NFIRAOS, the Thirty Meter Telescope's first adaptive optics system is an order 60x60 Multi-Conjugate AO system with two deformable mirrors. Although most observing will use 6 laser guide stars, it also has an NGS-only mode. Uniquely, NFIRAOS is cooled to -30 °C to reduce thermal background. NFIRAOS delivers a 2-arcminute beam to three client instruments, and relies on up to three IR WFSs in each instrument. We present recent work including: robust automated acquisition on these IR WFSs; trade-off studies for a common-size of deformable mirror; real-time computing architectures; simplified designs for high-order NGS-mode wavefront sensing; modest upgrade concepts for highcontrast imaging.

A low approach to the interscalene block (LISB) deposits local anesthetic farther caudad on the brachial plexus compared with the conventional interscalene block (ISB). We compared the efficacy of LISB and ISB in achieving anesthesia of the distal extremity in 254 patients having upper extremity surgery. The most frequent elicited motor response was the deltoid for ISB and wrist for LISB. There was significantly greater sensory-motor block of regions below the elbow with the LISB compared with ISB (P < 0.001 for both sensory and motor coverage). Our data indicate that LISB results in a higher incidence of distal elicited motor response and greater sensory-motor blockage of the wrist and hand.

Atmospheric turbulence compensation via adaptive optics (AO) will be essential for achieving most objectives of the TMT science case. The performance requirements for the initial implementation of the observatory's facility AO system include diffraction-limited performance in the near IR with 50 per cent sky coverage at the galactic pole. This capability will be achieved via an order 60x60 multi-conjugate AO system (NFIRAOS) with two deformable mirrors optically conjugate to ranges of 0 and 12 km, six high-order wavefront sensors observing laser guide stars in the mesospheric sodium layer, and up to three low-order, IR, natural guide star wavefront sensors located within each client instrument. The associated laser guide star facility (LGSF) will consist of 3 50W class, solid state, sum frequency lasers, conventional beam transport optics, and a launch telescope located behind the TMT secondary mirror. In this paper, we report on the progress made in designing, modeling, and validating these systems and their components over the last two years. This includes work on the overall layout and detailed opto-mechanical designs of NFIRAOS and the LGSF; reliable wavefront sensing methods for use with elongated and time-varying sodium laser guide stars; developing and validating a robust tip/tilt control architecture and its components; computationally efficient algorithms for very high order wavefront control; detailed AO system modeling and performance optimization incorporating all of these effects; and a range of supporting lab/field tests and component prototyping activities at TMT partners. Further details may be found in the additional papers on each of the above topics.

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NFIRAOS, the TMT Observatory's initial facility AO system is a multi-conjugate AO system feeding science light from 0.8 to 2.5 microns wavelength to several near-IR client instruments. NFIRAOS has two deformable mirrors optically conjugated to 0 and 11.2 km, and will correct atmospheric turbulence with 50 per cent sky coverage at the galactic pole. An important requirement is to have very low background: the plan is to cool the optics; and one DM is on a tip/tilt stage to reduce surface count. NFIRAOS' real time control uses multiple sodium laser wavefront sensors and up to three IR natural guide star tip/tilt and/or tip/tilt/focus sensors located within each client instrument. Extremely large telescopes are sensitive to errors due to the variability of the sodium layer. To reduce this sensitivity, NFIRAOS uses innovative algorithms coupled with Truth wavefront sensors to monitor a natural star at low bandwidth. It also includes an IR acquisition camera, and a high speed NGS WFS for operation without lasers. For calibration, NFIRAOS includes simulators of both natural stars at infinity and laser guide stars at varying range distance. Because astrometry is an important science programme for NFIRAOS, there is a precision pinhole mask deployable at the input focal plane. This mask is illuminated by a science wavelength and flat-field calibrator that shines light into NFIRAOS' entrance window. We report on recent effort especially including trade studies to reduce field distortion in the science path and to reduce cost and complexity.