Abstract: A notification signal, intended to be received by a wireless communication device, is repetitively broadcast by a portable activity-monitoring device that generates user-activity data corresponding to activity of an individual bearing the portable activity-monitoring device. The notification signal conveys information that identifies the portable activity-monitoring device and indicates whether or not the portable activity-monitoring device seeks establishment of a wireless communication link to enable transmission of the user-activity data to the wireless communication device.

Abstract: An apparatus including a main processing unit. The apparatus further including a precordial patch coupled to the main processing unit, the precordial patch having a plurality of sensors for detecting heart sounds and cardiac electrical signals (ECG). The apparatus further including a probe coupled to the main processing unit, the probe having a sensor for detecting oxygen saturation of blood circulating through a human. A method is further described including simultaneously measuring and analyzing heart sounds, cardiac electrical signals (ECG) and oxygen saturation of blood circulating through a human. The method further includes performing an algorithm to determine the presence of a significant congenital heart disease and displaying management recommendations based on results of the algorithm.

Abstract: Optical sensor devices, image processing devices, methods and computer readable code computer-readable storage media for detecting biophysical parameters, chemical concentrations, chemical saturations, vital signs and physiological information such as a malignant condition are provided. In some embodiments, the optical sensor includes an array of photodetectors, where each photodetector is configured to detect a spectrum of light. In some embodiments, the image processing device receives a live still or video electronic image, or alternatively, the electronic image is provided from an electronic storage media. Exemplary physiological parameters include but are not limited to a pulse rate, a biophysical or physiological property of skin, a cardiovascular property, a property related to an organ such as the liver or the kidneys, and a temperature fluctuation.

Abstract: A medical device that can have at least one sensor for obtaining data relating to at least one physiological condition of a patient. Some embodiments of the medical device can include internet communication which can allow the data obtained by the sensor(s) to be transmitted to a computer monitored by either a physician or the patient.

Abstract: For repeatedly measuring signals from a fixed position of a tissue to monitor the blood composition, a subject adaptor is used to secure the subject position and a position fixing device uses a remote sensing tool to detect the subject position. The subject adaptor and the position fixing device are used to guide the moving of the subject relative to a position of last measurement of a first signal analyzer. The signals can be from an aggregate of the designated composition with the other ingredients of the blood.

Abstract: A system and method for measuring one or more light-absorption related blood analyte concentration parameters of a mammalian subject, is disclosed. In some embodiments, the system comprises: a) a photoplethysmography (PPG) device configured to effect a PPG measurement by illuminating skin of the subject with at least two distinct wavelengths of light and determining relative absorbance at each of the wavelengths; b) a dynamic light scattering measurement (DLS) device configured to effect a DLS measurement of the subject to rheologically measure a pulse parameter of the subject; and c) electronic circuitry configured to: i) temporally correlating the results of the PPG and DLS measurements; and ii) accordance with the temporal correlation between the PPG and DLS measurements, assessing value(s) of the one or more light-absorption related blood analyte concentration parameter(s).

Abstract: The disclosed embodiments relate to a patient monitor for evaluating a patient. The patient monitor may comprise a sensor that is adapted to detect a sound associated with breathing of the patient and to produce a first output indicative of the sound, an oximeter that is adapted to receive an input from the patient and to produce a second output indicative of oxygen saturation of blood of the patient, and a processor adapted to receive at least the first output and the second output and to correlate the first output with the second output.

Abstract: The present disclosure relates to systems and methods for monitoring pain management using measurements of physiological parameters based on a PPG signal. A reference physiological parameter may be compared against a later measurement to identify a change in condition that may indicate a pain management problem.

Abstract: A device for applying a sensor to a measurement site on a patient's skin has a wall arrangement defining an applicator volume above the patient's skin The wall arrangement has a patient's side and a sensor side. At least one gas-permeable membrane separates the applicator volume into a first volume directed to the measuring site at the patient's side of the wall arrangement and a second volume separated from the patient's skin and directed to the sensor side of the wall arrangement.

