.
But the big news today is the damning report from Congress indicating Chinese hackers broke into computers at the Federal Deposit Insurance Corporation between 2010 and 2013. What's worse, agency officials attempted to cover up the breach, according to a new report from the House of Representatives. The report raises serious concerns about U.S. cybersecurity and reveals the hackers were able to break directly into 10 servers and 12 computers at the agency. This included very sensitive information shared by FDIC chairman Martin J. Gruenberg, his chief of staff, and the agency's general counsel.
Now, let's look at the day's biggest stock movers and the best investments in times of global uncertainty.
Top Stock Market News Today
- Amazon.com Inc. (Nasdaq: AMZN) dominated the news. Shares of AMZN stock were off 0.8% after the company hosted its second annual Prime Day on Tuesday. However, the company did hit an all-time intraday high earlier in the trading session. The yearly event – dubbed "Christmas in July" – was expected to blow out the firm's $400 million in sales from 2015. Here's what we now know about Amazon's Prime Day performance – and why AMZN stock is now one of the best stocks to own for the road ahead.
- On the earnings front, shares of CSX Corp. (Nasdaq: CSX) popped 4.4% after the North American rail company topped second-quarter earnings expectations. The company said its ongoing efforts to slash costs across the board helped offset revenue challenges fueled by declines in rail freight. The company reported earnings per share (EPS) of $0.47 on top of $2.7 billion in revenue. Despite beating consensus Wall Street expectations, the firm saw an 11% revenue decline from a year ago.
- Shares of Allergan Plc. (NYSE: AGN) added 0.6% on key deal news. According to reports, Teva Pharmaceutical Industries Ltd. (NYSE ADR: TEVA) plans to close its $40 billion deal for Allergan's generics division very soon.
- Finally, here's your investment of the day. If you want to make real money, you need to invest in global companies that produce products human beings "need." This means looking outside the flashy investments in electric cars, mobile devices, and other consumer electronics. We're talking medicine, water, energy – and the things that keep society balanced in good times and in bad. Money Morning Chief Investment Strategist Keith Fitz-Gerald lays out the case for the best global companies out there today. Click here to get started and plan to own this stock for far less than its current value today.
This Is the Best "Retirement Stock" of 2016… And the good news is, it's trading for "pennies." But it won't be for long… its revenue is set to surge 4,709%. Learn the details of this $5 stock today while it's still "on sale." Read more…
About the Author
Garrett Baldwin is a globally recognized research economist, financial writer, and consultant with degrees from Northwestern, Johns Hopkins, Purdue, and Indiana University. He is a seasoned financial and political risk analyst, with a focus on stocks, hedge funds, private equity, blockchain, and housing policy. He has conducted risk assessment projects for clients in 27 countries, and consulted on policy and financial operations for some of the nation's largest financial institutions, including a $1.5 trillion credit fund, a $43 billion credit and auto loan giant, as well as two of the largest Wall Street banks by assets under management.
Garrett joined Money Map Press as an economist and researcher in 2011, specializing in alternative strategies with an emphasis on fundamental and technical analysis.


INDIANAPOLIS (AP) — Indiana legislators have given final approval to a
bill tightening the limits on how much consumers can buy of cold and
allergy pills often used to make methamphetamine.
The state Senate voted 43-5 Tuesday in favor lowering the annual purchase
limit of pseudoephedrine-based products to about 61 grams per person.
That's about an eight-month supply of the current law's monthly limit.
The bill also increases the criminal penalties for anyone convicted of
buying at least 10 grams of the medicines for a meth maker.
The House previously approved the bill and it now goes to Gov. Mike Pence
for his consideration.
Several mayors and police groups pushed for state law to require a
doctor's prescription to buy the medicines, but the bill doesn't take that


