An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop placed therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
This application is a continuation of U.S. patent application Ser. No. 11/548,758, filed Oct. 12, 2006, which claims the benefit of U.S. Provisional Application No. 60/726,826, filed on Oct. 14, 2005; U.S. Provisional Application No. 60/745,730, filed on Apr. 26, 2006; U.S. Provisional Application No. 60/803,346, filed on May 26, 2006; U.S. Provisional Application No. 60/803,965, filed on Jun. 5, 2006; and U.S. Provisional Application No. 60/828,089, filed Oct. 4, 2006, the entire disclosures of which are incorporated herein by reference.
This invention relates substantially to devices and other apparatuses facilitating sealed access with surgical instruments, such as a surgeon's hand, across a body wall and into a body cavity.
In several areas of surgery there exists a need to have mechanisms or devices that can seal a body cavity or space, and yet permit the introduction of surgical instruments such as guidewires, endoscopes, and even the hand of a surgeon. Typical of these areas of surgery is laparoscopic surgery that relies on surgical instruments inserted through the abdominal wall to reach an operative site within the abdominal cavity. In order to increase space around the operative site within the cavity, insufflation gases are typically introduced to inflate the cavity and elevate the abdominal wall. The pressurizing of the abdominal cavity is referred to as pneumoperitoneum. In this context, the need to seal the body cavity or space arises from the need to maintain the pneumoperitoneum even when instruments are present.
Trocars have been commonly used to provide instrument access in laparoscopic surgeries. These trocars have included elaborate seal structures having zero seals that prevent the escape of the gases in the absence of instruments, and instrument seals that prevent the escape of the gases in the presence of instruments. Unfortunately, the instrument seals have been able to accommodate only a narrow range of instrument diameters. Multiple seal pairs had to be provided where wider ranges were desired.
Some instruments, such as the hand of the surgeon, have been too large for trocar access. Under these circumstances, hand-assisted laparoscopic seals have been provided. Such devices have been large, cumbersome, and largely ineffective in providing the required sealing mechanism. Other access devices, such as Touhy-Borst seals, have been used, but only for very small diameter access such as that required by a guidewire.
Each of the prior devices suffers from drawbacks that make the device difficult or cumbersome to use. For example, a Touhy-Borst seal requires two hands to use and does not form a seal when a guidewire or other device is about to be introduced. Present trocar seals and hand-assisted seals require two valves, one forming an instrument seal in the presence of the instrument, and the other forming a zero seal in the absence of the instrument. For example, in hand-assisted devices, elaborate mechanisms have been required to seal around the surgeon's arm. When the arm is removed, a separate zero seal has been required to prevent the escape of blood or insufflation gases.
The invention is directed to a gel cap that is adapted for being coupled to a wound retractor. The wound retractor has a substantially noncompliant outer ring that is adapted for juxtaposition with an outer surface of a biological body wall and for disposition relative to an incision in the body wall. The wound retractor also includes an inner ring that is adapted for juxtaposition with an inner surface of the biological body wall and for disposition relative to the incision in the body wall. The wound retractor further includes a sleeve that is adapted to traverse the incision in the body wall. The sleeve of the wound retractor couples the outer ring to the inner ring. The wound retractor is adapted to retract and seal the incision. The gel cap includes a cap ring, a lever, means for hinging the lever to the cap ring, and a gel pad. The cap ring includes a substantially cylindrical ring having a first, proximal portion, a second, distal portion, and a longitudinal axis extending through the proximal and distal portions. The cap ring also includes a lip at a distal end of the distal portion of the cap ring. The lip curves radially inward from the wall of the distal portion of the cap ring and extends around a portion of the circumference of the cap ring. The gel cap also includes a lever that is positioned at the distal portion of the cap ring and substantially opposite the lip at the distal portion of the cap ring. The lever swings on a plane that is substantially perpendicular to the axis of the cap ring. The lever includes a proximal end, a distal end, and a first, distal substantially flat lip positioned at the distal end of the lever. The distal lip of the lever lies in a plane that is positioned substantially perpendicular to the axis of the cap ring. The gel pad is made of a gel material. The gel pad is coupled to the cap ring and is positioned at the proximal portion of the cap ring. The gel pad includes an access portion for providing a passage from external the body to a body cavity. The passage of the gel pad forms an instrument seal in the presence of an instrument inserted therethrough and a zero seal in the absence of an instrument inserted therethrough. In a first, open state the lever is swung outwardly, away from the body of the cap ring to provide clearance for inserting the outer ring of the wound retractor into the gel cap. In a second, closed state the lever is swung toward the cap ring such that the distal lip of the lever protrudes radially inwardly from the body of the lever and radially inwardly through the wall of the cap ring. In the second state, with the outer ring of the wound retractor positioned in the distal portion of the cap ring, the distal lip of the lever is configured to abut the distal surface of the outer ring of the wound retractor and secure the gel cap to the wound retractor. The lip of the cap ring and the distal lip of the lever are configured to receive the outer ring of the wound retractor such that the outer ring of the wound retractor is positioned between the lip of the cap ring and the distal lip of the lever at the distal end of the outer ring of the wound retractor and the gel pad at the proximal end of the outer ring of the wound retractor. The gel pad is adapted to be placed in juxtaposition with the incision.
In one aspect of the invention, the proximal portion of the cap ring includes a plurality of apertures that are distributed about the circumference of the cap ring. The apertures extend through the wall of the proximal potion of the cap ring. In one aspect, the gel of the gel pad covers and fills the apertures. In another aspect, the gel in the apertures connects the gel at an outer portion of the cap ring to the gel at an inner portion of the cap ring. In another aspect, the gel of the gel cap extends into the distal portion of the cap ring. In one aspect, the distal portion of the cap ring is adapted to receive the outer ring of the wound retractor such that the outer ring of the wound retractor embeds into the gel pad at the distal portion of the cap ring and displaces the gel, thereby forming a seal between the gel pad and the outer ring and sleeve of the wound retractor. In another aspect, the access portion of the gel pad includes a plurality of intersecting dead-end slits. In another aspect, the lip at the distal end of the distal portion of the cap ring extends about 30° around the circumference of the cap ring. In another aspect, the cap ring is made of a polymer. In one aspect, the cap ring is made of polyethylene, while in another aspect the cap ring is made of polycarbonate. In another aspect, the gel pad covers and seals the entire opening in the cap ring. In another aspect, the gel pad is adapted to cover substantially the entire wound opening. In another aspect, the outer surface of the cap ring includes a lug, and the lever is coupled to the lug. In one aspect, the lug includes an aperture that extends substantially parallel to the longitudinal axis of the cap ring. The lever includes a hinge pin that extends substantially perpendicular to the distal lip of the lever. The aperture of the lug is adapted to receive the hinge pin of the lever. In a similar aspect, the lug includes the hinge pin and the lever includes the aperture. In another aspect, the lever includes locking means for facilitating prevention of unintended opening of the lever from the second state to the first state. In one aspect, the locking means includes a first aperture or groove in the wall of the distal portion of the cap ring. The aperture or groove receives and supports the distal lip of the lever. The distal lip of the lever includes a latch that is adapted for engaging the first aperture or groove in the distal portion of the cap ring through which the distal lip of the lever protrudes when the lever is in the second state. In one aspect, the distal lip of the lever includes a catch that protrudes proximally therefrom. The catch is adapted to engage the outer ring of the wound retractor at a position on the inner circumference of the outer ring. In another aspect, the distal lip on the lever extends around about 60° of the circumference of the cap ring when the lever is in the second state. In another aspect, the lever includes a second, proximal substantially flat lip that is positioned at the proximal end of the lever and lies in a plane that is substantially parallel to the distal lip of the lever, and the wall of the distal portion of the cap ring includes a second aperture for receiving the proximal lip of the lever. In one aspect, the distal and proximal lips of the lever extend from the same side of the lever. In one aspect, the lever includes locking means for facilitating the prevention of unintended opening of the lever from the second state to the first state. In one aspect, the proximal lip of the lever includes a latch that is adapted for engaging the second aperture in the distal portion of the cap ring through which the proximal lip of the lever protrudes when the lever is in the second state. In one aspect, the proximal lip on the lever extends around about 45° of the circumference of the cap ring when the lever is in the second state. In another aspect, the gel cap includes more than one lever with the levers being substantially equally spaced between each other and the lip on the cap ring.
FIG. 25 is a partial section view of the gel cap of FIG. 16 coupled to the outer ring of the wound retractor with the lever in a second, closed state and the lever having a catch for engaging the outer ring of the wound retractor to hold the lever in the closed state.
FIGS. 1, 2 a and 2 b illustrate a wound retractor 100 and gel cap 202 in accordance with an embodiment of the invention. The wound retractor 100 includes a double-tube outer ring 102, an inner ring 104, and a distensible sleeve 106 coupling the outer ring 102 to the inner ring 104. The sleeve 106 may be coupled to the outer ring 102 and the inner ring 104 by heat seal, adhesive, or other means that are well known in the art. The sleeve 106 may be made of a material that is flexible and impermeable to fluids and bacteria. The inner ring 104 may be made of materials having sufficient hardness to retain its shape after insertion of the inner ring into a body cavity 404 (FIG. 8). The materials of which the outer ring 102 is made must allow the outer ring 102 to be turned around its annular axis as further described below and illustrated in FIGS. 3 a-3 c. The shape of the outer ring 102 affects both its ability to grip and to provide stability during and after adjustment. The double-tube outer ring 102 includes a first circular tube 108 and a second circular tube 110 that are separated axially and may be coupled together by a small web 112. Each of the circular tubes 108 and 110 includes a lumen.
Referring to FIGS. 4-6, a wound retractor 100 may include the double-tube outer ring 102 having a substantially noncompliant, split hoop 118 positioned in the lumen of the first circular tube 108 and a substantially noncompliant, split hoop 118 positioned in the lumen of the second circular tube 110. Each of the split hoops 118 includes a hoop having a single split 120 about its circumference with the split creating a first end 122 of the split hoop and a second end 124 of the split hoop. In its neutral position, the first and second ends 122, 124 of the respective split hoops 118 substantially abut each other.
The substantially noncompliant hoops 118 may be made of metals, such as stainless steel, piano wire heat treated to a spring temper, or other metals that produce a substantially noncompliant hoop. The substantially noncompliant hoops 118 may also be formed of rigid polymeric materials through molding, machining, and other processes that are well known in the art. The substantially noncompliant hoops 118 may also be formed of other suitable rigid materials that are well known in the art.
As shown in FIGS. 7 a-7 b, the outer ring 102 may be formed by transforming an extruded elastomeric double-tube into a circular ring by placing the split hoops 118 (FIGS. 4-6) into the first and second circular tubes 108, 110. This is accomplished by inserting one of the first and second ends 122, 124 of one of the hoops 118 into the lumen of the first circular tube 108 and one of the first and second ends of the other hoop 118 into the lumen of the second circular tube 110. The split hoops 118 are continually fed into the lumens until substantially each of the entire hoops 118 is within the respective circular tubes 108, 110. The extruded elastomeric tube 102 takes on the circular shape of the split hoops 118 placed in the lumens of the first and second circular tubes 108, 110.
It is appreciated that the outer ring 102 can be designed in various configurations and sizes to achieve various retraction rates and/or to conform to different body surfaces. The lumens of the first and second circular tubes 108, 110 may have cross-sections of different geometries, such as circular, oval, triangular, rectangular, any geometric shape with multiple sides, etc. The split hoops 118 may also have cross-sections of different geometries, such as circular, rectangular, oval, triangular, any geometric shape with multiple sides, etc. Advantages of the above embodiments of the invention include improved retraction adjustability and stability.
With continued reference to FIGS. 4-6 and with reference to FIGS. 7 a, 7 b and 8-12, with each of the first and second circular tubes 108, 110 including a split hoop 118, it is not necessary to provide means for a first end portion 126 and a second end portion 128 of the split hoop to overlap each other when rolling the sleeve 106 around the outer ring 102. Since the split hoop 118 in the each of the first and second circular tubes 108, 110 has substantially abutting first and second ends 122, 124 and no means are provided for the first and second end portions 126, 128 of the split hoops to overlap each other, each of the split hoops 118 functions as an axle about which the outer ring 102 may turn for half a rotation, or 180°. More particularly, the first circular tube 108 may be rolled outside the second circular tube 110 with the circumference of the split hoop 118 in the first circular tube expanding to clear the split hoop 118 in the second circular tube. Then the second circular tube 110 may be rolled outside the first circular tube 108 with the circumference of the split hoop 118 in the second circular tube expanding to clear the split hoop 118 in the first circular tube (see FIG. 12). These steps may be repeated until the wound 400 is retracted to the desired degree.
FIGS. 3 a-3 c and FIG. 8 illustrate the retraction and adjustment of the outer ring 102 to fit an incision. In accordance with the invention, the wound retractor 100 is axially adjustable in increments. In particular, the upper end of the sleeve 106 can be wrapped around the outer ring 102 so as to tightly seal the sides or edges of the incision 400. The unique shape of the outer ring 102 provides for an easy snap action when rolled about itself. The outer ring 102 also provides for incremental shortening of the sleeve 106 and for stability after installation.
FIGS. 8 and 13-15 illustrate a process of installing the wound retractor 100 in a wound opening 400. An incision 400 in the shape of a slit is first made in a body wall of a patient, such as the abdominal wall 402. The inner ring 104 is compressed and the inner ring and sleeve 106 are then manually inserted into the body cavity 404 through the incision 400 with the outer ring 102 remaining external the body cavity 404. Once the inner ring 104 is within the body cavity 404, it expands around the inner surface of the incision 400 so as to be generally parallel to the outer surface of the abdominal wall 402. The sleeve 106 provides a working channel from outside the body cavity 404 to inside the body cavity.
The outer ring 102 initially rests above the abdominal wall 402 around the wound opening 400. Since the upper end of the sleeve 106 is coupled to the outer ring 102, the sleeve 106 can be drawn upwards and radially outward or inward, thereby drawing the inner ring 104 tightly against the inner surface of the abdominal wall 402. Moreover, the intermediate portion of the sleeve 106 is drawn tightly against the sides and edges of the wound opening 400, thereby retracting the adjacent tissue and producing a tightly sealed opening to the body cavity 404. The sleeve 106 contacts the entire surface of the wound 400 and protectively covers and seals it from contamination and infection. Depending on the size and depth of the incision 400, the user can roll up the sleeve 106 by gripping the double-tube outer ring 102 and turning it in a direction 130, as also illustrated in FIGS. 3 a-3 c, until the sleeve 106 abuts the outer edge of the wound opening 400. The inner ring 104 is adapted for juxtaposition with the inner surface of the abdominal wall 402 and the outer ring 102 is adapted for juxtaposition with the outer surface of the abdominal wall. Both the inner ring 104 and the outer ring 102 are adapted for disposition relative to the incision 400 in the abdominal wall 402. The sleeve 106 is adapted to traverse the incision 400 in the abdominal wall 402.
An advantage of the wound retractor 100 of the present invention is it provides for an easier, faster and higher retraction rate than that known in the prior art, thereby resulting in less traumatic effects to the patient. Another advantage of the wound retractor 100 of the present invention is it provides tactile gripping and incremental rolling of the sleeve 106 about the outer ring 102. In comparison to retractors of the prior art, the substantially noncompliant hoops 118 in the lumens of the outer ring 102 provide greater strength, which in turn provides better retraction. The substantially noncompliant hoops 118 control the shape of the wound opening 400, rather than the wound opening controlling the shape of the wound retractor 100. In this manner, the wound retractor 100 of the present invention provides better isolation, protection, and sealing of the wound 400.
After surgery, the wound retractor 100 may be retrieved by grabbing the inner ring 104 and the sleeve 106 and pulling them through the wound opening 400. The use of the sleeve 106 and the ease of retracting the outer ring 102 provide higher compression between the inner and outer rings. As a result, the wound retractor 100 of the invention provides incremental adjustability to fit a wide range of incision sizes and isolates and protects the wound from bacterial infection as diseased body parts and contaminated instruments are passed through the wound.
Referring to FIGS. 16-25, the surgical access device 200, such as a gel cap 202, is used to seal the opening between the body cavity 404 (see FIG. 8) and the area outside the body cavity while providing access into the body cavity from outside the body cavity. The gel cap 202 includes a cap ring 204 that couples to the outer ring 102 of the wound retractor 100 and a gel pad 206 coupled to the cap ring. The gel pad 206 is made of a gel material and includes an access portion 208 or passage through the gel for providing a passage from external the body to the body cavity 404. In one aspect, the access portion 208 may include a plurality of intersecting dead-end slits 260, 262. The access portion 208 fauns an instrument seal in the presence of an instrument, such as the arm of a surgeon, inserted therethrough and a zero seal in the absence of an instrument inserted therethrough. Unlike foam rubber or other similar types of elastic materials, the gel provides a gas tight seal around a variety of shapes and sizes of hands or instruments inserted therethrough.
To combine the gel pad 206 with the cap ring 204, the cap ring may be placed into a mold that includes the shape of the desired gel pad and the uncured gel is added to the mold. Referring to FIG. 17, in one aspect, the cap ring 204 includes a substantially cylindrical ring 210 having a first, proximal portion 212, a second, distal portion 214 and a longitudinal axis 216 extending through the proximal and distal portions. The gel pad 206 is positioned at the proximal portion 212 of the cap ring 204. The proximal portion 212 of the cap ring 204 may include a plurality of apertures 218 distributed about the circumference of the cap ring. The apertures 218 may extend through the wall of the proximal portion 212 of the cap ring 204. Sufficient gel may be added to the mold to cover and fill the apertures 218 (see FIG. 18). When adding uncured gel into the mold, the gel flows through the apertures 218 and remains in the apertures. Also, for reasons that will be described below, sufficient gel may be added to the mold to extend into the distal portion 214 of the cap ring 204. When the gel pad 206 is cured, the gel in the apertures 218 connects the gel at the outer portion 220 of the cap ring 204 to the gel at the inner portion 222 of the cap ring, thus forming a mechanical lock between the gel and the cap ring. Alternatively, as will be described in more detail below, other means may be used to couple the gel pad 206 to the cap ring 204, such as separately forming a gel slug 206 and coupling the gel slug to the inner surface of the proximal portion 212 of the cap ring 204.
The distal portion 214 of the cap ring 204 is substantially cylindrical and is configured to receive the outer ring 102 of the wound retractor 100. In one aspect, the distal portion 214 of the cap ring 204 includes a lip 224 at the distal end 226 thereof (see FIG. 17). The lip 224 curves radially inwardly from the wall 228 of the distal portion 214 of the cap ring 204 and extends around a portion of the circumference of the cap ring. In one aspect, the lip 224 extends around about 30° of the circumference of the cap ring 204; however, the lip may extend longer or shorter distances around the circumference of the cap ring. The lip 224 is configured to receive the distal-most circular tube 108, 110 of the outer ring 102 such that the outer ring is positioned between the lip 224 and the gel pad 206 (see FIG. 19). More particularly, when the outer ring 102 of the wound retractor 100 is received by the distal portion 214 of the cap ring 204, the outer ring of the wound retractor embeds into the gel pad 206 at the distal portion of the cap ring and displaces the gel, thereby forming a seal between the gel pad and the outer ring and sleeve 106 of the wound retractor. This places the gel pad 206 in juxtaposition with the incision 400.
In one aspect, the distal portion 214 of the cap ring 204 also includes a swinging lever 230 (FIG. 16) that swings on a plane that is substantially perpendicular to the axis 216 of the cap ring. In one aspect, the lever 230 is positioned substantially opposite the lip 224 on the distal portion 214 of the cap ring 204. The outer surface 232 of the cap ring 204 may include a lug 234 to which the lever 230 is coupled. In one aspect, the lug 234 includes an aperture 236 extending substantially parallel to the longitudinal axis 216 of the cap ring 204 and is adapted to receive a hinge pin 238 portion of the lever 230. However, those familiar with the art will recognize that the hinge pin may be positioned on the lug and the aperture may be positioned in the lever. Also, other means that are well known in the art may be used to hinge the lever to the cap ring. When coupled to the cap ring 204, the lever 230 includes a proximal end 240 and a distal end 242. The lever 230 includes a first, distal substantially flat lip 244 positioned at the distal end 242 of the lever and lying in a plane that is positioned substantially perpendicular to the axis 246 of the pin 238 on the lever. It should be noted that the axis 246 of the pin 238 on the lever 230 is substantially parallel to the longitudinal axis 216 of the cap ring 204. The lever 230 may also include a second, proximal substantially flat lip 248 positioned at the proximal end 240 of the lever and also lying in a plane that is substantially perpendicular to an axis 246 of the pin 238 on the lever such that the proximal lip of the lever is substantially parallel to the distal lip 244 of the lever. Both of the distal and proximal lips 244, 248 of the lever 230 extend from the same side of the lever.
In a first, open state (FIG. 21), the lever 230 is swung outwardly, away from the body of the cap ring 204 to provide clearance for inserting the outer ring 102 of the wound retractor 100 into the gel cap. In a second, closed state (FIG. 22), the lever 230 is swung toward the cap ring 204 such that the distal and proximal lips 244, 248 of the lever protrude radially inwardly from the body of the lever and radially inwardly through the wall 228 of the cap ring. In one aspect, the wall 228 of the distal portion 214 of the cap ring 204 includes a first aperture 250 or groove for receiving the distal lip 244 of the lever 230. Similarly, the wall 228 of the distal portion 214 of the cap ring 204 also includes a second aperture 252, such as a slot, for receiving and supporting the proximal lip 248 of the lever 230. In one aspect, the distal lip 244 on the lever 230 extends around about 60° of the circumference of the cap ring and the proximal lip 248 on the lever extends around about 45° of the circumference of the cap ring; however, the distal and proximal lips may extend longer or shorter distances around the circumference of the cap ring.