Abstract: A headwear assembly is provided that measures physiological changes, e.g., oxygen saturation, pulse, blood pressure, and body temperature of a user during physical exercise, to include athletic activities and other situations. The headwear assembly can provide integrated functionality with an external device such as a smart phone. The headwear assembly can be embodied in various configurations, e.g., stand-alone headband, cap, visor, or a helmet.

Abstract: The invention provides a biotelemetry system for disposition on the wrist. The device of the invention may be portable, untethered and in some instances, disposable. The features of the wrist biotelemetry system make it effective in stable, chronic or emergency medical settings.

Abstract: A biological information detector includes a light-emitting part, a reflecting part, a light-receiving part, a protecting part, and a processing part. The reflecting part has a curve shaped reflecting surface that is configured to reflect light emitted by the light-emitting part. The light-receiving part is configured to receive incident light that is emitted by the light-emitting part and reflected at a detection site of a user. The protecting part is configured to protect the light-emitting part, and the protecting part haw a contact surface adapted to contact with the detection site. The processing part is configured to process a light-receiving signal outputted from the light-receiving part. The light-emitting part has a light-emitting surface substantially in parallel to the contact surface, and a distance between the light-emitting surface and the contact surface is within a range of 0.4 mm to 0.9 mm.

Abstract: An alarm suspend system utilizes an alarm trigger responsive to physiological parameters and corresponding limits on those parameters. The parameters are associated with both fast and slow treatment times corresponding to length of time it takes for a person to respond to medical treatment for out-of-limit parameter measurements. Audible and visual alarms respond to the alarm trigger. An alarm silence button is pressed to silence the audible alarm for a predetermined suspend time. The audible alarm is activated after the suspend time has lapsed. Longer suspend times are associated with slow treatment parameters and shorter suspend times are associated with fast treatment parameters.

Abstract: A device includes a clamp and a sensor. The sensor can be permanently attached to the clamp and tissue by the force exerted by the clamp. The clamp includes a first jaw member and a second jaw member. The first jaw member has a jaw face and the second jaw member has a complementary face. The second jaw member is held in alignment with the first jaw member by a joint. The joint has an elastic member configured to exert a compressive force between the jaw face and the complementary face. The joint is configured to allow movement of the jaw face relative to the complementary face in directions corresponding to pitch, roll, yaw, and heave. The compressive force is distributed over a surface of the jaw face. The sensor is coupled to the jaw face or held in place by the compressive force of the jaw face. The sensor is configured to generate a sensor signal corresponding to a physiological parameter of tissue proximate the jaw face.

Abstract: Embodiments of the present disclosure include an optical probe capable of communicating identification information to a patient monitor in addition to signals indicative of intensities of light after attenuation by body tissue. The identification information may indicate operating wavelengths of light sources, indicate a type of probe, such as, for example, that the probe is an adult probe, a pediatric probe, a neonatal probe, a disposable probe, a reusable probe, or the like. The information could also be utilized for security purposes, such as, for example, to ensure that the probe is configured properly for the oximeter, to indicate that the probe is from an authorized supplier, or the like.

Abstract: Methods and systems are disclosed for analyzing a physiological respiratory signal in order to monitor respiratory depression events. In certain embodiments, respiratory depression is monitored by extracting a respiratory signal from a photoplethysmograph (“PPG”) signal, identifying a morphological characteristic of the respiratory signal, and generating a respiratory condition signal. In certain embodiments, an alarm and therapeutic intervention strategy are triggered upon determination of respiratory depression event.

Abstract: We report a method of a method for detecting an epileptic seizure, comprising providing a first body signal reference value; determining a current body signal value from a time series of body signals; comparing the current body signal value and the first reference value; determining a work level of the patient; determining whether the current body signal value comprises an ictal component, based on the work level and the comparing; issuing a detection of an epileptic seizure in response to the determination that the current body signal value comprises the ictal component; and taking at least one further action (e.g. warning, delivering a therapy, etc.), based on the detection. We also report a medical device system configured to implement the method. We also report a non-transitory computer readable program storage unit encoded with instructions that, when executed by a computer, perform the method.

