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okay so I want to take a moment to talk about our heart failure program and how weamp;#39;ve Incorporated hemodynamic monitoring in our management of congestive heart failure so I want to talk about this uh hemodynamic monitor itamp;#39;s called the card mems device uh this itamp;#39;s itamp;#39;s essentially uh small glass clip with two nitol clips uh itamp;#39;s about this big uh that runs on radio frequency it doesnamp;#39;t require battery and itamp;#39;s uh implanted percutaneously via right heart catherization in the left pulmonary artery uh patient uh goes home with a pillow which has a sensor they lie down on the pillow and they press a button it takes less than a minute for the sensor to uh monitor their pressures record it and transmit it to us on a wireless link so essentially patients donamp;#39;t need a telephone line at home all they need is a stable Wi-Fi connection and is transmitted to us now as you can so based on the champion trial you know conducted