In use, the wound retractor 100 is first used to retract the incision in the body wall of a patient, as described above. With the lever 230 in the first state, the gel cap 202 is brought to the outer ring 102 of the wound retractor 100 at an angle with the lip portion 224 of the cap ring 204 toward the patient. The lip portion 224 of the cap ring is slid under the distal-most circular tube 108, 110 of the outer ring 102, between the outer ring and the patient, and then the remainder of the gel cap 202 is swung onto the outer ring. The lever 230 is then swung closed into the second state (FIG. 23). In the second state, the distal lip 244 of the lever 230 abuts the distal surface of the distal-most circular tube 108, 110 of the outer ring 102 of the wound retractor 100 and secures the gel cap 202 to the wound retractor. More particularly, with the gel cap 202 mounted onto the outer ring 102 of the wound retractor 100 and the lever 230 positioned in the second state, the lip portion 224 of the cap ring 204 and the distal lip 244 of the lever receive the outer ring of the wound retractor. The outer ring 102 of the wound retractor 100 is positioned between the lip portion 224 of the cap ring 204 and the distal lip 244 of the lever 230 at the distal end of the outer ring of the wound retractor and the gel pad 206 at the proximal end of the outer ring of the wound retractor.
The lever 230 includes locking means 254 (FIG. 20) to prevent unintended opening of the lever from the second state to the first state. In one aspect, to positively lock the lever 230 into the second state, one of the distal and proximal lips 244, 248 of the lever includes a latch 256 that engages the groove/aperture 250, 252 in the cap ring through which the lip protrudes (see FIG. 24). In another aspect, the distal lip 244 of the lever 230 includes a catch 258 (FIG. 25) protruding proximally to engage the distal-most circular tube 108, 110 of the outer ring 102 of the wound retractor 100 at a position on the inner circumference of the outer ring.
With the gel cap 202 mounted onto the outer ring 102 of the wound retractor 100 and the lever 230 positioned in the second state, the proximal lip 248 on the lever positioned in the aperture 252 in the cap ring 204 provides support for the lever to counteract cantilever forces induced by the displaced gel of the gel pad 206. Support of the proximal lip 248 also helps the distal lip 244 maintain the position of the outer ring 102 of the wound retractor 100 against the gel pad 206.
In another aspect, the gel cap 202 may include more than one lever 230 with the levers substantially equally spaced between each other and the lip 224 on the cap ring 204. In a further aspect, the lip 224 on the cap ring 204 may be omitted and at least two levers 230 used to secure the gel cap 202 to the wound retractor 100. The two levers 230 may be substantially diametrically opposed about the circumference of the distal portion of the cap ring.
The gel cap 202 with the lip 224 and lever 230 on the cap ring is best suited for use with wound retractors 100 having an outer ring 102 that is substantially rigid and noncompliant. If the outer ring 102 of the wound retractor 100 were not rigid, the outer ring would tend to pull out of the gel cap 202, thereby compromising the seal between the gel pad 206 and the wound retractor and potentially resulting in deflation of the insufflated body cavity.
The cap ring 204 in one aspect includes a polymer, e.g., polyethylene (PE). In one aspect, the polyethylene is a low density polyethylene (LDPE) or high density polyethylene (HDPE), or ultra high molecular weight polyethylene (UHMWPE). In one aspect, the cap ring 204 may be made of a polymer, such as polycarbonate and may be fabricated by methods including injection molding.
The gel pad 206 may be coupled to, attached to, formed or integrated with the cap ring 204 so that a gas-tight conduit is formed between the cap ring and the sleeve 106. The gel pad 206 covers and seals the entire opening in the cap ring 204. Additionally, the gel pad 206 is adapted to cover substantially the entire wound 400 opening. As stated above, in one aspect the gel pad includes a plurality of intersecting dead-end slits 260, 262 that form an access portion or passage through the gel pad 206. Unlike foam rubber or other similar types of elastic materials, the gel pad 206 provides a gas tight seal around a variety of shapes and sizes of hands or instruments inserted therethrough.
In one aspect, the gel material from which the gel pad 206 is made is an elastomeric gel. Some such gels have been described in U.S. patent application Ser. No. 10/381,220, filed Mar. 20, 2003, the disclosure of which is hereby incorporated by reference as if set forth in full herein. The gel can be prepared by mixing a triblock copolymer with a solvent for the midblocks. The endblocks are typically thermoplastic materials, such as styrene, and the midblocks are thermoset elastomers such as, isoprene or butadiene, e.g., Styrene-Ethylene-Butylene-Styrene (SEBS). In one aspect, the solvent used is mineral oil. Upon heating this mixture or slurry, the midblocks are dissolved into the mineral oil and a network of the insoluble endblocks forms. The resulting network has enhanced elastomeric properties over the parent copolymer. In one aspect, the triblock copolymer used is KRATON G1651, which has a styrene to rubber ratio of 33/67. Once formed, the gel is substantially permanent and, by the nature of the endblocks, processable as thermoplastic elastomers henceforward. The mixture or slurry has a minimum temperature at which it becomes a gel, i.e., the minimum gelling temperature (MGT). This temperature, in one aspect, corresponds to the glass transition temperature of the thermoplastic endblock plus a few degrees. For example, the MGT for the mixture of KRATON G1651 and mineral oil is about 120° C. When the slurry reaches the MGT and the transformation to a gel state takes place, the gel becomes more transparent, thereby providing means for visually confirming when the transformation of the slurry to the gel state is substantially complete and that the gel may be cooled. In addition to triblocks, there are also diblock versions of the materials that may be used where Styrene is present at only one end of the formula, for example, Styrene-Ethylene/Butylene (SEB).
For a given mass of slurry to form into a complete gel, the entire mass of the slurry is heated to the MGT and remains heated at the MGT for sufficient time for the end blocks to form a matrix of interconnections. The slurry will continue to form into gel at temperatures above the MGT until the slurry/gel reaches temperatures at which the components within the slurry/gel begin to decompose or oxidize. For example, when the slurry/gel is heated at temperatures above 250° C., the mineral oil in the slurry/gel will begin to be volatile and oxidize. Oxidizing may cause the gel to turn brown and become oily.
The speed at which a given volume of slurry forms a gel is dependant on the speed with which the entire mass of slurry reaches the MGT. Also, with the application of temperatures higher than the MGT, this speed is further enhanced as the end block networks distribute and form more rapidly.
The various base formulas may also be alloyed with one another to achieve a variety of intermediate properties. For example, KRATON G1701X is a seventy percent (70%) SEB thirty percent (30%) SEBS mixture with an overall Styrene to rubber ratio of 28/72. It can be appreciated that an almost infinite number of combinations, alloys, and Styrene to rubber ratios can be formulated, each capable of providing advantages to a particular embodiment of the invention. These advantages will typically include low durometer, high elongation, and good tear strength.
It is contemplated that the gel material may also include silicone, soft urethanes and even harder plastics that might provide the desired sealing qualities with the addition of a foaming agent. The silicone material may be of the types currently used for electronic encapsulation. The harder plastics may include PVC, Isoprene, KRATON neat, and other KRATON/oil mixtures. In the KRATON/oil mixture, oils such as vegetable oils, petroleum oils and silicone oils may be substituted for the mineral oil.
Any of the gel materials contemplated could be modified to achieve different properties such as enhanced lubricity, appearance, and wound protection. Additives may be incorporated directly into the gel or applied as a surface treatment. Other compounds may be added to the gel to modify its physical properties or to assist in subsequent modification of the surface by providing bonding sites or a surface charge. Additionally, oil based colorants may be added to the slurry to create gels of different colors.
In one aspect, the mixture/slurry used with the various embodiments of the cap rings that are described herein are composed of about ninety percent (90%) by weight of mineral oil and about ten percent (10%) by weight of KRATON G1651. From a thermodynamic standpoint, this mixture behaves similar to mineral oil. Mineral oil has a considerable heat capacity and, therefore, at about 130° C. it can take three (3) or four (4) hours to heat a pound of the slurry sufficiently to form a homogeneous gel. Once formed, the gel can be cooled as quickly as practical with no apparent deleterious effects on the gel. This cooling, in one aspect, is accomplished with cold-water immersion. In another aspect, the gel may be air-cooled. Those familiar with the art will recognize that other cooling techniques that are well known in the art may be employed and are contemplated as within the scope of the present invention.
Many of the properties of the KRATON/oil mixture will vary with adjustments in the weight ratio of the components. In general, the greater the percentage of mineral oil the less film the mixture; the greater the percentage of KRATON, the more firm the mixture. If the resultant gel is too soft it can lead to excessive tenting or doming of the gel cap during surgery when a patient's abdominal cavity is insufflated. Excessive tenting or doming may cause the slits 260, 262 to open, providing a leak path. Additionally, if the gel is too soft it might not provide an adequate seal. However, the gel should be sufficiently soft to be comfortable for the surgeon while simultaneously providing good sealing both in the presence of an instrument and in the absence of an instrument.
If the slurry is permitted to sit for a prolonged period of time, the copolymer, such as KRATON, and the solvent, such as mineral oil, may separate. The slurry may be mixed, such as with high shear blades, to make the slurry more homogeneous. However, mixing the slurry may introduce or add air to the slurry. To remove air from the slurry, the slurry may be degassed. In one aspect, the slurry may be degassed in a vacuum, such as within a vacuum chamber. In one aspect, the applied vacuum may be 0.79 meters (29.9 inches) of mercury, or about one (1.0) atmosphere. The slurry may be stirred while the slurry is under vacuum to facilitate removal of the air. During degassing within a vacuum, the slurry typically expands, then bubbles, and then reduces in volume. The vacuum may be discontinued when the bubbling substantially ceases. Degassing the slurry in a vacuum chamber reduces the volume of the slurry by about ten percent (10%). Degassing the slurry helps reduce the potential of the finished gel to oxidize.
Degassing the slurry tends to make the resultant gel firmer. A degassed slurry composed of about 91.6% by weight of mineral oil and about 8.4% by weight of KRATON G1651, an eleven-to-one ratio, results in a gel having about the same firmness as a gel made from a slurry that is not degassed and that is composed of about ninety percent (90%) by weight of mineral oil and about ten percent (10%) by weight of KRATON G1651, a nine-to-one ratio.
Mineral oil is of a lighter density than KRATON and the two components will separate after mixing, with the lighter mineral oil rising to the top of the container. This separation may occur when attempting to form static slurry into gel over a period of several hours. The separation can cause the resulting gel to have a higher concentration of mineral oil at the top and a lower concentration at the bottom, e.g., a non-homogeneous gel. The speed of separation is a function of the depth or head height of the slurry being heated. The mass of slurry combined with the head height, the temperature at which the gel sets and the speed with which the energy can be transferred to the gel, factor into the determination or result of homogeneous gel versus a non-homogeneous gel.
The gel pad or gel cap in various aspects of the present invention may be gamma sterilized. The relative or comparative simplicity of qualifying the sterilization process, for example of gamma versus ethylene oxide, of the gel pad and the device with the gel pad is desirable. However, under gamma sterilization large bubbles can form in the gel pad causing potential cosmetic or aesthetic issues in the sterilized devices. The bubbles are more than ninety-nine percent (99%) room air, so removal of the dissolved air in the slurry is performed prior to forming the slurry into gel. For example, the slurry may be degassed via vacuum, as described above, and turned into gel by heat. Bubbles may still form in the gel during gamma sterilization but disappear in a period of about twenty-four (24) to seventy-two (72) hours. In one aspect, the percentage of dissolved gas in the mineral oil at room temperature is about ten percent (10%). The removal of the air in the gel has an additional effect of making the gel firmer. This however is counterbalanced by the softening effect on the gel caused by gamma radiation during gamma sterilization.
If the gel pad is to be gamma sterilized, the gel may include about ninety percent (90%) mineral oil by weight and about ten percent (10%) KRATON by weight. As stated above, degassing the slurry has the effect of making the gel firmer. However, the gamma radiation softens the gel to substantially the same firmness as a gel having about ninety percent (90%) mineral oil by weight and about ten percent (10%) KRATON by weight that is not degassed and gamma sterilized.
In one aspect, cyanoacrylate, e.g., SUPERGLUE or KRAZY GLUE, may be used to bond or otherwise couple or attach the gel pad 206 to the cap ring 204. The glue may attach to either the rubber or styrene component of the tri-block and the bond is frequently stronger than the gel material itself. In another aspect, a solvent may be used to dissolve the plastics in the cap ring and the polystyrene in the gel pad. The solution of solvent is applied to the gel pad and cap ring in either a spray or dip form. In effect, the solution melts both the plastic of the cap ring as well as the polystyrene in the gel pad to allow a chemical bond to form between the two, which remains when the solvent evaporates.
Polyethylene can be dissolved in mineral oil and then applied to the gel pad. The mineral oil will not evaporate but will over time absorb into the gel pad and impart a polyethylene layer on the gel pad that may have some beneficial properties.
In one aspect, the gel pad 206 is cast into a DYNAFLEX or KRATON polymer support structure, e.g., the cap ring 204. By using KRATON polymer or a similar material in the cap ring, ring adhesion between the gel pad 206 and the cap ring 204 can be achieved. The polystyrene in the gel pad 206 is identified as achieving adhesion with polyphenylene oxide (PPO), polystyrene and other polymers.
In the casting process the gel pad 206 and the cap ring 204 are heated to a temperature above about 130° C. and held at that temperature for several hours, e.g., about three (3) to four (4) hours. The temperature used is not sufficient to deform the cap ring 204.
As stated above, in one aspect the cap ring 204 includes a polymer, e.g., polyethylene (PE). The gel includes mineral oil. PE has a higher molecular weight than mineral oil. PE is dissolved by mineral oil at high temperatures. As such, as the PE and the mineral oil in the gel pad 206 intermix as both are heated to and held at temperatures above about 130° C., a bond between the PE and gel pad is formed.
In one aspect, the cap ring 204 includes polycarbonate. The polycarbonate of the cap ring 204 does not form bonds with the gel pad 206 at 130° C. However, by raising the temperature to about 150° C. for a few minutes during casting, bonding occurs between the gel pad 206 and the cap ring 204. As such, heating the gel pad 206 and cap ring 204 to temperatures at which both the polystyrene of the gel and the polycarbonate are simultaneously beyond their melt points allow bonds to form between the gel pad and the cap ring. Alternatively, the gel pad 206 and cap ring 204 may be heated to near or at the glass transition temperature of the polycarbonate cap ring to form the bond between the gel pad and the cap ring.
In one aspect, casting the gel pad 206 into the cap ring 204 to form a gel cap 202 includes placing the cap ring into a mold cavity of a casting mold. The mold cavity may include support for the annular walls of the cap ring 204. The mold may be made of aluminum, copper, brass, or other mold material having good heat dissipation properties. However, those familiar with the art will recognize that other mold materials having lower heat dissipation properties will produce acceptable parts and these are contemplated as within the scope of the present invention as well.
The mold cavity having the cap ring 204 is filled with the slurry such that the slurry is in contact with the cap ring. To facilitate filling voids in the mold cavity with the slurry, the slurry may be preheated, for example, to about 52° C. (125° F.). Preheating the slurry to a temperature below the MGT reduces the viscosity of the slurry and allows the slurry to flow more easily. As stated above, the slurry may have been degassed in a vacuum. The slurry may be degassed again within the mold after the mold cavity is filled to remove air that may have been introduced during the filling of the mold cavity and to facilitate flow of the slurry into voids in the mold. Heat is applied to the mold having the cap ring 204 and the slurry, such as in an oven, until the slurry attains a temperature of about 150° C. As stated above, the slurry turns into gel at about 120° C., however, at about 150° C., the gel can bond to a polycarbonate cap ring 204. Depending on the material used to fabricate the cap ring 204, bonding may take place at temperatures other than about 150° C. If the cap ring 204 is fabricated of a material having a lower melting point than 120° C., then the gel pad 206, such as a gel slug 206, may be molded separately and then bonded to the cap ring. The slits 260, 262 may be molded into the gel pad 206 through the use of an insert in the form of the slit in the mold.
Once the temperature of the gel pad 206 reaches about 150° C., the gel cap 202 may be cooled, such as by air-cooling, cold-water immersion, or other cooling means that are well known in the art. At 150° C. the gel pad is soft and if it were distorted during cooling it would set with the distortion included. To reduce the likelihood of distorting the gel pad 206, the gel cap 202 may be cooled within the mold. Cooling times may vary based on parameters including size and configuration of the mold, quantity of gel, temperature and quantity of cooling medium, cooling medium properties and the mold material. As an example, the cooling time may be about two (2) hours if cooling in air and about fifteen (15) minutes if cooling in water. Whether cooling with air or water, the final properties of the gel are substantially the same. The gel cap 202 is typically cooled to about ambient room temperature, but may be cooled to lower temperatures. If the gel cap 202 is cooled to the freezing point of the gel, about 0° C., then the gel will freeze and become hard. This may be beneficial for other means of coupling the gel pad 206 to the cap ring 204, such as with a secondary operation. The gel cap 202 may be removed from the mold at any time after the gel has set.
When removed from the mold, the gel pad 206 typically has a tacky surface. The gel cap 202 may be coated with a powder, such as cornstarch, to substantially reduce or eliminate the tackiness of the cured gel pad 206.
As stated above, in another aspect, the gel pad 206 may be molded separately from the cap ring 204 and coupled to the cap ring by a secondary operation, such as by bonding. In one aspect, the gel pad 206 may be molded into a gel slug 206 having an outer perimeter smaller than the inner cylindrical wall of the cap ring 204 and to a height higher that the height of the cap ring. Since the gel pad 206 is being molded separate from the cap ring 204, the slurry only needs to be heated until it reaches about 120° C. and completes the transformation from slurry into gel and the gel becomes substantially transparent. The gel slug 206 may then be placed within the inner cylindrical wall of the cap ring 204. The gel slug 206 may be cooled and/or frozen prior to placing it within the inner cylindrical wall of the cap ring 204. The gel slug 206 may be coupled to the cap ring 204 through compression molding with the gel slug being compressed longitudinally so that the outer perimeter of the gel slug expands and compresses against the inner cylindrical wall of the cap ring. The gel slug 206 and cap ring 204 are heated to a sufficient temperature for the polystyrene of the gel and the polymer of the cap ring to form bonds between the gel and the cap ring. Molding the gel slug 206 separately from the cap ring 204 and heat bonding the gel slug to the cap ring at a later time is especially useful when the cap ring is made of a material that has a lower melting temperature than the MGT. In such situations, the gel slug 206 can be molded first and heat bonded to the cap ring 204 without melting the cap ring.
wherein, in a first, open state, the lever is outward and away from a body of the cap ring to provide clearance for inserting the outer ring of the wound retractor into the cap ring and, in a second, closed state, the lever is proximate the body of the cap ring to secure the outer ring of the wound retractor to the cap ring.
a first, distal substantially flat lip positioned at the distal end of the lever and lying in a plane that is positioned substantially perpendicular to the axis of the cap ring.
3. The gel cap of claim 2 wherein the lever is movable on a plane that is substantially perpendicular to the axis of the cap ring and, in the second, closed state, the distal lip of the lever protrudes radially inward past the wall of the cap ring and the outer ring of the wound retractor is positioned in the distal portion of the cap ring.
4. The gel cap of claim 1 wherein the distal lip of the lever is configured to abut the distal surface of the outer ring of the wound retractor.
5. The gel cap of claim 1 wherein the lever, in the second, closed state, the outer ring of the wound retractor is between the lip of the cap ring and the distal lip of the lever.
6. The gel cap of claim 1 wherein the lip at the distal end of the distal portion of the cap ring extends about 30° around the circumference of the cap ring.
7. The gel cap of claim 1 wherein the cap ring further comprises a lug, the lever being coupled to the lug.
the aperture of the lug being adapted to receive the hinge pin of the lever.
the aperture of the lever being adapted to receive the hinge pin of the lug.
10. The gel cap of claim 1 wherein the lever further comprises locking means for facilitating prevention of unintended opening of the lever from the second state to the first state.
11. The gel cap of claim 10 wherein the wall of the cap ring includes a first aperture or groove for receiving and supporting the distal lip of the lever, the distal lip of the lever including a latch adapted for engaging the first aperture or groove in the distal portion of the cap ring through which the distal lip of the lever protrudes when the lever is in the second state.
12. The gel cap of claim 11 wherein the distal lip of the lever includes a catch that protrudes proximally therefrom, the catch being adapted to engage the outer ring of the wound retractor at a position on an inner circumference of the outer ring.
13. The gel cap of claim 1 wherein the distal lip of the lever extends around about 60° of the circumference of the cap ring when the lever is in the second state.
the wall of the distal portion of the cap ring includes a second aperture for receiving the proximal lip of the lever.
15. The gel cap of claim 14 wherein the distal and proximal lips of the lever extend from the same side of the lever.
16. The gel cap of claim 1 wherein the lever includes locking means for facilitating prevention of unintended opening of the lever from the second state to the first state.
17. The gel cap of claim 14 wherein the proximal lip of the lever includes a latch adapted for engaging the second aperture in the distal portion of the cap ring through which the proximal lip of the lever protrudes when the lever is in the second state.
18. The gel cap of claim 14 wherein the proximal lip on the lever extending around about 45° of the circumference of the cap ring when the lever is in the second state.
19. The gel cap of claim 1 wherein the gel cap includes more than one lever with the levers being substantially equally spaced between each other and the lip on the cap ring.


