Abstract: A hand-held disposable combination surgical nerve evaluator and locator is provided. The device includes a housing that serves as a handpiece and that accommodates a printed circuit board, a DC voltage source and a compressed gas source. Two pre-programmed settings are provided by way of a nerve evaluation switch and a nerve location switch. By choosing a nerve evaluation switch, a pulsed current is sent down one electrical lead that extends outward from the housing. A return electrical lead is provided that also extends outward from the housing in a parallel, but spaced-apart relationship from the other electrical lead. Compressed gas is delivered to the distal ends of the first and second electrical leads by a cannula that is connected to the compressed gas source. It will also be noted that the return or the second electrical lead can also serve as a cannula for the delivery of compressed gas.

Abstract: An apparatus for testing and measuring sensory thresholds in humans and animals, including an electronic algometer and a probe housing. A strain gauge is installed within the probe housing and having one end fixed thereto and the other end movable. A support member is attached to the movable end of the strain gauge and extends out from an opening on the probe housing. A pipette member is press-fitted to the support member, where a resilient string has one end attached to the pipette member and the other end has a uniform tip diameter for creating a uniform reaction when a force is exerted thereto. The strain gauge measures the amount of deflection responsive to the force applied from the nylon string onto the support member with the uniform tip diameter of the resilient string in contact with the skin area of the human or animal and generates an electrical output signal indicative of the pressure applied.

Abstract: Apparatus and a method of its use is disclosed for transfer of blood/body fluid from a fluids obtaining device which is placed in communication with a patient's body cavity containing the fluid desired to be obtained for analysis and depositing it in a collection container for storage and/or transport. The fluids obtaining device has a fluids retention component adapted to be alternatively coupled with either a sharp ended needle for penetrating a patient's body or a blunt ended cannula. A fluids displacing mechanism is positioned in the retention component and is reciprocated to either draw fluid from the patient into the retention component or to expel fluid therefrom. After drawing fluid from the patient, the needle is removed and replaced with the cannula. A closure member secured to an open end of the container includes a plug formed from an elastomeric material exhibiting the characteristics of being penetrable by the cannula and self resealable after withdrawal of the cannula.

Abstract: A limited use medical probe is disclosed. The medical probe includes a memory storage component for maintaining a use value, representing either the number of uses and/or the duration of use of the medical probe. The medical probe is coupled to a medical monitoring device which prevents the performance of monitoring functions when the number of uses or the total duration of use reaches a predetermined threshold value, thereby preventing overuse of the probe.

Abstract: Method and apparatus for obtaining a sample of blood from a patient for subsequent diagnostic tests, e.g., glucose monitoring. In one aspect of the invention, the method comprises the steps of: (a) placing a blood collection device over a region on the surface of the skin from which said sample is to be obtained, (b) forming a seal between said blood collection device and said surface of the skin, (c) creating a vacuum sufficient to result in said surface of the skin becoming stretched and engorged with blood, (d) triggering a lancing assembly and causing a lancet to penetrate said skin, (e) retracting said lancet, (f) withdrawing blood toward and onto a fluid collector, and (g) releasing the vacuum. In another aspect of the invention, an apparatus for carrying out the method described previously is provided.

Abstract: The invention relates to an apparatus for self-treatment of diabetes. The apparatus is particularly advantageous by comprising a plurality of devices each of which has its own dedicated function corresponding to a number of acts which a diabetic must perform on himself. The individual devices are mutually interconnectible, and the combination comprises at least a body fluid analyzer and a dosing apparatus for administering a predetermined dose of insulin to the patient. Each of the devices may be provided in several sizes so that the user himself may combine the relevant devices of the relevant size with respect to the current need. This reduces the risk of forgetting parts of the equipment, and the confidence of using the equipment is enhanced because it is evident to the user that it is a complete apparatus consisting of unified parts.

Abstract: Method and apparatus for obtaining a sample of blood from a patient for subsequent diagnostic tests, e.g., glucose monitoring. In one aspect of the invention, the method comprises the steps of: (a) forming an unobstructed opening in the area of the skin from which the sample of blood is to be extracted; and (b) extracting the sample of blood from the unobstructed opening in the skin, with the aid of a vacuum and a stretching of the skin. In another aspect of the invention, an apparatus for carrying out the method described previously is provided. The apparatus comprises: (a) a device for forming an unobstructed opening in an area of skin from which said sample is to be extracted, preferably a lancing assembly; and (b) a vacuum pump. Preferably, the apparatus also includes a housing.