Abstract: Ambulatory monitoring of human health is provided by a multi-component multi-sensor wireless wearable biosignal acquisition system comprising a torso device and a peripheral device communicating wirelessly, and a mobile phone for receiving collected data and uploading it over cellular network or WiFi to a remote computer for multivariate analysis. Biosignals include EKG and PPG, from which a determination of pulse transit time can be made.

Abstract: A probabilistic digital signal processor using data from multiple instruments is described. Initial probability distribution functions are input to a dynamic state-space model, which operates on state and/or model probability distribution functions to generate a prior probability distribution function, which is input to a probabilistic updater. The probabilistic updater integrates sensor data from multiple instruments with the prior to generate a posterior probability distribution function passed (1) to a probabilistic sampler, which estimates one or more parameters using the posterior, which is output or re-sampled in an iterative algorithm or (2) iteratively to the dynamic state-space model. For example, the probabilistic processor operates on fused data using a physical model, where the data originates from a mechanical system or a medical meter or instrument, such as an electrocardiogram or pulse oximeter to generate new parameter information and/or enhanced parameter information.

Abstract: A physiological monitoring system may select a light signal for determining a physiological parameter. In some embodiments, the monitoring system may select a received light signal for further processing based on a physiological metric such as blood oxygen saturation value, or based on a system metric such as a signal-to-noise ratio. In some embodiments, the system may determine a light drive parameter based on a received signal. For example, the system may select a received light signal for further processing in order to determine a physiological parameter.

Abstract: Embodiments of the present disclosure relate to medical systems having a wireless medical sensor with a disposable portion and a reusable portion. According to certain embodiments, the disposable portion may include an emitter configured to emit one or more wavelengths of light. The reusable portion may include a power source, such as a battery, for providing power to the emitter and other various components of the sensor. In certain embodiments, the reusable portion may also include a wireless module for communicating with a patient monitor.

Abstract: A hand-held pediatric medical diagnostic device includes a sensor module adapted to detect one or more corresponding conditions of a child. A gel material at least partially coats a contact surface on the diagnostic device. The area of the contact surface and the weight associated therewith are selected to substantially stabilize the sensor module during use. In one version, the pediatric device comprises a pediatric respiratory rate sensing device in which an accelerometer is connected to a portable, rechargeable power source.

Abstract: A physiological monitoring system may use one or more characteristics of an ambient signal to determine a probe-off condition. A physiological sensor may be used to emit one or more wavelengths of light. A light signal may be received that includes an ambient light component and one or more components corresponding to the emitted light. One or more characteristics (e.g., baseline characteristics) of the ambient light component may be determined and compared to one or more thresholds. The system may determine whether the physiological sensor is properly positioned based on the comparison.

Abstract: Various methods and systems for obtaining calibration coefficients for pulse oximeter sensors are provided. A method includes passing current through a light emitting element in an oximeter sensor and measuring, utilizing a first voltage sensing lead, a first voltage present at an electrical input of the light emitting element. The method also includes measuring, utilizing a second voltage sensing lead, a second voltage present at an electrical output of the light emitting element and determining a forward voltage of the light emitting element based on the first and second voltages. Utilizing the determined forward voltage, a wavelength of light emitted from the light emitting element is calculated. Utilizing the calculated wavelength of the emitted light, at least one calibration coefficient for the oximeter sensor is determined.

Abstract: A handheld device includes a contact surface, an optical module, a processor, a display module, and a user operable switch. The optical module is disposed on the contact surface. The optical module has at least one optical emitter and at least one optical detector. The at least one optical detector has a light shield associated with the contact surface. The light shield is configured to exclude ambient light from the contact surface when the contact surface abuts tissue of a patient. The processor is coupled to the optical module and configured to execute instructions for determining a measure of oximetry corresponding to the tissue. The display module is coupled to the processor and is configured to indicate the measure of oximetry. The user operable switch is configured to activate at least one of the processor, the optical module, and the display module.