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Gareth Griffiths
3d printed PLA
Height 340 mm (including stand), length 260 mm and depth 260 mm.
'Blue Planet' is an exclusive globe created for the campaign Earth One.
As an avid surfer the ocean is important to me and other surfers around the world. The sea is the life source for the planet, and the average sea levels have risen over 23cm since 1880, however about 10cm has been recorded in the last 25 years. 90% of extra heat caused by climate change is absorbed by the sea, this means the ocean expands and they warm up, therefore creating rising sea levels and storms surges, which destroys our reefs coastlines and beaches. Islands and coastlines are washing away, fires are destroying our forests and tornados and heavy rain fall are flooding our towns and cities.
I wanted to create a simple yet powerful extreme case scenario so my design for this project consists of 9 3D printed famous landmarks/monuments of the world, the rest has been consumed by water which is again 3D printed and glued to the globe, and the world is no longer habitable. This is a scenario that could happen if we don't do anything to stop the global pandemic of climate change, and let's work together to keep the world a special place for us and future generations to appreciate.
Our planet is the most precious natural resource that we humans rely on for our very survival. Climate change is a very real challenge, and with rising sea temperatures, plastic pollution, air pollution, deforestation, and animal species dying out, NOW is our last chance to act to save the planet that we call home before the effects of human activity cannot be reversed.
Every artwork sold in this collection will go towards supporting the World Land Trust and their Buy an Acre campaign. All net proceeds of sales made via this campaign will be shared equally 50/50 between the artist and the World Land Trust, to ensure a safe future for wildlife, in a real, measurable and tangible way.
Gareth is a Welsh Sculptor originally from North Wales currently living in Leeds with his wife and young son.
He studied sculpture at Bretton Hall College – (University of Leeds) graduating in 2002, and then subsequently went on to complete a Masters in Design from Leeds Metropolitan University in 2004.
In 2015 Gareth was elected as a member of the Royal Society of Sculptors, and has exhibited across the world in galleries in London, Liverpool (Tate Gallery), Beirut, Los Angeles Hong Kong, London, Europe and America, his work is in private collections across Europe, America and Australia.
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Jan Feb March
Apr May June
July Aug Sep
Alexander Medvedev: "We want Zenit's women to be at the top of the league within one or two seasons"
Zenit announce the creation of a Women's football club
2020 tickets on sale now!
Gazprom Training Camp: Photos from 19 January morning training in Qatar
Gazprom Training Camp in Qatar: Kokorin's gets his goal, gym work and other news of the day
Happy birthday to Daler Kuzyaev!
Deloitte: Zenit named one of the most profitable clubs in Europe
Main News Team news
Igor Denisov
Igor Denisov is Zenit fans` player of the year!
Zenit`s halfback, who scored the final goal of the season in Athens a week ago, was voted by Zenit fans as being the team`s player of the year in 2010.
This season, in which Zenit proved that it`s the strongest team in Russia after completing a golden double for the first time in its history, will be remembered for the many personal records set by our players… and by the team`s fans! After the launch of the new version of the team`s official website the team`s fans chose the best players in the team`s guest book on the site.
The best players by month (on average) were:
1. Malafeev
2. Denisov
3. Lombaerts
3. Shirokov
2. Alves
3. Zhevnov
2. Kerzhakov
3. Anyukov
2. Zyryanov
3. Huszti
3. Rosina
As per tradition we determine the best player not on the average total votes for the season, but rather on the results of monthly voting. The player receives 3 points for coming in first place for a month, 2 points for second place, and 1 point for third place. These simple calculations give the following results:
Ist place: Igor Denisov, 10 points (2 first places, 2 second places);
2nd place: Miguel Danny, 8 points (1 first place, 2 second places, 1 third place);
3rd place: Vyacheslav Malafeev, 6 points (2 first places).