User-Agent: Mozilla/5.0 (Windows; U; Windows NT 5.0; en-US; rv:1.0.1) Gecko/20020826 Build Identifier: Mozilla/5.0 (Windows; U; Windows NT 5.0; en-US; rv:1.0.1) Gecko/20020826 When printing a page with the Windows version 1.2 of Mozilla there's an option under File | PAge Setup to check background printing, and print out the page background and images. This option needs to be visited (open File | Page Setup) every time the browser is started in order to print backgrounds. Even though the check box is selected , if I just print a page without visiting this menu|Dialog, it DOES NOT printout the background. Reproducible: Always Steps to Reproduce: 1. File | Print 2. 3. Actual Results: Prints a page but DOES NOT printout the background even though the option is checked Expected Results: Retain and honor the checked print background checkbox between browser sessions
*** This bug has been marked as a duplicate of 147384 ***
Status: UNCONFIRMED → RESOLVED
Last Resolved: 15 years ago
Resolution: --- → DUPLICATE
Status: RESOLVED → VERIFIED
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Paper presented at the The First ISOPE European Offshore Mechanics Symposium, August 20–22, 1990
Paper Number: ISOPE-E-90-021
... rather than component members. Clearly within a flareboom the effects of the node constraints form a major effect in the damping mechanism. Brown& Root (1985) stated that the structural damping should be a function of the slenderness ratio, (LID). The more slender the member, the more it would...
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domain: library


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The company recalled 4.2 million toddler seats earlier this year after reports that a faulty buckle made it difficult to remove children from the car in emergencies. The National Highway Traffic Safety Administration urged the company to also recall certain rear-facing infant car seats with the same buckle.
Graco initially refused, saying that infant seats were designed differently and parents could remove their children – still in the carrier – and get them out of the car without immediately having to unbuckle them.
Details of Current Car Seat Recall
The current Graco car seat recall applies to infant seats manufactured between July 2010 and May 2013, including:
- SnugRide Classic Connect (including Classic Connect 30 and 35)
- SnugRide 30
- SnugRide 35
- SnugRide Click Connect 40
- Aprica A 30
You can find out whether your car seat is included in the recall by checking the white label on the bottom of the infant seat carrier. You can then enter the model name and date of manufacture at GracoBuckleRecall.com or call (877) 766- 7470 to order the replacement parts.
In a statement, Graco added that parents can order a free replacement buckle regardless of whether their infant car seat is included in the recall by going through the same process. The company also said that the car seats remain safe to use until the replacement parts arrive, and that it has received no reports of injuries associated with infant seats and the current buckle.
With this latest recall, Graco now has the largest car seat recall in American history.
The Evenflo Co., another manufacturer of child safety seats, is facing similar pressure from the NHTSA because an estimated 200,000 of its seats are equipped with the same buckle as Graco’s. The NHTSA has said that it will continue to encourage Evenflo to follow in Graco’s footsteps. The defective buckles were purchased from AmSafe Commercial Products in Elkhart, Ind.
What You Should Know About Child Safety Seats
Car seat recalls happen more frequently than you may think. You can keep up with them by signing up for an e-mail notification through the NHTSA or even downloading apps to keep you current on the latest recalls.
Other things to know:
- Car seats have an expiration date, generally 6 to 8 years after purchase.
- Expiration dates provide consumers with guidelines about the “useful” life span of that model.
- You should check the expiration date on any car seats you buy secondhand or inherit from friends or family members.
Your Legal Rights Concerning Car Seats
As consumers, you have the right to expect that the car seats and booster seats that you purchase will protect your children in the event of a vehicle accident. When a manufacturer violates that trust by selling a faulty model, you may have grounds for a product liability lawsuit.
If you believe your child was injured by a car seat flaw, it is best to speak with an experienced attorney to learn about your legal rights.
- About the Author
- Latest Posts
Since 1981, the compassionate personal injury lawyers at Davis, Saperstein & Salomon have been delivering results for our deserving clients. We are solely committed to helping injured individuals, never representing corporations. No matter how large or small your personal injury case is, you can trust that it is important to us.

domain: news


depends on the powder. W231 is all I shoot in pistols and meter well from the powder throw either on the LnL. Tac goes in my 223's and meters great. Match 223 ammo is done single stage and is individually metered on a Lee powder throw mounted on the bench then weighed and if the weight is off I trickle or take a tad out. Varget, 4350, and RL10 get dipped and finished off on the scale with a trickler because they don't meter worth a darn.
Government is like a baby. An alimentary canal with a big appetite at one end and no sense of responsibility at the other. - Ronald Reagan


Every day, Kobe Bryant inches closer to passing Michael Jordan’s all-time scoring record. But as he gets closer, he begins to reveal how much this journey has meant to him. He has spent 19 long years working every day to be able to get to this point. But even though Kobe is approaching Jordan’s record, Kobe has nothing but the utmost respect for Jordan’s game. He loves the aggression in Jordan’s style and has always tried to follow him in that regard, while establishing himself as a legend in his own way instead of following Jordan’s path. These two are close and have a brotherly connection. These two men were driven together by each other’s hard work and developed a special bond that can only be appreciated by someone who has put tens of thousands of hours of practice, working towards a singular goal.


