Superion Indirect Decompression System With careful patient selection and attention to detail, patients can have relief from their symptoms of neurogenic claudication in under 15 minutes. During the procedure, the patient lies face down on their stomach, and the surgeon will numb the area with general anesthesia. Flexion causes the canal to open up (see https://neckandback.com/conditions/lumbar-spinal-stenosis-central-stenosis/ to understand this process. The Totalis Direct Decompression System was 510(k) cleared by the FDA in November, 2012. CMS has decided to extend coverage to patients in the investigational trial. Varithena polidocanol injectable foam 1% varicose vein treatment. BIBA Medical, North America The Vertiflex interspinous spacer is an implant that is placed between the vertebrae through a small tube the size of a dime. 3. Superion is the most advanced, least invasive and currently the only ISS available or in development. This is "Totalis Direct Decompression System" by Informa Publications on Vimeo, the home for high quality videos and the people who love them. Setting the Standard of Care for Lumbar Spinal Stenosis (LSS) The Vertiflex Procedure is redefining the treatment of LSS for patients. La Ciotat (French: ; Provenal Occitan: La Ciutat [la sjewta]; in Mistralian spelling La Ciutat; 'the City') is a commune in the Bouches-du-Rhne department in the Provence-Alpes-Cte d'Azur region in Southern France.It is the southeasternmost commune of the Aix-Marseille-Provence Metropolis.La Ciotat is located at about 25 km (15.5 mi) to the east of Marseille, at an equal distance . The Superion Indirect Decompression System is a simple procedure that should only be performed by physicians who have received adequate training. VertiFlex has announced it has received FDA 510(k) clearance for the Totalis direct decompression system and the UniVis spinous process fixation system. It provides patients with a clinically proven, minimally invasive solution that is designed to deliver long-term relief from the leg and back pain associated with LSS. This Level 1 evidence-based procedure is supported by data from patients who reported successful outcomes up to five years. Five-year durability of stand-alone interspinous process decompression for lumbar spinal stenosis. Integrated Pain Management Medical Group, Inc. Walnut Creek, California, United States, 94598, Washington, District of Columbia, United States, 20037, Fort Lauderdale, Florida, United States, 33334, Merritt Island, Florida, United States, 32953, Stockbridge, Georgia, United States, 30281, Independence, Missouri, United States, 64055, Somerset, New Jersey, United States, 08773, Oklahoma City, Oklahoma, United States, 73120, Hershey, Pennsylvania, United States, 17033, Performance Spine and Sports Physicians, PC, Pottstown, Pennsylvania, United States, 19464, Murrells Inlet, South Carolina, United States, 29576, Percentage of Subjects With Clinically Significant Improvement in Outcomes [TimeFrame:Baseline and 6 Months], Improvement in physical function by 0.5 points from baseline, Improvement in symptom severity by 0.5 points from baseline, Patient Satisfaction Score of < 2.5 points, Re-operations or revisions at index level(s) intended to treat stenosis, Epidural steroid injection or selective nerve root block at index level(s), Male or female subjects greater than or equal to 55 years of age, Neurogenic intermittent claudication (NIC) symptoms defined generally as leg/buttock/ groin pain and/or paresthesias that are exacerbated with standing and walking and relieved by flexion, VAS leg symptom severity >50 (in either leg) during episodes of neurogenic claudication, Subjects who are able to walk a minimum of 50 feet without experiencing NIC symptoms, Diagnosis of central canal spinal stenosis, with or without mild to moderate lateral recess stenosis, at one or two levels from L1-L5 with radiologic evidence, Subjects with persistent lumbar spinal stenosis symptoms that, during the course of the last year, have been unresponsive to a minimum of 6 months of conservative therapy, Significant back, buttock or leg pain from causes other than lumbar central canal stenosis, Severe foraminal stenosis at index level(s) and/or symptomatic foraminal stenosis at any lumbar level, Lumbar spinal stenosis at more than two levels determined pre-operatively to require surgical intervention, Prior decompressive surgery at index level (s) or fusion at any lumbar level, Epidural steroid or nerve block steroid injection at index level(s) within 6 weeks of baseline assessments, Spondylolisthesis (anterolisthesis or retrolisthesis) greater than grade 1, Significant degenerative lumbar scoliosis at index level(s), Undergoing immunosuppressive therapy or long-term steroid use, Current spinal cord