Everyone loves Cafe a La Mode, hence the need to call in klmArchitect and help figure out how to make it 2x the size it was. First step was acquiring the adjacent retail space, second step was delicately blowing massive holes in the tenant separation wall to allow for the comfortable flow of people, like Mr. Pitt, from one space in to the other. It was a great team, including http://basementshv.com and http://www.blakeengineeringpllc.com. The owners did a fantastic job and have a great thing going.


This paper explores, through an analysis of key policy documents, the construction of the political concepts of social exclusion and inclusion through Further Education (FE). During the first decade of the New Labour government the concepts of social exclusion and inclusion have undergone a process of active construction. In between The Learning Age (1998b) and Raising Expectations (2007) different political concerns come to the fore. Whereas in 1998 social exclusion encompassed the broad category of "disadvantaged people" and reducing social exclusion was linked firmly to promoting employability, (1998b: 75) by 2007 interest with the socially excluded was more specifically focused upon "16-17 year olds not in education, employment or training (NEET)," (2007: 38) and FE was to promote social inclusion, in part, through challenging anti-social behaviour (2007: 5). Three main models of constructing inclusion emerge: instrumental, social and psychological (see appendix). This paper examines the impact of the instrumental model and argues that focusing FE upon the needs of the economy provides a narrow concept of inclusion and a degraded view of education.