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This weekend I finally got around to stocking my freezer with my usual three kinds of marinated chicken. You can see my original post here. I typically marinate 20-30 pounds of chicken at one time. However, this weekend I was short on time and marinated about half that amount. I’ll be kicking myself later.
The Italian chicken is just as yummy without the bread if you’re going low-carb.
And no one in my family can resist flatbread pizza.
A little freezer prep work goes a long way in this family of six. Have you done any meal prep this week?

domain: food


text:
Back to Publication
Communicating in the Information Society
From the Introduction, by Bruce Girard and Seán Ó Siochrú
We believe that the outcome of WSIS can be enhanced if the debate proceeds on the basis that there are shortcomings, and that it is better to face up to them than to ignore them. Our goal required writers of very different styles and backgrounds, some in touch with the WSIS process, others far removed from it. We sought contributors with a Southern as well as a Northern perspective, some from non-governmental organizations (NGOs) and others from academic institutions, each with their own take on the key questions. With somewhat less success we also sought a gender balance, although the importance of the gender issue is acknowledged with a contribution dedicated to it.
It is hoped that such diversity will offer the reader new vantage points from which to view the information society. As WSIS proceeds to 2005 and beyond, we hope to encourage the reader to maintain a critical eye on the question of which information society we are building, and who will benefit most from it.
To open the PDF or receive it by e-mail, select an option on the right.

domain: literature


PVC Tube Cutter Pro-Set HEAVY DUTY TITANIUM TUBE CUTTERS are precision machined from high grade chromium steel and plated with titanium nitride to extend life, up to 5 times longer!
- All cutters wheels are precisions machined from high grade chromium steel and plated with titanium nitride to extend life- up to 5 times longer
- Precision machined rollers feature cut-off groove to reduce tube loss in damage flare removal
- Durable metal handle with industrial grade rubber boot provides comfortable grip
- Enclose hardened steel, thrust bearing feed mechanism for smooth cutting action and trouble free operation
- Packaging: clamshell
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Apex Behavioral Health Western Wayne
Apex Behavioral Health Western Wayne is based in Westland, Michigan - (1547 South Wayne Road 48186). The program can be reached at 734-729-3133.
Apex Behavioral Health Western Wayne accepts Cash Payment, Insurance Through Medicare, Private Insurance for Addiction Treatment, Military Insurance (E.G., Tricare) for the various services that it provides, like Individual Psychotherapy, Couples Therapy, Group Drug Therapy, Cognitive Based Behavioral Therapy. It offers their services in different settings, such as Outpatient Drug Abuse Treatment.
The program provides all of its services for the following care types: Treatment for Mental Illnesses. Additionally, the facility has a number of individualized programs for clients, like Alcohol Rehab for Persons with Co-Occurring Mental and Substance Use Disorders, Court Ordered Outpatient Drug and Alcohol Rehab.
We can help you find the right treatment facility that best fits your overall needs and financial requirements.

domain: psychology


text:
Food and gardens have taken Marion Halligan to some surprising places
A delightful, witty, humorous and serious book about the way we live now, as expressed in our relationship with food and gardens.
Marion Halligan is an award-winning novelist, essayist and short story writer. Her novel, The Fog Garden was shortlisted for a swag of distinguished literary prizes including the Commonwealth Writers' Prize and her previous novel, The Golden Dress, was shortlisted for the Dublin IMPAC Prize, and the Miles Franklin Award. She has also received the Age Book of the Year, the ACT Book of the Year, the Nita B. Kibble Award, the Steele Rudd Award, the Braille Book of the Year, the 3M Talking Book of the Year and the Geraldine Pascall prize for critical writing. Marion Halligan's previous books are the novels The Point, Spider Cup, Lovers' Knots and Wishbone; many books of essays, non-fiction and short stories, including Collected Stories, Eat My Words, Out of the Picture, Cockles of the Heart; a children's book, The Midwife's Daughters; and Those Women who Go to Hotels, co-written with Lucy Frost.