Abstract: Methods are provided for smoothing input signals having rapidly changing amplitudes, such as EMG signals from the tongue, which are detected by an intraoral device. One method calls for amplifying the EMG signals, converting the EMG signals to digital format, providing a moving average of the amplitudes of the EKG signals utilizing a moving the average processor, and windowing the averaged signals to discrete and stable amplitude levels. An adaptive moving average technique may be utilized, which includes a plurality of parallel moving average processes and a differentiator which determines which process is used, depending on the rate of change of the signal amplitude. Another method calls for the use of a plurality of moving average processes in series which calculate the moving average of the same number of signals as a single moving average process, but has a faster response time. An intraoral device is used to detect the EMG signals. The intraoral device includes acrylic maxillary and mandibular splints.

Abstract: A system and method for determining back muscle dysfunction comprises data collection and data analysis elements. The system collects electrical muscle activity measurements by applying a plurality of electrodes in a pattern across a patient's or test subject's back, measuring the electrical activity at each of the electrodes and storing the measurements. One or more normative or examined patient databases comprising measurements and results from a number of individuals are used for comparison against the patient's measurements. A patient's back muscle activity is characterized by collecting electrical muscle activity measurements for the patient and comparing an analysis of the patient's electrical muscle activity to the results of the normative or previously examined group.

Abstract: A miniature spherical-shaped internal temperature transponder. A temperature sensor (25) is fabricated in a spherical integrated transponder circuit (15) which may be placed in the human body by ingestion, implantation, or injection. In one aspect of the invention, a passive system is disclosed whereby an external monitoring station (13) generates an energy field using a magnetic field generator (19) which is coupled to a power coil (21) of the transponder (15). The power coil (21) passes power to a power regulator (23) to provide regulated power to all transponder (15) circuits. Temperature data obtained by the temperature sensor (25) is passed to a voltage controlled oscillator (27) for conversion into an RF signal. A mixing circuit (31) receives the RF temperature signal and modulates the temperature data signal onto an oscillator frequency from an RF oscillator (29).

Abstract: The invention relates to an apparatus for monitoring a mechanically transmitted signal based on the organs or vital functions and for processing the results, the apparatus comprising a measuring sensor arrangement (10) comprising one or more measuring sensors (1) and signal processing means (2; 2, 3, 4) for processing the sensor signal(s), transmission means (5; 5a, 5b) for transmitting the signal generated by the sensor arrangement (10), a data collecting device (6) for receiving and storing the signal transmitted by the transmission means, means (7) for processing the signal stored by the data collecting device (6) and a display or output device (8) for presenting the results.

Abstract: A guiding sheath exchange system comprises first and second guiding sheaths and an exchange dilator. Each guiding sheath has a lumen extending therethrough. The first guiding sheath has a first predefined curve at its distal end and the second guiding sheath has a second predefined curve at its distal end different from the first predefined curve. The exchange dilator comprises a flexible tubing having a generally constant diameter along its length, two tapered ends and a lumen therethrough. The guiding sheath exchange system is used for replacing the first guiding sheath having a distal end that is in the patient's heart with the second guiding sheath. The replacement method comprises inserting the distal end of the exchange dilator into the proximal end of the lumen of the first guiding sheath and feeding the distal end of the exchange dilator through the lumen so that it extends distal the distal end of the first guiding sheath.

Abstract: The invention reffers to an equipment for collecting and analyzing ruminal fluid and urine, to may possible the diagnosis of ruminants' diseases, as well as the corresponding treatment and prevention. The equipment was designed with the purpose of collecting, in an easy manner, ruminal fluid and urine, to the end of a fast diagnosis be attained and inclusively performing the detection of the cattle's subclinical diseases directly in the field conditions. The equipment is easy and safe to employ, and facilitates the ruminal fluid applying from a healthy animal to a sick one, as well as the provision of other fluids and drugs directly to the rumen. The equipment consists of the following instruments: a) A tube with metallic head for collecting and applying the fluid to adult bovines. b) A tube with metallic head for collecting and applying ruminal fluid to calves and to small ruminants. c) A double metallic pump for collecting and applying ruminal fluid and other fluids. d) A 5.