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Bulk Request
Back-to-School Safety Tech That Helps Keep Kids Safe.
Posted by McGruff Safe Kit - 04 September, 2019
Driver Being Chased by Cops Hits 3 Kids in Playground ...
An unlicensed driver being chased by state troopers plowed into a Minneapolis playground, injuring three young siblings, one of them critically, authorities say. State troopers tried to stop 27-year-old Kabaar Powell for speeding on Interstate 94 on Monday, but he tried to flee, authorities say. They say he eventually got off the highway, tore through tennis courts, and smashed into the playground near Jenny Lind Elementary School on the city's north side, hitting young Kayden, Konnor, and Lillianna Peltier and coming to a halt entangled in a swing set, the AP reports.
Powell remained jailed without bail Tuesday on suspicion of criminal vehicular operation and fleeing police. The children's aunt, Devin Brinkley, says 2-year-old Kayden was in critical condition heading into surgery on Monday night.
The aunt says Lillianna, 4, was in stable condition with bleeding on the brain and that Konnor, 3, was traumatized but had minor injuries. "My sister's husband was there and watched his children get run over by a car. I can't imagine. I can't even fathom how I would feel," Brinkley says. A spokeswoman for North Memorial Medical Center said Tuesday that the hospital isn't releasing the children's conditions.
Department of Public Safety spokesman Doug Neville says Powell hasn't had a valid driver's license since 2014. In 2015, Powell was convicted of driving with a suspended license, and he has earlier convictions dating back to 2010 for speeding and twice for not having the proper type of license.
Protect your child by clicking below, get a no-cost McGruff Safety Kit!
https://www.mcgruffsafekit.com/signup
Source: http://www.newser.com/
(Photo credit: Elizabeth Flores/Star Tribune via AP)
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info@safelifenetwork.com
© 2017 Safe Life Network