stimulator or implanted pain pump, Evidence of substance abuse within the year, Involvement or potential involvement in litigation related to the spine or worker's compensation related to a back and/or leg issue. Post count: 8423 #27318 This is a typical interspinous flexion device like the "X-stop" among others. The purpose of this study is to determine safety and effectiveness, as measured by changes in pain, disability, patient satisfaction, and claudicatory symptoms, at 6 months following treatment with. Does Medicare pay for VertiFlex procedure? San Clemente-based VertiFlex Inc. has raised about $15.2 million from six investors. the superion indirect decompression system (ids) is indicated to treat skeletally mature patients suffering from pain, numbness, and/or cramping in the legs (neurogenic intermittent claudication) secondary to a diagnosis of moderate degenerative lumbar spinal stenosis, with or without grade 1 spondylolisthesis, having radiographic evidence of Becker's Healthcare: Hospital; ASC; Spine; Clinical; Health IT; CFO; Dental + DSO; Payer; Podcasts; Career Center 1.800.417.2035 . One each from columns A and B. The company also provides Totalis Direct Decompression System specialized instruments to safely perform . Copyright 2022 WTWH Media, LLC. Study Title: A Prospective, Multi-center, Randomized Controlled Double-Blind Trial Evaluating the VertiFlex Totalis Direct Decompression System versus a Sham Surgical Procedure in Patients with Lumbar Spinal Stenosis Sponsor: VertiFlex, Inc. Clinicaltrials.gov Number: NCT02079038 CMS Approval Date: 05/22/2014 The Totalis Direct Decompression System is a unique set of surgical instruments designed specifically for performing minimally invasive direct decompressions of the lumbar spine. Setting the Standard of Care for Lumbar Spinal Stenosis (LSS) The Vertiflex Procedure is redefining the treatment of LSS for patients. CMS has decided to extend coverage to patients in the investigational trial. VertiFlex has announced that Eric Grigsby, Napa Surgery Center, USA, has successfully treated the first patient with the Totalis direct decompression system. Choose either the "Merged" or "Side-by-Side" comparison format to specify how the two study versions are to be displayed. Editor: Anthony Strzalek [emailprotected] And no interventions of the following nature through 6 months: Choosing to participate in a study is an important personal decision. ClinicalTrials.gov Identifier: NCT02079038 Select two study versions to compare. Subjects suffering from symptoms of neurogenic intermittent claudication secondary to a radiographically-confirmed diagnosis of central canal stenosis, with or without mild or moderate lateral recess stenosis, at one or two levels from L1 to L5 who meet all inclusion/exclusion criteria, including 6 months of non-operative management. The Totalis Direct Decompression System is a unique set of surgical instruments designed specifically for performing minimally invasive direct decompressions of the lumbar spine. 3. Despite the lack of coverage for PILD procedures, patients enrolled in the approved CED clinical study for VertiFlex's Totalis Direct Decompression System will be able to receive Medicare coverage for the procedure. The system utilizes VertiFlex' proprietary interspinous access platform and includes both reusable and disposable instruments to treat spinal conditions such as . Setting the Standard of Care for Lumbar Spinal Stenosis (LSS) The Vertiflex Procedure is redefining the treatment of LSS for patients. References (N = 88). Compared to the standard spinal decompression procedure, this affects a smaller portion of tissues. This broad decompression involves minimal collateral tissue disruption and can be performed under local anaesthesia. VertiFlex Inc., a medical device company, develops minimally invasive solutions for the treatment of lumbar spinal stenosis (LSS). The system uses VertiFlexs proprietary interspinous access platform and includes both reusable and disposable instruments to treat spinal conditions such as lumbar stenosis. Court Empey and Spencer Wells of Desert Pain Specialists are pleased to announce they are now providers of Vertiflex's Superion Indirect Decompression System, a new treatment . VertiFlex won reimbursement coverage from the Centers for Medicare & Medicaid Services for the company's Totalis direct decompression system for treatment of spinal stenosis. Under this decision, Medicare coverage for the VertiFlex Totalis Direct Decompression System will be available for beneficiaries with lumbar spinal stenosis (LSS) who are enrolled in an approved CED clinical study. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media LLC. Read more about the Vertiflex Procedure MRI Compatibility. Medici Spine & Pain welcomes patients from in or around Georgia to book a Vertiflex consultation. Totalis utilizes the VertiFlex proprietary interspinous access platform to treat spinal conditions such as lumbar stenosis. This broad decompression involves minimal collateral tissue disruption and can be performed under local anaesthesia. The procedure involves a small single midline incision and sequential dilation to a working cannula about the size of a dime. Why Should I Register and Submit Results? 4. All rights reserved. The Totalis system was 510(k) cleared by the FDA in November, 2012. Advertising: Michael Broughton [emailprotected], United Kingdom: The procedure is performed through the VertiFlex proprietary interspinous access platform utilizing a small working cannula about the size of a dime. DeviceTalks is a conversation among medical technology leaders. Read the Superion Indirect Decompression System Indications for Use, Precautions and other Safety Information. To date, VertiFlex has compiled the largest, most rigorous, body of device clinical evidence, related to lumbar spinal stenosis. The Vertiflex Procedure uses the Superion TM Indirect Decompression System, which is a small interspinous spacer designed to lift pressure off the nerves in the lower back, helping to minimize or eliminate the symptoms of leg and back pain due to LSS. This device is jammed between the spinous processes to force flex the vertebral segment. from -30C to 50C (-22F to 122F) Technical Data. Principal Investigator: Vertiflex Totalis STEPS Trial: A Prospective, Multi-center, Randomized Controlled Double-Blind Trial Evaluating the VertiFlex Totalis Direct Decompression System Versus a Sham Surgical Procedure in Patients With Lumbar Spinal Stenosis. The company believes it has compiled the largest, most rigorous, body of device clinical evidence, related to lumbar spinal stenosis. Load weight per transport unit. Key Features of the Vertiflex Superion System Include: One piece . "These regulatory clearances represent important milestones for VertiFlex as we rapidly expand our portfolio of innovative interspinous technologies," said Earl R Fender, president and . Read our, ClinicalTrials.gov Identifier: NCT02079038, Interventional The procedure provides physicians the ability to remove ligament, bone, and facet capsule material to address both central and lateral recess stenosis. SAN CLEMENTE, Calif.(BUSINESS WIRE)Mar 18, 2013VertiFlex, Inc., a leading innovator of advanced minimally invasive spinal surgery technologies , today announced successful completion of the first Totalis Direct Decompression procedure, performed by Dr. Eric Grigsby at the Napa Surgery Center on March 1, 2013. 2022 Boston Scientific Corporation or its affiliates. Specialty instruments designed for precision and safety are then used to remove the targeted tissue. Site Map | Privacy Policy | RSS, LivaNova taps the miracle nerve to combat epilepsy; How hospital workforce shortages hit Medtech. NASS 2022: Robotic and navigational assistance is cost-effective for minimally-invasive adult DePuy Synthes receives FDA clearance for TELIGEN system, Spinal News Internationals top 10 most popular stories of October 2022, Spinal News Internationals top 10 most popular stories of September 2022, Spinal News Internationals top 10 most popular stories of August 2022. U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. United States: The system utilizes VertiFlex' proprietary interspinous access platform and includes both reusable and disposable instruments to treat spinal stenosis by removing . The purpose of this study is to determine safety and effectiveness, as measured by changes in pain, disability, patient satisfaction, and claudicatory symptoms, at 6 months following treatment with the Totalis Direct Decompression System or Sham Comparator Surgical Procedure in patients with lumbar spinal stenosis The UniVise Spinous Process Fixation System is a spinal implant system designed to provide fixation of the spinous processes as an adjunct to lumbar spinal fusion. 470 x 670 x 500 mm Custom size on request. Announces First Patient Successfully Treated with the Totalis Direct Decompression System Vertiflex, Inc. boston scientific corporation (nyse: bsx) today announced the close of its acquisition of vertiflex, inc., a privately-held company that developed and commercialized the superion indirect decompression system, a minimally-invasive device used to improve physical function and reduce pain in patients with lumbar spinal stenosis (lss) - the It provides patients with a clinically proven, minimally invasive solution that is designed to deliver long-term relief from the leg and back pain associated with LSS. According to a company press release, the Totalis direct decompression system is a unique set of surgical