Abstract: A variety of methods and arrangements for sharing medical data are described. In one aspect, one or more data streams are received from one or more medical imaging/sensing or other types of devices. Frames are obtained from the streams. In some embodiments, particular frames and/or parts of frames are selectively encrypted. The frames are transmitted to a remote device, where they are rendered and/or displayed at the remote device. In various embodiments, the frames of different streams are synchronized.

Abstract: Embodiments of the present disclosure relate to reusable wireless sensors. According to certain embodiments, the wireless sensor may include a rechargeable battery coupled to an induction coil for recharging the battery. One or more magnets may be disposed within or coupled to the wireless sensor, and the one or more magnets may be arranged to align the induction coil of the wireless sensor with a recharging device to facilitate recharging the battery of the wireless sensor.

Abstract: Embodiments of the present disclosure relate to medical systems having a plurality of separately wireless sensor elements. According to certain embodiments, the sensor elements may be physically separate from each other and may be configured to separately wirelessly communicate with a medical monitor. In some systems, two or more of the sensor elements may function together to monitor a physiological parameter. At least one of the sensor elements may include optical elements for pulse oximetry monitoring or regional saturation monitoring. In certain embodiments, at least one of the sensor elements may include electrodes for bispectral index monitoring.

Abstract: A physiological monitoring system may determine respiration information from a PPG signal. The system may analyze the PPG signal with respect to itself by associating values of the PPG signal with values of a time-delayed version of the PPG signal to create pairs of associated values. A subset of associated values may be identified. Respiration metric values may be determined based on the subset of pairs. The respiration metric values may be amplitude values and/or time values corresponding to the subset of pairs. The respiration metric values may be analyzed using autocorrelation, cross-correlation, or other signal processing techniques to determine respiration information such as respiration rate.

Abstract: A method for handling sudden and substantial pressure changes in invasive arterial blood pressure monitoring, a blood pressure monitoring apparatus, and a computer program product for a blood pressure monitoring apparatus are disclosed. To provide a user of a patient monitor a possibility to readily adapt the alarm functionality of blood pressure measurement to a clinical task without a need to go through a complicated nullifying process of a high priority alarm, a touchable user interface element is produced onto a touch screen of patient monitor if a sudden and substantial change is detected in measured arterial blood pressure of the subject. The user interface element is indicative of an alarm and configured to enable the user to modify alarm functionality of the patient monitor for an intentional clinical task that caused the sudden and substantial change in the measured arterial blood pressure.

Abstract: An automated assessment of a patient's peripheral vascular condition includes using a pulse oximeter to generate at least a perfusion index relative to a limb or digit of the patient. Pressure is applied to the limb or digit, and while increasing or decreasing the pressure, a change in the perfusion index is determined. The change is indicative of a cessation of blood flow or a return of blood flow in the limb or digit. A systolic blood pressure is thereafter determined based on the pressure applied at the time of cessation of blood flow or the return of blood flow in the limb or digit. Using a pulse oximeter to generate a perfusion index may include transmitting light into the limb or digit, detecting light that was transmitted into tissue in the limb or digit, and calculating the perfusion index based on the light transmitted through the tissue.

Abstract: A method of producing an artificial neural network capable of predicting the survivability of a patient, including: storing in an electronic database patient health data comprising a plurality of sets of data, each set having at least one of a first parameter relating to heart rate variability data and a second parameter relating to vital sign data, each set further having a third parameter relating to patient survivability; providing a network of nodes interconnected to form an artificial neural network, the nodes comprising a plurality of artificial neurons, each artificial neuron having at least one input with an associated weight; and training the artificial neural network using the patient health data such that the associated weight of the at least one input of each artificial neuron is adjusted in response to respective first, second and third parameters of different sets of data from the patient health data.

Abstract: Provided is a device for placement on a human subject to detect impacts on the human subject. The device includes a base member, one or more engagement sensors to detect whether the device is properly placed on the human subject, and one or more motion sensors to detect the kinematics of the human subject. The device also includes a processing unit that includes methodology to detect false positives such as chewing, dropping, and throwing.