domain: artistic


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Essence 2014 Black Women In Music Event: Red Carpet ReCap [Photo]
Like every year, this year’s Essence ‘Black Women In Music’ event was just as star studded! ESSENCE honored British singer/songwriter Emeli Sande at the 5th annual event. Michelle Williams, Tank, SWV and more turned out to celebrate music rising stars. Here’s a look at the best red carpet moments from the pre-Grammy celebration in the gallery!


|Publication number||US3197788 A|
|Publication date||Aug 3, 1965|
|Filing date||Apr 23, 1962|
|Priority date||Apr 23, 1962|
|Publication number||US 3197788 A, US 3197788A, US-A-3197788, US3197788 A, US3197788A|
|Original Assignee||Inst Of Medical Sciences|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (3), Referenced by (99), Classifications (5)|
|External Links: USPTO, USPTO Assignment, Espacenet|
Aug. 3, 1965 FRANZ-JOSEF SEGGER PROSTHETIC VALVE FOR CARDIAG SURGERY Filed April 25, 1962 INVENTOR. #mZ-Josef Jagger Arran/ing.
United States Patent O 3 197 7 88 raosrrraric vALvn non eAnnrAc sunonnv Franz-.inset Segger, San Francisco, Caif., assigner to 'ljhe Institute of Medical Sciences, a nonprofit corporation of California Filed Apr. 23, 1962, Ser. No. 189,399 1 Claim. (Cl. 3 1) This invention relates to a prosthetic valve for cardiac surgery to replace a diseased aortic valve.
When the aortic valve is diseased and not responsive to conventional treatment, it is desirable that it be removed by surgery and replaced. This invention relates to such replacement valve. Other devices have been used with varying degrees of success but those with which I am famiiiar have each had some failures or disadvantages.
The obvious inherent problems lie in five general areas; anotomy, physiology, design, materials, and techniques of insertion.
Such a valve, despite the number of diiferent sizes which must be prepared to provide a valve for varying sizes of annuluses, -must be adapted to anatomical differences and pathological changes in the sites of xation, that is, of the anatomical valve ring.
it is an object of this invention to provide such a device which readily adapts itself to the aortic annulus and which further supports the annulus, thus preventing it from further dilatation which, in certain diseases, is the reason for a mal-functioning valve.
It is a further obiect of this invention to provide a device which utilizes the growth of the surrounding tissue to assist its support.
lt is a further object of this invention to provide a prosthetic valve which, in its design, resembles as nearly as possible the valve it replaces, this vdve being prefabricated and having no mechanical deficiencies. Preferably the valve must be supplied in shapes and sizes suitable for easy placement in any lof a plurality of different sized aortic annuluses.
It is a further object of this invention to provide a prosthetic valve having passively acting and moving cusps adapted to open primarily in response to the ow of blood and secondarily in response to the muscular activity of the annulus.
Such a valve must present the minimum restriction to the flow of blood and therefore it is a further object of this invention to provide a valve construction of such size and design that it presents the minimum obstruction in the aorta and where parts are so resilient that they offer the minimum resistance to the flow of blood from the heart to the aorta.
It is a further object of this invention to provide a valve which is normally closed when there is no force to open it, whereby the return flow of blood to the heart is prevented.
It is a further object of this invention to provide a prosthetic valve which is so designed that it provides a coneshaped ring which conforms to the normal shape of the aortic root and which thereby offers support for the prosthesis against diastolic aortic pressure, thus relieving the fixation sutures from excessive stress, fatigue and eventual rupture with the consequence of a loosening valve prosthesis.
It is a further object of this invention to provide a cusp supporting cone-shaped ring which is so designed that the cusps respond to the deformation of the ring. Further, it is an object of this invention to provide a cone-shaped cusp supporting ring Which deforms in response to the contraction of the heat muscle with the result that the cusps1 similarly respond to the contraction of the heart muse e.
lt is a further object of this invention to provide a prosthetic valve Whose cusps are formed to eliminate clotting; the cusps having smooth curved surfaces and being formed in such a manner that a iiushing action occurs upon closing of the valve and the formation of back pressure on the outflow side of the valve. The inflow side also presents smooth curved surfaces to the flow of `blood and eliminates pockets and other clot forming areas.
lt is a further object of this invention to provide a prosthetic valve which lends itself to the techniquesof insertion whereby it may readily be inserted in the aortic annulus.
These and other objects and advantages of my invention will be apparent from the following specification taken in conjunction with the accompanying drawing in which: Y Y
FGURE 1 is a perspective View of a valve incorporating my invention;
FIGURE 2 is a section taken along the line 2.2 of FIGURE 3 showing one of the cusps in cross-section and illustrating the manner of Securing the cusps to the outer ring and the manner of securing the suture band to the exterior of the ring;
FIGURE 3 is aplan View illustrating the valve in normal partially closed position, in dotted lines. This is the condition in which one nds my valve before it is positioned in the aortic root. FIGURE 3 also shows the valve in fully closed position, in full lines, which is the condition of the valve when the same is positioned in.
the aortic root and normal aortic pressure is exerted upon the apexes of the supporting ring;