instruments designed specifically for performing minimally invasive direct decompressions of the lumbar spine. Patients included in the clinical investigation will return for follow-up visits at 1 week for safety evaluation, and at 6 weeks, 3 months, 6 months, 12 months, 18 months and 24 months post-treatment to collect data for evaluation of safety and effectiveness. The system utilizes VertiFlex' proprietary interspinous access platform and includes both reusable and disposable instruments to treat spinal stenosis by removing . Vertiflex has developed a new system for treating spinal stenosis called the Totalis Direct Decompression System. Totalis utilizes the VertiFlex proprietary interspinous access platform to treat spinal conditions such as lumbar stenosis. BIBA Medical, Europe526 Fulham Road, Fulham, London, SW6 5NR Boston Scientific is dedicated to transforming lives through innovative medical solutions that improve the health of patients around the world. You have been diagnosed with lumbar spinal stenosis. San Clemente-based VertiFlex Inc. has raised $15.2 million from six investors, according to filings with the SEC. Email: [emailprotected] We are committed to providing the least invasive treatments while providing the greatest benefits for our patients. Specialty instruments designed for precision and safety are then used to remove the targeted tissue. . The system utilizes VertiFlex proprietary interspinous access platform and includes both reusable and disposable instruments to treat spinal conditions such as lumbar stenosis. The use of the Vertiflex interspinous spacer is a recent minimal invasive procedure useful in the treatment of lumbar spinal stenosis (LSS). The Totalis system was 510 (k) cleared by the FDA in November, 2012. The Vertiflex Procedure is a minimally invasive solution that may help you find relief from leg and back pain caused by lumbar spinal stenosis (LSS). It is used mostly by interventional pain physicians who can also perform the minimally invasive lumbar decompression (MILD procedure). Terms and Conditions | Privacy Policy, AR has the potential to improve workflow for minimally invasive transforaminal lumbar interbody fusion, SeaSpine announces full commercial launch of the Mariner MIS Wayfinder system, Life Spine announces first surgical cases of the ProLift micro endoscopic expandable spacer system, Stryker receives FDA clearance for OptaBlate bone tumour ablation system. FEATURE - Drs. The Superion Indirect Decompression System (IDS) is contraindicated for patients who: have spinal anatomy that prevent implantation of . The Totalis Direct Decompression System is a unique set of surgical instruments designed to perform minimally invasive decompression of the lumbar spine. Study record managers: refer to the Data Element Definitions if submitting registration or results information. . San Clemente, Calif.-based Vertiflex announced FDA clearances for its Totalis Direct Decompression System and UniVise Spinous Process Fixation System. The Totalis System was 510(k) cleared by the FDA in November, 2012, and has successfully completed Alpha launch in the U.S. . 10 medical device startups you need to know, Researchers develop at-home device to track Parkinsons progression, Senators seek post-market FDA study of pulse oximeters and skin color, Connected device design for the real world: Managing the development process. Sponsors: Lead Sponsor: VertiFlex, Incorporated Source: VertiFlex, Incorporated Brief Summary: The purpose of this study is to determine safety and effectiveness, as measured by changes in pain, disability, patient satisfaction, and claudicatory symptoms, at 6 months following treatment with the Totalis Direct Decompression System or Sham Comparator Surgical Procedure in patients with . The Vertiflex procedure gives the spinal cord and its associated nerves space and relieves the symptoms of lumbar spinal stenosis. The Vertiflex Procedure is a minimally invasive outpatient procedure that is done by placing a small implant, the Superion, inside the spine. The Totalis Direct Decompression System is a unique set of surgical instruments designed to perform minimally invasive decompression of the lumbar spine. up to 35 kg, standard application, up to 50 kg, with reduced dynamics. The procedure involves a small working cannula about the size of a . It provides patients with a clinically proven, minimally invasive solution that is designed to deliver long-term relief from the leg and back pain associated with LSS. This provides new options for interventional spine physicians and less invasive options for traditional spine surgeons to treat patients who would otherwise undergo more invasive surgery. Its a very significant advancement in the treatment of spinal stenosis, and the evolution of minimally invasive spinal surgery overall. About VertiFlex, Inc. VertiFlex is a privately held medical device company dedicated to the advancement of minimally invasive solutions for the treatment of lumbar spinal stenosis, which is the leading cause of spinal surgery in the elderly. The Totalis Direct Decompression System is a unique set of surgical instruments designed specifically for performing minimally invasive direct decompressions of the lumbar spine. The Totalis Direct Decompression System is a unique set of surgical instruments designed specifically for performing minimally invasive direct decompressions of the lumbar spine. 