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Category Just for Fun
The Great Salt Lake of Utah is geographical masterpiece that offers travelers so much to discover and explore. A visit here will delight you with breathtaking scenery, turquoise water and…
Dive into shipwrecks at these 9 extraordinary lakes
Most of us have witnessed the cinematic re-creation of the world's most famous shipwreck. The 1997 box office smash "Titanic" earned 11 Oscar Awards. Although shipwrecks conjure up images of…
16 most famous lake monsters from around the world
Legends of lake monsters have existed around the world for hundreds of years. Lake monsters are a cornerstone of cryptozoology, the study of legendary hidden and unknown creatures. Read on…
9 lake movie locations you should visit in real life
Lights, Camera, Action! Do you pay attention to filming locations at the end of a movie's credits? Film location scouting begins very early in a movie's creation, bringing to life…
Lake Havasu lighthouses: Safety structures with swagger
By far, the most recognizable sight around 20,400-acre Lake Havasu is the London Bridge, moved piece-by-piece from England to this unlikely location in 1971. But Lake Havasu is also the…
Lights, camera, action! Movie magic at Smith Mountain Lake
Smith Mountain Lake, "Jewel of the Blue Ridge," is the setting for the movie "Lake Effects," an independent film produced by Life Out Loud Films, LLC, in 2011. The movie…
Folklore & mythology: The origins of 13 popular vacation lakes
How did Earth's natural lakes form? Receding glaciers and cataclysmic events such as earthquakes, volcanoes, and meteorite impact are some of the generally accepted geologic origins of our planet's lakes.…
Lake Placid, NY: Home of the epic 'Miracle on Ice'
The Village of Lake Placid, New York, lies nestled in the beautiful Adirondack Mountains. It's located in the region known as the tri-lake area, comprised of Lake Placid, Saranac Lake,…
Bluebell Lakes, England: Breeding ground for giant fish
Fishing is serious sport in Great Britain, and the Bluebell Lakes are favorite fishing holes in the English countryside near the border of Cambridgeshire and Northhamptonshire. The lakes are known…


What is a Metasearch Engine? | How Meta Search Engine Data Flow Work?
Innovative & cutting-edge travel meta search engine developers and solution providers. All our solutions are custom built to match with client specific needs.


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Lifestyle | Arts and Entertainment
Neighbors: Old piece of wood has special meaning for Horace man
That piece of wood Donald Brennan is holding in the picture is a piece of history.It's from the cabin Don's grandfather built near Perley, Minn., from 1879 to 1881.Don, of Horace, N.D., says his grandfather, Johan Brennan, who went by "Hans," cam...
Donald Brennan of Horace, N.D., holds a piece of roughhewn lumber from a cabin built by his grandfather. Dave Olson / The Forum
By Bob Lind
That piece of wood Donald Brennan is holding in the picture is a piece of history.
It's from the cabin Don's grandfather built near Perley, Minn., from 1879 to 1881.
Don, of Horace, N.D., says his grandfather, Johan Brennan, who went by "Hans," came to the United States from Norway with his brothers and sisters in 1870, when Hans was 18, and lived in the Spring Grove, Minn., area.
Hans married Kari Solberg in 1877. In 1879, the couple traveled by ox team to the Gardner, N.D., area, where Hans purchased rights to farmland and later homesteaded. Using logs made from area trees, he built the cabin about 2 miles northeast of the present Nora Lutheran Church.
The picture of the cabin was taken in 1991. Two pieces of wood from it, including the one held by Don in the picture, were removed at that time. The wood still has square nails in it
The cabin burned down about 1995. The spot where it stood is now farmland.
Hans and Kari had nine children. One of them, Claus, was Don's father.
"Dad would never talk much about growing up other than having to walk about 2½ miles to school," Don says. "He had to quit school after the 6th grade to help on the farm.
"Maybe he didn't talk about Hans much because a cousin, Conrad Hilstad (deceased) stated that Hans left around 1915-1920 and homesteaded in Manitoba, Canada. He died in 1943; his wife had died in 1936.
"I don't know how long they lived in the log cabin. At some time, he built a new house about two miles west of the cabin.
"Other families lived in the cabin until about 1950, including the Lawrence and Tilford Aasen family.
"The newer family farm was repossessed by the bank in the spring of 1941. Two fires in the house and a tornado through the farmstead had caused a lot of damage. One of Dad's sisters died in one of the fires. The next daughter born was given the name of the deceased daughter, Hannah.
"Curtis Ellenson (deceased) told a story about Hans shocking for neighbors to earn extra money. When the operators of the grain binder would go home for dinner, Hans, not being a big man, would set the binder for smaller and lighter bundles. How long he got away with that I don't know."
If you have an item of interest for this column, mail it to Neighbors, The Forum, Box 2020, Fargo, ND 58107, fax it to 241-5487 or email blind@forumcomm.com .
This is the wood cabin Hans Brennan built in the Gardner, N.D., area after he married Kari Solberg in 1877. The photo of the cabin was taken in 1991. Special to The Forum.
A Julia Child opera? A piece of cake for FM Opera singer Holly Janz
Mini opera serves a sweet slice of musical theater savored by audience.
By John Lamb
Lynyrd Skynyrd to celebrate 50 years of 'Free Bird' with Red River Valley Fair show
The group is marking the 50th anniversary of its debut album and will make a stop in West Fargo to celebrate.
Upcoming Fargo-Moorhead Symphony Orchestra features a unique performance
A violin concerto that has only been performed a handful of times is a big part of the concert.
Singer Holly Janz finds Julia Child's voice, personality in FM Opera's 'Bon Appétit!'
One-woman show has the star mixing a cake as she sings the recipe.


Tasker Developer Note: in Android 2.0+, the Keyguard action should probably not be used unless the display is *on* and *unlocked*, so try this profile at your own risk.
This "Recipe" will duplicate the function of a program on the market called "Autolock"
When you unlock your phone the keyguard will turn off.
The above combination of two scripts may re-enable Keyguard if you turn on the phone again within the 1 minute time span. This way, the Keyguard off-Event will fire while the Keyguard on-Event is still waiting and finally turning it on again.
Now when you unlock your phone, the task will run and will turn Keyguard off. Then it will check every 30 seconds whether the screen is turned off. If it is, it will wait 2 minutes and finally turn keyguard on again. If you unlock your phone in these 2 minutes, the currently running task will be cancelled and a new one will be started.


Not a fan of camping? Many people have no desire to spend a night in the woods, roast marshmallows by a fire, sleep in a tent or deal with bugs, bugs and more bugs.
Most families have kids or one partner who wants to go camping, making the person who doesn't want to go look like the bad guy. That person either refuses to go, making the rest of the family unhappy, or goes and hates every minute of it, still making the family unhappy. It's a no-win situation for the person in the family who hates camping – until now!
"Glamping" is a new trend that has found a happy medium between camping and an upscale vacation. It's a solution that everyone in the family can enjoy.
Glamping, or glamour camping, offers that perfect combination of being in the woods and campgrounds while still having access to resort-style activities and amenities.
An idea that has been popular in France for some time, it has made its way to Quebec at Huttopia Sutton, a mountainside vacation village that is about a 90-minute drive from Montreal.
"This idyllic woodsy domain combines ready-made rustic dwellings with resort activities such as wine tastings, a children's program, tennis and two heated swimming pools," says Rochelle Lash in the National Post.
"At Huttopia Sutton you won't have to put up a tent, fumble with poles or clean the chalet at the end of the season. No more do-it-yourself camping, unless you want to take that on," she adds.
The vacation village offers travellers the best of both worlds: you can choose to camp in a tent or stay in a cabin or chalet. The area even has 30 traditional campsites if you want to "rough it" in the wilderness.
Sounds like a good compromise for people who don't like to camp. Expect more of these glamping-style vacation spots to pop up to accommodate people who want the experience of camping without having to pitch a tent.


Hong Kong University Graduates Association Education Foundation is committed to providing the best quality education for our next generation. HKUGA Primary School commenced in September 2002. The school has received wide acclaim among parents, educators and the community for its demonstrated achievements in fulfilling its mission of nurturing lively, inquiring, discerning and creative pupils.
Invitation is extended to high-quality candidates who are interested in applying for the above post of 2019-2020 school year.
Competent in both Chinese and English; experience in school administration and management.
Interested applicants, please send resume and preferably an essay for Vice Principal on "My Education Vision" to the Principal, HKUGA Primary School, 9 Yee Shing Street, Chai Wan, Hong Kong by post on or before 26 April 2019.


How to rejuvenate your eyes without surgery!
The eyes are one of the hardest areas of the face to treat. They are a huge concern for people of all ages whether it be dark circles, puffiness or crow's feet, it is an area that my clients regularly flag up and want advice on. We tend to abuse our eye area regularly with lots of make-up, yet we spend less time cleansing and exfoliating the area due to the skin being thinner in these areas. The skin around the eyes is 10 times thinner than any other area on the body, so you're right to not go too crazy exfoliating it. However, one of the reasons we tend to age faster in these areas is that we don't look after it as well!