FIGURE 4 is a plan view of my valve illustrating the same in normal partially open position, in full lines, upon the application of aortic pressure upon the bases of the lobes of the supporting ring;
FIGURE 5 is a cross sectional view taken along the line 5-5 of FIGURE 4 and illustrates the cusps in partially spaced position resulting from aortic pressure upon the bases of thelobes of the supporting ring; and
FIGURE 6 is a sectional view of an aorta showing my valve in position.
As illustrated in the drawings, my prosthetic valve consists of three substantially identical cusps or membranes 10, 11, and 12 Whose shape duplicates as closely as possible the cusps of a normal aortic valve within the limitations imposed by the materials used and by the functions which a valve of this type must perform.
Each of the cusps 11B, 11, and 12 is formed to provide smooth curved concave upper surfaces 13 and smoothV curved convex lower surfaces 14. The shape of the cusps may be said to be, generally, triangular in plan and conform generally to a segment of a sphere. Gne side 10er-X, 11-A and 12-A of each cusp 10, 11, and 12 is supported by the rim or ring 17 which will more fully hereinafter be described and the other two sides or lips 15 of each cusp is in normal close contact with the cooperating or adjacent lips of the adjacent cusps to form a valve closing contact.
Each of the cusps is molded from a resilient and readily deformable material such as silicon rubber and, in each cusp, I incorporate a Daeron mesh member 16 which forms a reinforcing element.
Because of the design of the cusps and the selectionV of the material from which they are formed, the valve is normally in partially closed position with the lips 15 of the cusps in valve closing contact through substantially their entire length in lthree regions extending radially from the axis unless a force is Vapplied to it tending to C, (.15 10, 11, and 12 readily deform or collapse and the normally closed lips 15 of the cusps are separated and become spaced apart permitting the blood to :dow between them.
When pressure is applied to the concave upper surfaces 13 of the cusps from above, such as the pressure of blood in the aorta tending to return to the heart, the cusps 10, 11, and 12 return to Vthe normally closed position in which the adjacent lips 15 engage and cooperate to close the passageway and prevent the tiow of blood from the aorta to the heart. This design has the added advantage of providing a quick closure of the cusps at the end of the contraction phase of the heart cycle. This is particularly important when the valve is of large diameter.
As previously pointed out, the three cusps 19, 11, and 12 are molded to the inner wall of a strip-like resilient rim 17 having a serpentine form as viewed in directions lateral of its axis whereby the rim in radial projection forms three substantially equal and connected arcuate portions. In other words, the ring 17 does not lie in a single transverse plane but is provided with three deending lobes. The areas of the ring at which adjacent lobes join will hereinafter be called the apexes of the ring and the lowermost portions of the lobes will hereinafter be called the base of the lobe. The outer peripheral surface of the ring or rim 17 is coincident with the surface of a truncated cone.
The ring or rim 17 is a functional duplicate of the aortic annulus and is adapted to be sutured tightly to the aortic root. The cusps 10, 11, and 12 are molded to the inner side of the ring 17 in smooth curves and, it will be noted, the smooth curved concave upper surfaces 13 join similar smoothly curved surfaces of the ring 17 with the result that those sides of the cusps and ring toward the aorta form smooth curves for the flow of fluid. The importance of this will more fully hereinafter be described. The smooth curved convex lower surfaces 14 and the adjacent portions of the ring 17 also present smooth curves and tend to form, as nearly as possible, smooth outflow surfaces from the ventricle. The irnportance of this feature will likewise more fully hereinafter be described.
The conical outer surface of the ring 17 is provided with a band 18 of plain Daeron mesh whose two edges are anchored or molded into the ring 17 at the time of its formation in the manner shown in FIGURES 2 and 5. The band 1S intermediate its edges is available to be engaged by surgical sutures whereby the valve may be fixed in the aortic annulus and also, after the surgical procedure, provides an area into which the body tissue may grow to provide a firm and permanent Contact.
A ring of spring wire 21 is molded into the ring 17 when it is formed. The wire ring 21 enhances the resiliency of the ring 17 and, in addition, reinforces it.
The aortic annulus, after the removal of the diseased aortic valve, is cone-shaped and, therefore, is admirably adapted to accommodate and receive the cone-shaped ring 17.
As is indicated generally in FIGURE 3, when external pressure is applied to the kapexes of the ring 17, the lips 15 are urged tightly into engagement with each other. Similarly, as is indicated in FIGURE 4, when pressure is applied to the bases of the lobes of the ring 17, the lips 15 are separated. Thus, when my valve has been inserted in the aortic annulus, pressure on the bases of the lobes, which occurs during the contracting phase of the heart muscle cycle, relaxes the cusps 10, 11, and 12 and enhances the ready and easy opening of the valve upon the application of minimum of pressure on the cusps. On the following phase of the cycle of the heart muscle, however, this pressure will be removed from the bases of the lobes of the ring 17. The cusps will then return to the full line position illustrated in FIGURE 3.