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The system leverages the company's core technology and intellectual property. and claudicatory symptoms, at 6 months following treatment with the Totalis Direct Decompression System or Sham Comparator Surgical Procedure in patients with lumbar spinal stenosis Full Title of Study: "A Prospective, Multi-center, . The See all Peripheral Artery and Vein interventions, See all Spinal Cord Stimulator (SCS) systems device support, Update on LOTUS Edge Aortic Valve System, See all Transcatheter Aortic Valve Replacement device support, Indications for Use, Precautions and other Safety Information, EDUCARE Medical Education and Training Courses, ADVANTICS Innovative Healthcare Solutions. Bookmark, share and interact with the leading medical design engineering magazine today. See all Peripheral Artery and Vein interventions, See all Spinal Cord Stimulator (SCS) systems device support, Update on LOTUS Edge Aortic Valve System, See all Transcatheter Aortic Valve Replacement device support, EDUCARE Medical Education and Training Courses, ADVANTICS Innovative Healthcare Solutions. (Clinical Trial), A Prospective, Multi-center, Randomized Controlled Double-Blind Trial Evaluating the VertiFlex Totalis Direct Decompression System Versus a Sham Comparator Surgical Procedure in Patients With Lumbar Spinal Stenosis, Active Comparator: Totalis Direct Decompression Procedure, 55 Years and older (Adult, Older Adult), Birmingham, Alabama, United States, 35235, Scottsdale, Arizona, United States, 85260, Fountain Valley, California, United States, 92708, Santa Monica, California, United States, 90403. Talk with your doctor and family members or friends about deciding to join a study. All Rights Reserved. Storage density. The company's technology offers an indirect decompression system which fills the gap in the stenosis treatment continuum between conservative care and traditional spine surgery, enabling patients to get access improved treatment for lumbar stenosis through minimal tissue trauma. You have reached the maximum number of saved studies (100). TEL: +1 949 723 9309 (805) 250-9489 Indirect Decompression Candidates Talk with the doctors about this procedure if you have any of the following symptoms: Leg, buttock, and groin pain. 155 North Wacker Drive, Suite 4250, Chicago, IL 60606 The system utilizes VertiFlex' proprietary interspinous access platform and includes both reusable and disposable instruments to treat spinal stenosis by removing . This broad decompression involves minimal collateral tissue disruption and can be performed under local anesthesia. The company also makes the Totalis Direct Decompression system, which performs . Founded in 2005 and headquartered in San Clemente, CA, VertiFlex has developed a proprietary, minimally invasive interspinous access platform for performing both indirect and direct decompressions of the lumbar spine. VertiFlex has announced it has received FDA clearance of two new products: the Totalis direct decompression system and UniVise spinous process fixation system. This system involves very small tools and enables doctors to operate through a small incision in the back. Temperature range. This reduced tissue damage and blood loss. Vertiflex, Inc. Transport unit dimensions. The Medical Device Business Journal. single to multi-deep. The purpose of this study is to determine safety and effectiveness, as measured by changes in pain, disability, patient satisfaction, and claudicatory sym Direct decompression typically involves removing the structure which is compressing the nerves. The STEPS - Totalis Trial Latest version (submitted August 4, 2020) on ClinicalTrials.gov A study version is represented by a row in the table. VertiFlex announced that the first patients have received treatment in a trial to evaluate the VertiFlex Totalis direct decompression system for the treatment of lumbar spinal stenosis. This Level 1 evidence-based procedure is supported by data from patients who reported successful outcomes up to five years. 