Abstract: A device for evaluating loss of protective sensation, which comprises a probe mounted on a head that is pivotally attached to a handle member, is provided. The handle member has a protective channel. When the head is pivoted so that the device is operative, the probe extends outwardly from the handle member. When the head is pivoted into a closed position, the probe is stored within the protective channel.

Abstract: Methods and apparatus for crossing totally to substantially occluded blood vessels by passing a redirectable wire such as a guidewire from a relatively proximal point past the occlusion within a subintimal space formed between the intimal layer and the adventitial layer of a blood vessel wall. The wire may be advanced to a point distal to the occlusion, and thereafter deflected back into the blood vessel lumen, typically using a deflecting catheter which is advanced over the guidewire after it has been positioned within the subintimal space. The deflecting catheter may include a flapper valve assembly or preformed actuator wire for redirecting the guidewire. After the guidewire is returned to the blood vessel lumen, the deflecting catheter may be withdrawn, and the guidewire may be available for introduction of other interventional and diagnostic catheters for performing procedures such as stenting.

Abstract: Method and apparatus for obtaining a sample of blood from a patient for subsequent diagnostic tests, e.g., glucose monitoring. In one aspect of the invention, the method comprises the steps of: (a) forming an unobstructed opening in the area of the skin from which the sample of blood is to be extracted; and (b) extracting the sample of blood from the unobstructed opening in the skin, with the aid of a vacuum and a stretching of the skin. In another aspect of the invention, an apparatus for carrying out the method described previously is provided. The apparatus comprises: (a) a device for forming an unobstructed opening in an area of skin from which said sample is to be extracted, preferably a lancing assembly; and (b) a vacuum pump. Preferably, the apparatus also includes a housing. In another aspect of this invention, an article is provided for an article capable of both collecting blood and detecting an analyte in that blood is provided.

Abstract: A device for evaluating protective sensation, comprising a probe and a folding card attached to the probe, such that a portion of the probe extends from the folding card when the folding card is in a first position. The device may be folded into a convenient size to carry in a health care practitioner's pocket, wallet, or purse, and the probe may be protected within the folding card when the folding card is folded in a certain position.

Abstract: A disposable medical collection tube holder assembly with retractable needle is disclosed. The spent needle, or other similar medical device, affixed to the holder may be safely encapsulated and disposed by a simple, one handed operation, and, both the needle and the holder are rendered useless for any subsequent operation. The invention is comprised of two parts, a collection tube holder and an evacuated accessory fitted with an air release/vacuum seal mechanism that readily permits the introduction of the vacuum into the hollow chamber of the accessory. When using the collection tube holder in the standard manner, and after the collection of the blood or other bodily fluids is complete, the collection test tube is withdrawn from the holder and then the needle withdrawn from the vein. The accessory, a tubular member with an evacuated interior, is inserted into the collection tube holder fully, and longitudinally axial force is applied to the proximal (thumb) end of the evacuated accessory.

Abstract: The pressure measuring guide wire comprises an elongated flexible shaft with a lumen extending therethrough. The lumen is surrounded by a wall forming the shaft and the distal portion of which is provided with slots for pressure medium entry. The distal portion has a thickness, greater than the thickness of the proximal area of the shaft. A coil surrounds the proximal area of the shaft to compensate the difference in kinking resistance between the proximal and distal areas of the shaft.

Abstract: A method and apparatus for assessing the function of deep joint stabilizing muscles. Superficial muscles are monitored using an EMG (3) during performance of an activity known to require recruitment, primarily, of deep stabilizing muscles when performed correctly. If the deep muscle functions adequately, there is little activity of the superficial muscles. Conversely, if the deep muscle function is inadequate, the superficial muscle activity is increased. Monitoring of the superficial muscles may be combined with monitoring of the deep joint stabilizing muscle using ultrasound imaging (12) and/or pressure biofeedback. The apparatus includes an EMG unit (3) ultrasound unit, pressure biofeedback unit (16) and vitalograph (9), in combination with a computer (5) programmed to analyze data from them and given an indication of function.