If you have ever been on a corporate retreat, school team, or a middle school party. You have probably played the game Two Truths and a Lie. I used to love playing this game as we moved to new places or I was in a new position. People tend to always focus on the board facts about things and forget the details. So, for me, it was easy for me to disguise detailed truths as lies. As I began preparing for this Whole30 I wanted to bring something different to the table that we haven't done before. That's when the idea came to me, share truths about Whole30 and some lies or rather some misunderstandings about Whole30.
While some will say this is just a clever way not to say "diet". A diet, in my opinion, is a quick fix to reach a goal. Where a lifestyle is a long-term solution to a problem. Eating healthy is a big problem for many people, especially in the United States. But for me personally, I have realized due to my physical restraints due to injury, eating healthy is my best solution for staying healthy and fit. In addition, when you look at something as a lifestyle it tends to have fewer rebound effects.
When people ask me what Whole30 consist of and I explain the requirements, I typically get something like "How can you do that? It sounds so bland" or "What can you even eat?" My answer is always the same, I can eat tons and its delicious. It sad that we as a society have a mindset that if something is healthy it is often bland. But in my experience is all about your mindset and what you choose to eat and not. But after almost a year and a half of cooking Whole30 meals, my friends, family, and I can tell you Whole30 is anything but bland.
One thing that you become very comfortable with while doing a Whole30 is being asked, "Can you eat that?" And my response is yes. I can eat anything I want to, but I choose to not eat it while doing a Whole30. This is where mindset comes into play, as well, if you look at Whole30 as what you can't have you will always be focused on that and will not enjoy the NSV's that you can. Whole30 is a choice, I am choosing to live this lifestyle and eat this way for 30 days. I appreciate you wanting to help and make sure that I am not breaking rules, but I know what I can and can't have.
Well, there are my Two Truths and a Lie for you. Please let me know if you like this idea and I will try to share something like this once a week. I am really excited for this Whole30 with some new Stuff and Thingamajigs to use and recipes to try. Stay healthy everyone!


please accept our invitation to take part in the high-level conference on fighting disinformation, organised with the support of the European Security and Defence College.
Brussels in the Council press room JL, on 1 April 2019.
Your experience and professional background would bring a high added-value to the ongoing debate on the above-mentioned topic, in our endeavours to bring across one of the core messages of the Romanian Presidency of the EU Council : the need to protect the democratic electoral processes, as well as to better equip Europe in responding to the expectations of its citizens.
We look forward to a fruitful cooperation under the Romanian Presidency of the EU Council.
If you already have institutions badge or accreditation: RSVP by replying to this e-mail until 25 March.
On 7 October four members of the Grayling team will be running the Brussels half-marathon, and 11 will be running the 4km on the same day.
THE RESULTS OF THE BARROSO II MID-TERM REVIEW SURVEY ARE IN !
SEAP's new year cocktail - welcome to 2013!
Join us for the 13th edition of the EuroConference!
Don't miss out on this excellent opportunity to share best practices with peers and learn from the experts!
Kellen and Ellwood Atfield are jointly hosting an informal lunch on 'Belgian employment law for European associations'.
"PEACE RACE – COURSE DE LA PAIX – FRIEDENSFAHRT"
The opening takes place on 1 October at 6.30 p.m. in the European Parliament.
Is austerity the only way out of the crisis? Alternative options for Europe.
The SOLIDAR Silver Rose Awards ceremony will take place on Wednesday 16 October 2013 from 6.30-8pm (followed by a reception) in the European Parliament in Brussels.


In case you haven't figured out by yourself, or no one told you yet, here's the most important ice fishing advise you will ever get : make sure to get high quality equipment. And don't be afraid to spend couple of hundred dollars on awesome ice fishing gear, because you won't need to replace them for a very long time, therefore, you will save a lot of money down the road. It's very likely that your peers don't understand this, and they will tell you to buy some cheap ice fishing stuff that won't last. It's up to you whether you listen to them or me, but remember – you get what you pay for. So think twice, isn't it wiser to spend twice the amount now, and buy warmest ice fishing boots that will last 5 times longer than the regular cheap boots. I think the choice is easy, but some people still prefer to pay less and there's nothing I can do. But to everyone else, I will say it again – in order to get high quality ice fishing boots, you need to pay high price.
So, how can you decide which product is worth buying and which one is not? First of all, you should take a look at what customers have to say. That basically means that you'll read about product from customer's point of view. How was delivery, how fast did they get the product, how well packaged it was. Customers like you and me are the perfect reviewers, because they usually mention everything that we care about. For example, sizing might be messed up, and there's no other way for you to find out, other than reading reviews written by these people. Other than that, it's a good idea to read this article about ice fishing boots. It goes through every detail you need to choose best boots for ice fishing, but if you are too lazy to read it all, you can also use their article to quickly pick any of products they have listed on their website.
If you don't want to read an article, these are few quick tips I can give you.
Make sure boots you buy are waterproof. Even very little amount of leaked water can cause serious damage to your feet, so you shouldn't risk your safety. All best ice fishing boots mentioned on the link above are waterproof.
Boots shouldn't tear easily as well. When you buy pair of good ice fishing boots and pay hundred dollars or even more for it, you should expect it to last at least few years, if not more. Read customer reviews for more details on this, again, you can find the most durable ice fishing boots in the article linked above.
High quality boots usually have this issue taken care of, but I'm still going to say. Outsoles must be very strictly not slippery. Because you can't afford to slip even once. You do have possibility to get ice fishing cleats for safety, but it's always nice when boots have that feature built in.


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Cardi B To Amend Divorce Filling To Joint Custody Of Daughter, Kulture With Offset
BlacksatinoBlog September 19, 2020 1 Comments
Cardi B and Offset's divorce news came as a surprise when it broke on Tuesday September 15.
READ ALSO: American Rapper, Cardi B Set To Divorce Offset
This is after three years of their marriage and the birth of their two-year-old daughter, Kulture.
Cardi B and Offset's relationship has been hit by several crises. The American rapper had previously announced her decision to divorce her husband in 2017 over cheating allegations.
Offset made a public apology at one of her biggest festival performances at Rolling Loud after which the pair reconciled but are now battling more marital issues.
Fulton County superior court confirmed that the divorce petition has been filed in Superior Court, Fulton County, Georgia by Belcalis Almanzar (Cardi B's real name) v. Kiari Cephus (Offset's given name).
In the divorce filing, Cardi initially requested for legal custody and primary physical custody of their daughter. She is now planning to amend her divorce filings after her lawyer who filed the petition, 'went a bit far'.
According to TMZ, Cardi wants to share custody of Kulture with Offset because she wants to have an amicable co-parenting situation, and is already in touch with her lawyer to have the document amended to reflect her wishes.
It is also reported that Cardi B does not want any support from Offset, as opposed to child support requested in her divorce petition.
The divorce news came days after Cardi posted a cryptic quote to her Instagram story that reads;
"Her heart finally told her to stop wasting her time… it's time".
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text:
Urban trekking in Taiwan
Canadian writer Valerie Fortney on a road less travelled
Taiwanese night market / Photo courtesy Taiwan Tourism Bureau
Winding back streets are home to urbane coffee shops and patisseries. Upscale boutiques sell everything from glorious silk kimonos to exquisite porcelain. Enticing aromas of star anise, cinnamon and basil drift from food stalls on every block.
I am in Taipei, and I have discovered urban trekking heaven. The city's vibe is reminiscent of Hong Kong. Chic Michelin-star restaurants remind me of Manhattan. Bustling markets are much like ones I've explored throughout Europe.
Frankly, a lifetime of adventuring has taken me from Iceland to India, Uganda to Afghanistan — and to popular destinations with Canadians such as Hawaii, Mexico and France — but I never expected to set foot in Taiwan.
This small island, just 160 kilometres across the waters from mainland China, simply wasn't on my radar.
Like most Canadians, I knew its name from all the products and trinkets of my youth stamped "Made in Taiwan."
It took an intriguing invitation from the Taiwan Tourism Bureau to explore its modern cities and rural rice paddies, its mountainside villages and surfing hot spots, to finally open my eyes to the wonders of Ilha Formosa (beautiful island), the name given to it by Spanish sailors centuries ago.
If I previously felt ambivalent about coming here, Taiwan's own status is, in fact, an ambiguous one.
Its official name is "Republic of China," but most Taiwanese will point to their democratically elected government and recent legalization of same-sex marriage as evidence of their proud identity and sovereignty.
As a travel destination, Taiwan is dwarfed by its closest neighbours, mainland China and Japan. Yet that's changing: in 2018, a record number of Canadians, more than 128,000, visited the small island.
Now that I'm here, I'm not surprised. Besides its glittering capital city, Taiwan has rugged mountains, scenic seascapes and endless cycling trails. Add to that its renown as one of the world's top foodie destinations.
I watch surfers catch waves at Waiao Beach on the east coast, explore the colourful market in Juifen Village and even take a fishing lesson with an elder from the Indigenous Climatay tribe on the island's southernmost coast.
In Taipei, I experience the exceedingly polite nature of the Taiwanese. Although I go a good 24 hours before spotting another westerner in this tidy city of two million souls, no one stares at me.
Instead, I am greeted with a charming and hearty "Good morning!" at every hour of the day and my only safety concern in this country (known for its low crime rate) is the constant whizzing by of commuters on scooters.
I experience the grace of "saving face" culture when, after losing my room key not long after checking in, the hotel clerk insists it is really his fault. The shop owner who has to point me in the direction of the 4XL dress rack (I am a solid size 10 in North America) has nary a glimmer of judgement in her eye.
In this astonishingly clean city, I sign on to the Taiwanese love affair with food. I sample beef noodle soup in neighbourhood hideaways, sticky rice dumplings at the night market and Taiwan's signature favourites: pineapple cake and its now internationally famous bubble tea.
En route home to Canada, after 10 heavenly travel days, I come to realize that I'm besotted with a place I'd never before considered, and now will never forget.
Note from Publisher: Calgary-based travel writer and celebrated author Valerie Fortney was a guest of the Taiwan Tourism Bureau. It did not review or edit this column before publication.
For our last story featuring international coverage of interest to Canadians, check out Meet Norway's Bathing Angels — written by Montreal's Margo Pfeiff who also acts as Toque & Canoe's Editor-at-large.
Founded by two Canucks on the loose in a big country, Toque & Canoe is an award-winning travel blog featuring Canadian travel culture. Follow our adventures at Twitter, Instagram and Facebook
Dreaming of Iceland
A travel reflection on wonder and awe
Margo Pfeiff's favourite place on the planet
Calling all Canadians!
Can you help this immigration museum solve a mystery?