Abstract: A system is provided that uses using telemetry data based on a patient habit information or patient monitoring. One or more patient monitoring devices has a unique patient ID, with personalized patient information. A patient monitoring device includes an application for monitoring exercise activity of a patient. ID circuitry is at the patient monitoring device, which includes ID storage and a communication system that reads and transmits the unique ID from an ID storage. A power source and a pathway system routes signals through the circuitry. A telemetry system is in communication with the patient monitoring device and includes a database of patient ID's which is in communication with the patient monitoring device and analyzes patient information based on the patient ID. The telemetry system receives exercise-related information directly or indirectly from the monitoring device that indicates an amount or type of exercise performed by the patient.

Abstract: The present disclosure relates to a sensor for monitoring the depth of consciousness of a patient. The sensor includes a plurality of light sources, light detectors, and in some embodiments, electrodes. In an embodiment, the sensor includes reusable and disposable portions.

Abstract: Provided according to embodiments of the present invention are methods of monitoring individuals that include securing a photoplethysmography probe to at least one of a pre-auricular region and a post-auricular region of the individual and obtaining photoplethysmography signals from the photoplethysmography probe. Photoplethysmography probes and helmets related to such methods are also described herein.

Abstract: Provided according to embodiments of the invention are photoplethysmography probes designed for use on a user's nasal alar. Methods of using such photoplethysmography probes are also provided herein.

Abstract: Handheld medical diagnostic instrument that provides high time-resolution pulse waveforms associated with multiple parameters including blood pressure measurements, blood oxygen saturation levels, electrocardiograph (ECG) measurements, and temperature measurements. The device stores and analyzes the pulse waveforms simultaneously obtained from all tests, and thereby allows an unusually detailed view into the functioning of the user's cardiovascular heart-lung system. The device is designed for use by unskilled or semi-skilled users, thus enabling sophisticated cardiovascular measurements to be obtained in a home environment. Data from the device can be analyzed onboard, with local computerized devices, and with remote server based systems. The remote server may be configured to analyze this data according to various algorithms chosen by the physician to be most appropriate to that patient's particular medical condition (e.g. COPD patient algorithms).

Abstract: A patient monitoring system may generate a derivative signal from a physiological signal. The derivative signal may be filtered based on a pulse rate estimate associated with the physiological signal. A plurality of crossing points may be determined for the filtered derivative signal and translated to the derivative signal. A plurality of fiducial points may be determined for the derivative signal based on the plurality of crossing points. The plurality of fiducial points may be utilized to determine physiological information from the physiological signal.

Abstract: A system for simulating various clinical conditions which are detectable by a noninvasive respiratory monitor is provided. The simulated clinical conditions may be displayed on a noninvasive respiratory monitor to replicate a variety of disease states to provide training for a clinician. The system may include a pulse oximetry simulation device and/or a CO2 delivery system.

Abstract: Methods and systems are disclosed for determining an anaerobic threshold and/or an oxygen consumption rate in a human or animal subject. The methods include exposing a tissue of the subject to illumination radiation, collecting emitted radiation from the tissue, the emitted radiation including a portion of the illumination radiation reflected or transmitted from the tissue, processing the emitted radiation to form a spectrum of the tissue, and determining, based on the spectrum of the tissue, the anaerobic threshold and/or the oxygen consumption rate of the subject.

Abstract: The present disclosure relates to systems and methods for monitoring pain management using measurements of physiological parameters based on a PPG signal. A reference physiological parameter may be compared against a later measurement to identify a change in condition that may indicate a pain management problem.

Abstract: The invention provides a neck-worn sensor (referred to herein as the ‘necklace’) that is a single, body-worn system that measures the following parameters from an ambulatory patient: heart rate, pulse rate, pulse oximetry, respiratory rate, temperature, thoracic fluid levels, stroke volume, cardiac output, and a parameter sensitive to blood pressure called pulse transit time. From stroke volume, a first algorithm employing a linear model can estimate the patient's pulse pressure. And from pulse pressure and pulse transit time, a second algorithm, also employing a linear algorithm, can estimate systolic blood pressure and diastolic blood pressure. Thus, the necklace can measure all five vital signs along with hemodynamic parameters. It also includes a motion-detecting accelerometer, from which it can determine motion-related parameters such as posture, degree of motion, activity level, respiratory-induced heaving of the chest, and falls.