The prosthetic ring 17 is preferably designed to be as thin as possible in order to reduce to a minimum the space which it occupies. In addition to providing the greatest possible opening for the passage of blood, the provision of a thin wall for the ring 17 reduces the possibility of clotting by removing or reducing the areas within which clotting may occur. This thinness of the ring 17 and the provision of smooth curved surfaces for the cusps and the adjacent surfaces of the ring 17 reduces the possibility of clotting by removing or reducing the areas within which clotting may occur. Moreover, the provision of a smooth curved concave surface on the outflow or aorta side of the valve results in a ushing or scavenging action or motion by the blood.
The slight elastic pressure of the ring 17 and the elasticity of the material from which it is made will make a tight seal between the outer conical surface of the ring 17 and the aorta and heart tissue.
The open Daeron mesh 1S provides an area for suturing final fixation of the prosthesis by tissue growing into the mesh.
The use of the valve may briefly be described as follows: After preliminary procedures, the aorta is exposed `and the diseased valve resected. Sutures are placed in the annulus at the desired level in the aortic root. As 'has ybeen pointed out, the conical shape of the ring 17 makes it admirably adapted for insertion in the corresponding conical aortic passageway and the flexibility of the ring 17 facilitates the positioning of a valve of the right size into the aorta below the coronary ostia into the lower portion of the sinus valsalvae covering the anatomical insertion line of the diseased and resected cusps.
The valve is positioned, as illustrated in FIGURE 6, with the convex sides 14 of the cusps 1i),r 11, and 12, positioned toward the ventricle of the heart and with the concave sides 13 of the cusps 1t), 11 and 12 positioned toward the aorta. lThe surgical technique will not be described in detail since the same does not constitute a part of my invention. However, the sutures are tied and the aorta is closed. Thereafter, on the contracting phase of the heart muscle, blood will be forced, under pressure, against the smoothly curved lower convex sides 1dof the cusps 10, 11, and 12 and similar muscular pressure will be exerted generally inwardly on the bases of the lobes of the ring 17. The pressure of tbe blood on the lower convex surfaces of the cusps 1t?, 11, and 12 will cause them to collapse with the result that their lips 15 will be separated permitting the flow of blood therebetween into the aorta. rl`his collapse and the separation of the lips 15 will be enhanced by the muscular pressure upon the bases of the lobes of the rings 17 which, as has previously been pointed out, enhances the collapsing of the cuspsA and the opening or separation of their lips 15.
The following muscular action of the heart eliminates the pressure of blood on the lower sides 14 of cusps 1t), 11, and 12, and, similarly relaxes the muscular pressure upon the bases of the lobes of the ring 17. The resiliency of the material of which the cusps are formed and their desi-gn will cause the cusps to assume a normal position which, as was previously pointed out, results in normal closing of the valve. An increase in pressure on the aortic side is transmitted to the smoothly curved upper surfaces 13 of the cusps 1), 11, and 12 tending to urge their lips 15 into tight intimate and sealing contact.
Because of the smooth curved surfaces of the cusps and the adjacent smooth curved surfaces of the ring 17, the passage of blood from the heart to the aorta is accomplished with a minimum of resistance and with a minimal chance of clotting by the substantial eliminatlon of any area in which clotting can occur. Similarly, th smooth curved upper concave surfaces 13 of the 101965 19, 11 and 12 and the adjacent areas of the ring 17 provide a cleansing or scavenging motion to the blood and thus prevents clotting. Subsequent action of the heart valve results in a repeated opening and closing of the valve.
These clot preventing properties of the valve might be enhanced by coating the resilient material, such as silicon rubber, with an electrically conductive material such as gold, silver, or graphite in molecular film.
it will be apparent that minor changes may be made in my device both in the selection of the materials and in the specic shaping of the various parts all, without departing from the spirit of my invention and it is to be understood that all such modications and alterations fall within the terms of the appended claim.
'in a valve adapted for insertion into a human heart, Imounting means comprising a strip-like rim formed of exible material and having a serpentine form as viewed in directions lateral of its axis whereby the rirn in radial projection forms substantially equally connected arcuate portions, said rim also being formed whereby normally its `outer peripheral surface is generally coincident with the surface of a cone whereby the yarea enclosed by one edge of the rim is smaller than the area enclosed by the other edge of the rim, and valve means carried by said rim, said valve means comprising three membranes each formed of resilient plastic material, each membrane normadly conforming generaliy to a segment of a sphere and having one edge thereof attached to the corresponding arcuate portion `oi the rim, said three membranes being dimensioned and disposed whereby inwardly extending marginal portions of the same are urged together into valve closing contacts in three regions extending radially from said axis to the rim and displaced at substantially equal angles with respect to each other, the convex sides of said membranes facing in a direction toward said smaller area.
References Cited bythe Examiner UNITED STATES PATENTS 15 2,571,721 10/51 Jardon 3-13 2,682,057 6/54 Lord 3-1 2,822,819 2/58 Geeraert 3-1 X OTHER REFERENCES 2g Annals of Surgery, Volume 147, No. 5, May 1958,
Annals of Surgery, volume 154, No. 4, October 1961, pages 726-746.
25 PdCI-IARD A. GAUDET, Primary Examiner.
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|U.S. Classification||623/2.19, 137/844|