Try applying the MacOSX openglide patch (found here) it contains among MacOSX also the wrong prototype fix for the InitialiseOpenGLWindow function.
Thanks, Glide support works now. I'm able to run Tomb Raider with the Voodoo Rush patch. Unfortunately the game I really wanted to run, Carmageddon, doesn't work. I just get a black screen and no sound (like DOSBox is stuck) when I start it. Works fine in non-3dfx mode. Oh well, I guess I'll have to wait for openglide to support it.
Yes unfortunately Carmageddon only works with dgvoodoo which is windows only.
I just used this for creating debian packages as I prefer those over uncontrolled /usr/local installations. Unfortunately, Carmageddon Demo doesn't seem to work this way and I can't find my other old DOS stuff right now, so I can't test myself.
I found my old Screamer-2 CD and tested with little success -- then I decided to go for SVN and now this game is running just fine using S2_3DFX.EXE. So my repo now contains a recent SVN build of dosbox.
The .orig.tar.gz was created by "svn export" and then running ./autogen.sh and removing the autm4te.cache.
Note that my package doesn't contain any dfsg-patches -- I just didn't see any sense in porting patches that only REMOVE functionality.
GLIDE2X.OVL is included in the package, installed in /usr/share/dosbox and automatically mapped in the virtual Z: drive.
The newest openglide packages now contain a patch to place their files in ~/.openglide instead of the current directory. A packages libglide2x-dbg is provided for debugging.
his patched dosbox provided from his package and it's worked.
But I want to use a version only with Glide-Support.
Hunk #1 FAILED at 152.
Hunk #2 FAILED at 640.
Hunk #2 FAILED at 348.
Hunk #3 FAILED at 686.
Hunk #4 FAILED at 1408.
Hunk #5 FAILED at 1760.
Hunk #2 FAILED at 141.
Hunk #3 FAILED at 192.
Hunk #2 FAILED at 1364.
You need to use the same version of the sources as the patch was made for (or manually fix the rejects).
It is the same error... Anyone a clue?
Now you know that 0.73 is not the base for the patch either. Check the dates or other information.
Or check the rejects and fixup what's necessary.
I've successfully applied the patch under ubuntu with dosbox-0.74, but it seems it's not working anymore. Screamer Rally freezes on black screen during setup, and Tomb Raider crashes with a "No PCI Bus detected" Error.
"No PCI Bus detected" suggests you're using 3dfx ovl file, not the one provided with the patch.
Wonder if it's due to the ubuntu PPA packaging environment.
How about the game directory?
Last edited by gulikoza on 2011-1-15 @ 14:50, edited 1 time in total.
Hello it's me again with my problem.
Actually, I made a mistake with the "position" of the patch.
The patch wasn't one folder higher than the dosbox folder.
and their are still some errors.
Hunk #2 succeeded at 648 (offset 7 lines).
Hunk #2 succeeded at 348 (offset -1 lines).
Hunk #3 succeeded at 690 (offset -1 lines).
Hunk #4 succeeded at 1415 (offset -1 lines).
Hunk #5 succeeded at 1794 (offset 26 lines).
Hunk #1 succeeded at 26 with fuzz 2.
Hunk #2 FAILED at 1365.
Anyone who have an idea?


Does additional fees waiver amount to compliance of Section 92/137 Does additional fees waiver amount to compliance of Section 92/137 as well?
Does additional fees waiver amount to compliance of Section 92/137 as well?
While everyone was worried about point no. 1 viz payment of huge additional fees i.e. Rs. 100 per day without any upper limit. Due to lack of good infrastructure (non functioning of website at crucial times), professionals (specifically CA's) struggling with so many deadlines and various other reasons, it seemed difficult to file forms within due date. CA and CS Institute have also made its representations to Ministry requesting them to extend deadlines due to various reasons. Keeping in view the requests received, Ministry of Corporate Affairs (MCA) vide its General circular 10/2018 dated October 29, 2018 decided to relax the additional fees payable by companies on e-forms AOC-4, AOC (CFS) AOC-4 XBRL and e- Form MGT-7 upto December 31, 2018 wherever additional fee is applicable. The relaxation of additional fees circular came as a relief to many Companies which are unable to file its Balance Sheet or Annual Return within due date.
The circular issued by MCA was very clear as far as aboive-mentioned point no. 1 was concerned i.e. relaxation of Additional fees for eForm AOC-4, AOC-4 CFS, AOC-4 XBRL, and eForm MGT-7. However, does relaxation of additional fees will amount to extension of time line provided under Section 92 or Section 137 of the Companies Act, 2013?
Let us analyze the relevant parts of Section 92 and Section 137 with relating to filing of Forms first.
Does non-payment of additional fees can be construed as a compliance of respective sections?
The direct impact of this interpretation is linked to exemption granted to Private Companies by Central Government but default also means that Company is liable for penalty if delay in filing is construed as default under respective Section.
While many believes that intention of MCA in granting exemption is to give more time to comply with the filing requirement to the Company under Section 92 and Section 137 respectively and circular relaxing additional fees would amount to extension of time-limit under respective Sections. However, it is important to note that Statutory limit to file the forms under Section 137 and Section 92 is 30 days and 60 days from the date of AGM respectively. The General Circular 10/2018 is granting relaxation in additional fees only and it is neither talking about amendment to respective section nor any notification amending the respective sections is issued by MCA. Which clearly means that filing of forms after 30/60 days, as the case may be, will grant relaxation of additional fees but it will not be construed as compliance of section. Rather it should be treated as a default by the Company from a period between 30/60 days to the date of filing of respective forms.
Everything doesn't require the amendment of sections. Extention of time if granted though a circular stays. This circular clearly reads as if both waiver additional fees and extention of time is granted. Hence one needs to pay additional fees only if the company files its returns after 31.12.2018.
A good thought provoking article, Jigar. Keep it up.
Thanks Nilesh for your feedback.


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Well....I have obviously taken my time with this project. It's been almost two months since my last post. That's perfectly fine by me as I want to take this project at its natural pace (and not in a direction that feels forced or coerced). As a result, it's good to be back and feel no guilt in putting this aside for a moment.
Below are some reflections as I take a moment to look back on this absence.
There is a reflective peace in letting [self / rhythms / experience / universe] just be. This peace is not always experienced in the moment. Rather, it comes in the stillness cultivated over time through the continued [act / presence] of being. And this peace [is always passing / can never be [held / captured / replicated]].
I enjoy reflecting on my [work / practice / art / process]. There is a certain amount of [comfort / ease / relaxation] that comes from looking [back / forward / inward / outward / deeper / broader]. And I relish that [comfort / ease / relaxation].
[Structure / form / ritual] help facilitate reflection. It was nice to pick this blog back up and know that there was already and existing blog format that I could just plug back into. This is similar to the original #100Days project, which had a more rigid structure. But a few changes -- modifying the project to 100 non-consecutive days and the form being a blog post that can have a range of content -- have made a significant difference in my personal [feeling / approach / relationship / commitment] to reflective practice, one that feels even more [complete / whole / transformative / integral].
I want to increase the frequency by which I post. While I am actually glad I do not feel guilt over taking a break, I also want to commit to a more rigorous practice. Coming into this space is [refreshing / rejuvenating / affirming]. I need to be in this space more, especially in these times of massive uncertainty.
Well... that's it for now. Look forward to more soon too!


A DSC post for every day in February. Clear, concise, specific DSC posts which will hopefully improve your DSC configurations, resources and troubleshooting no end.
Sorry for the long absence. However, rather than just apologising to you for not posting, I'm going to make it up to you by attempting to post every day in February. Small, concise and about something I like to think I know very well, DSC. Hopefully this improves your DSC configurations, resources and troubleshooting no end.
To begin, I don't want to assume you know what DSC is or how to use it, so I'll give a very brief intro to catch you up. During this month of posts, I'm going to try not to double up on information already provided on docs.microsoft.com . So if you feel you are missing some information, head over there.
DSC stands for Desired State Configuration and it is something that allows you to declaratively install, setup and otherwise configure Windows, Linux among other devices. DSC starts by testing the system to see if it is in the "desired state" that you want, and if not, DSC makes it so.
Drawing inspiration from the current Spectre/Meltdown debarkle, let's implement the Microsofte fix detailed here to protect against speculative execution side-channel vulnerabilities.
Key       = "HKEY_LOCAL_MACHINE\SYSTEM\CurrentControlSet\Control\Session Manager\Memory Management"
What we've created here is a function "configuration" called SpectreFix, which if called creates the necessary MOF required to set the three registry keys on any server we want.
For those of you familiar with PowerShell this shouldn't be too difficult to read. Every configuration starts out with the Configuration keyword, followed by the name.
Then not strictly necessary but highly recommended is to import all of the modules required for the configuration. If you have multiple versions of a module installed, you will have to specify the -ModuleVersions parameter.
Running Get-DSCResource will provide a list of all resources currently installed, as well as the module they are in, the version and parameters list.
The keyword node denotes that a MOF file will be created with the name localhost and to keep it simple this is the server name. But in a later post, we can talk about creating named configurations which can be applied to multiple servers. Think "Security Base Line", "Patch Management", "CONTOSO Domain Controller".
Within the node block is where all the resources definitions are. For our example we are only using the registry resource. However, we could have used the xHotfix resource to install the KB update directly from the Microsoft Catalog.
Getting a little ahead of ourselves, there are two ways a device can get a configuration, either PUSH or PULL. For now, we are only talking about PUSH.
Running the following command creates the localhost.mof file in a folder called SpectreFix in the current folder.
Running the next command attempts to connect to the device based on the name of the file i.e. localhost and starts the configuration.
To confirm everything is working, here are some commands to help you get to grips with the DSC.
You will have noticed that when running the previous command, a PowerShell job was created. To run DSC synchronously, use the following command.
To rerun an existing configuration, do the following.
To get the status of the last execution, do the following.
Ok, so this wasn't quite as short as I'd expected. Let me guys know what you think about this idea. Has it already been done? Do you need more info?
Make sure to come back because later in the month, I will be showing the new newest DSC resource I've been working on, which is up there with one of coolest.
Thanks & Don't Forget To Automate It!