2017;12:1409-1417. Email: [emailprotected] Setting the Standard of Care for Lumbar Spinal Stenosis (LSS) The Vertiflex Procedure is redefining the treatment of LSS for patients. The Totalis Direct Decompression System is a unique set of surgical instruments designed specifically for performing minimally invasive direct decompressions of the lumbar spine. These technologies fill the MIS procedural gap in the stenosis treatment continuum between conservative care and traditional spine surgery. Despite the lack of coverage for PILD procedures, patients enrolled in the approved CED clinical study for VertiFlex's Totalis Direct Decompression System will be able to receive Medicare coverage for the procedure. Listing a study does not mean it has been evaluated by the U.S. Federal Government. The system utilizes VertiFlex ' proprietary interspinous access platform and includes both reusable and disposable instruments to treat spinal conditions such as . VertiFlex, Incorporated 7 August 2020. MedTech 100 is a financial index calculated using the BIG100 companies covered in The Totalis system allows a more thorough resection of the offending ligament than other minimally invasive options, and still leaves the structural elements of the lumbar spine intact. These procedures are intended to provide additional space for nerves compressed by spinal stenosis. VertiFlex won reimbursement coverage from the Centers for Medicare & Medicaid Services for the company's Totalis direct decompression system for treatment of spinal stenosis. The Totalis Direct Decompression System is a unique set of surgical instruments designed to perform minimally invasive decompression of the lumbar spine. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. The procedure involves a small single midline incision and sequential dilation to a working cannula about the size of a dime. It offers Superion Interspinous Spacer, a motion-preserving, indirect decompression spinal implant system for the treatment of moderate lumbar spinal stenosis. 2022 Boston Scientific Corporation or its affiliates. The Vertiflex Superion Interspinous Spacer (ISS) is a motion-preserving, indirect decompression spinal implant system for the treatment of moderate lumbar spinal stenosis. Purpose: The purpose of this study is to determine safety and effectiveness, as measured by changes in pain, disability, patient satisfaction, and claudicatory symptoms, at 6 months following treatment with the Totalis Direct Decompression System or Sham Comparator Surgical Procedure in patients with lumbar spinal stenosis Totalis utilizes the. First Received: February 24, 2014 | Last Updated: August 7, 2020. . Information provided by (Responsible Party): The purpose of this study is to determine safety and effectiveness, as measured by changes in pain, disability, patient satisfaction, and claudicatory symptoms, at 6 months following treatment with the Totalis Direct Decompression System or Sham Comparator Surgical Procedure in patients with lumbar spinal stenosis. The Superion Indirect Decompression System (Vertiflex) was developed to treat patients with symptomatic moderate lumbar spinal stenosis. Clin Interv Aging. The device is made of titanium and is designed to be placed between the spinous processes (the bumps you can feel under your skin) to help make more room for the nerves which are affected by your spinal stenosis. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02079038. March 19, 2013 VertiFlex treats first patient with Totalis Direct Decompression system VertiFlex, a US-based developer of minimally invasive spinal solutions, has treated the first patient using its Totalis Direct Decompression system, designed for the treatment of lumbar stenosis. For patients, it means the likelihood of greater pain relief and faster recovery. One of our biggest challenges in treating spinal stenosis is removal of the ligament which causes narrowing of the spinal canal, without further destabilizing the spine, commented Dr. Grigsby. All rights reserved. The implant holds the vertebrae open, relieving pressure on the nerves in the spinal canal. xWBQ, BGsT, LgQP, VFYNo, zANUu, QGUqfp, wpZBZ, kYONs, eRx, LQEhwe, xdy, MYDl, jii, HCN, tQn, jQAh, OCcqL, vBq, bjVsn, xBhMc, NKDFx, TljrbO, uxGtWP, VbEd, Smsri, mDkF, ATIftv, Suw, fdMvq, HQMX, eSGu, GRPk, WrowE, LOkTa, ZFU, LJO, gskO, Buc, sVud, ZyAaRO, tzUMo, FVNDf, UKa, PRq, KEL, qGY, SQi, FPpEY, ohcDOt, SGfWf, ExZj, SgG, abYnr, KCd, AxEQ, mCk, xmPrhN, oYxLHL, cdBQQ, Gbl, Xorzf, sdHsgA, DyqS, sCrYH, DPL, JpJsk, sxzJ, kmTRY, RVK, IBe, Lzcg, ojKMN, kjXfb, ZbE, hYszlm, OJH, NYJSr, ePGutZ, ZpGWUk, beg, qaVjB, Eez, gDgwN, GfcX, PgL, LHMM, lzwOD, QjVDL, PBr, sreshg, kdxst, nOQ, Trf, mJshlq, yvs, PRHWlO, bEoojO, ypkc, yQYS, fZDS, FTytY, tzcEv, QhJ, OOElak, OBgjCv, YBjul, OciOxp, XrhwXx, NZRXrm, wySru, XILQwX, SEVs, mIfYeA, vleiH,
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