Peripheral nerve injury can result in debilitating outcomes including loss of function and neuropathic pain. Although nerve repair research and therapeutic development are widely studied, translation of these ideas into clinical interventions has not occurred at the same rate. At the turn of this century, approaches to peripheral nerve repair have included microsurgical techniques, hollow conduits, and autologous nerve grafts. These methods provide satisfactory results; however, they possess numerous limitations that can prevent effective surgical treatment. Commercialization of Avance, a processed nerve allograft, sought to address limitations of earlier approaches by providing an off‐the‐shelf alternative to hollow conduits while maintaining many proregenerative properties of autologous grafts. Since its launch in 2007, Avance has changed the landscape of the nerve repair market and is used to treat tens of thousands of patients. Although Avance has become an important addition to surgeon and patient clinical options, the product's journey from bench to bedside took over 20 years with many research and commercialization challenges. This article reviews the events that have brought a processed nerve allograft from the laboratory bench to the patient bedside. Additionally, this review provides a perspective on lessons and considerations that can assist in translation of future medical products.

Recreational and professional clam fishing was an important activity on the extensive intertidal zone of the western Cotentin coast (western English Channel). A variety of fishing gear was used to harvest the target species: the European clam Ruditapes decussatus (Linnaeus, 1758) and the introduced Manila clam R. philippinarum (Adams and Reeve, 1850). In this study, we studied the effect of rake harvesting during the spring tides of February–March 2014, following an experimental design with a control station and three stations impacted by rake harvesting in three sediment types: sandy, gravelly, and mixed gravelly rocky habitats. No significant sediment and macrofauna changes occurred at the three sites after rake harvesting. Nevertheless, the number of clams decreased significantly after raking on the gravelly habitat, whereas in the other two habitats, sediment transport in this high-energy hydrodynamic environment was able to transfer clams and other macrofauna species across the fishing sites, thus minimizing the effects of rake harvesting. Therefore, although the effect of rake harvesting appeared limited during winter, the regional impact (high fishing pressure along 60 km of coast) and increase of recreational fishers during summer needed to be studied in the future.

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