text:
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Product Features & specs :
Sunex 7796 1/2 in. Ton Air/Hydraulic Telescopic Transmission Jack
The Sunex Tools 7796 1/2 in. Ton Air/Hydraulic Telescopic Transmission Jack provides a wide base with swivel wheel, foot activated pump pedal for hands free rising of the ram, and a universal saddle with four ratcheting arms for quick adjustment. The lowered telescopic rams enables you to transfer the transmission from the jack to the work table. This jack also features an overload valve that prevents you from using it beyond its rated capacity, and two caster wheels that lock to keep the jack secured preventing it from moving.
Use for removal, installation and transportation of transmissions and transfer cases on vehicles that are supported by lifts
Foot activated pump pedal for hands free rising of the rams and a release pedal providing slow controlled lowering of the load
Lowered telescopic rams enable the transmission to be transferred from the jack to the work table
Universal saddle with four ratcheting arms quickly adjust to the transmission pan configuration
Nylon strap tie down secures the load to the saddle
Overload valve prevents jack from being used beyond its rated capacity
Wide base legs with swivel caster, polyurethane tread wheels provide stability and easy maneuverability even under load
Two caster wheels' lock prevent the jack from moving
1/2 in. Ton Air/Hydraulic Telescopic Transmission Jack - 7796
Nylon Locking Strap
Saddle Tilt (Front to Back)
37 in x 26 in
Saddle Tilt (Side to Side)
30 in x 30 in
Q & A :
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