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The conventional methods of silicon stent insertion recommend usage of external loading devices, where the stent is folded into the loading device and pushed in to the tracheobronchial tree using an external pusher which is blind, and leads to placement of stent either distally or proximally needing repositioning or is done with fluoroscopy that involves radiation exposure. We demonstrate our experience in 16 cases of successful silicon stent placement using this technique, wherein an Ultrathin flexible bronchoscope or Hopkins Rigid telescope is pushed alongside the forceps that hold upper end of the folded silicon stent allowing stent placement under direct vision with control over the stent. The Proximal end of the stent can be pulled under vision before deployment for appropriate positioning while pulling the rigid barrel. The stent is always under the operator's control providing excellent control over placement, simplifies the procedure and is safe with no reported complications. We present a novel technique for silicon stent insertion under direct visualization, improving accuracy and safety while eliminating the need for external loading devices and fluoroscopy. This method demonstrated in 16 cases, simplifies the procedure, ensure precise placement and avoid radiation exposure while placing silicon stent.

Self-expanding metal, as well as silicon, stents have long been available for use in the airway. Metal stents can be placed using a flexible bronchoscope and are less readily removed. Silicone stents require rigid bronchoscopy and general anesthesia for placement but are removable. Both technologies are prone to complications on a long-term basis. A new self-expanding hybrid stent, the AERO™ stent (Alveolus, Inc., NC, USA), combines the best features of metal and silicone stents with a completely covered nitinol framework. The potential advantages of a self-expanding hybrid stent include placement using flexible bronchoscopy under conscious sedation, easy removability and a potential reduction in common long-term stent implant complications. This article profiles the AERO device and evaluates stent technology in general.

Cygne Designs Inc. (CYDS.OB, http://www.marketwatch.com/tools/ quotes/quotes.asp?siteid=mktw&symb=CYDS&userID) On, Apr 19, 2005, Cygne Designs, Inc. announced that it is in preliminary discussions to acquire the branded and private label denim clothing supply business of Commerce Clothing Company LLC, a privately-held company principally owned by Hubert Guez. During 2004, Commerce Clothing, re-entered the market after being dormant for several years, and is involved in the design, manufacture and sale of denim clothing. Commerce Clothing had unaudited net sales of $17.4 million for the six months ended December 31, 2004 and $13.4 million for the first quarter of 2005, and was profitable in both periods. The preliminary proposed purchase price would be approximately 12 million shares of Cygne common stock and a promissory note in the approximate amount of $40-$50 million. In addition, Cygne would enter into a supply agreement with a company controlled by the seller to manufacture denim products to be sold by Cygne. Mr. Guez would have the right to nominate three designees for election to Cygne's Board of Directors and may, under certain circumstances, be deemed to be in \"control\" of Cygne. The discussions are at a preliminary stage and the terms of the acquisition could change materially. In addition, there can be no assurance that the transaction will be consummated. Charles & Colvard Ltd. (Nasdaq NM: CTHR, http:// www.marketwatch.com/tools/quotes/ quotes.asp?siteid=mktw&symb=CTHR&userID)