Abstract: The invention provides a neck-worn sensor (referred to herein as the ‘necklace’) that is a single, body-worn system that measures the following parameters from an ambulatory patient: heart rate, pulse rate, pulse oximetry, respiratory rate, temperature, thoracic fluid levels, stroke volume, cardiac output, and a parameter sensitive to blood pressure called pulse transit time. From stroke volume, a first algorithm employing a linear model can estimate the patient's pulse pressure. And from pulse pressure and pulse transit time, a second algorithm, also employing a linear algorithm, can estimate systolic blood pressure and diastolic blood pressure. Thus, the necklace can measure all five vital signs along with hemodynamic parameters. It also includes a motion-detecting accelerometer, from which it can determine motion-related parameters such as posture, degree of motion, activity level, respiratory-induced heaving of the chest, and falls.

Abstract: Methods, devices and systems for obtaining heart rate by obtaining apical and non-apical heart rate datum using first and second heart rate monitoring devices. The apical and non-apical heart rate data are input into a heart rate verification module (HRVM) that includes a number of programming instructions for effecting the invention. An apical heart rate measure and non-apical heart rate measure are calculated in the HRVM, and an acceptable heart rate range is generated using the apical heart rate measure. Whether the non-apical heart rate measure is a reliable measure of a true heart rate is identified by determining whether the non-apical heart rate measure falls within or outside the acceptable heart rate range. A split display screen of the HRVM displays the apical heart rate measure, non-apical heart rate measure, and information identifying whether the non-apical heart rate measure falls within or outside the acceptable heart rate range.

Abstract: Ventilatory systems and methods are disclosed for detecting weaning readiness of a patient. In one aspect the method includes the steps of collecting patient data; analyzing the collected patient data to generate at least one patient parameter; comparing the at least one patient parameter to predetermined weaning readiness threshold criteria; and providing an advisory proposition to a clinician indicating a readiness of the patient to start a weaning trial if the at least one patient parameter meets the weaning readiness threshold criteria. The weaning trial may additionally or alternatively be automatically executed if the at least one patient parameter meets the weaning readiness threshold criteria.

Abstract: The invention provides a neck-worn sensor (referred to herein as the ‘necklace’) that is a single, body-worn system that measures the following parameters from an ambulatory patient: heart rate, pulse rate, pulse oximetry, respiratory rate, temperature, thoracic fluid levels, stroke volume, cardiac output, and a parameter sensitive to blood pressure called pulse transit time. From stroke volume, a first algorithm employing a linear model can estimate the patient's pulse pressure. And from pulse pressure and pulse transit time, a second algorithm, also employing a linear algorithm, can estimate systolic blood pressure and diastolic blood pressure. Thus, the necklace can measure all five vital signs along with hemodynamic parameters. It also includes a motion-detecting accelerometer, from which it can determine motion-related parameters such as posture, degree of motion, activity level, respiratory-induced heaving of the chest, and falls.

Abstract: The invention is a medical monitor including an electronic circuit configured to receive a signal from the physiological sensor. A microcomputer configured to process the signal from the physiological sensor generates a value representative of the physiological parameter. The microcomputer is also configured to cause the medical monitor to display an in-service help screen on a display on the medical monitor in response to a detection of a predetermined number of out of range values of the physiological parameter. The microcomputer can also be configured to process a second signal from a second sensor representative of a second parameter and the microcomputer configured to cause the medical monitor to display an in-service help screen on a display on the medical monitor in response to a detection of a predetermined number of out of range values of the second parameter.

Abstract: Present embodiments include a remanufactured bandage-type medical sensor having an optical assembly with an emitter adapted to transmit one or more wavelengths of light and a photodetector adapted to receive the one or more wavelengths of light transmitted by the emitter. The sensor also includes a laminate assembly having an electrically conductive adhesive transfer tape (ECATT) layer disposed over the photodetector, and the ECATT layer is adapted to shield the photodetector from electromagnetic interference (EMI). A nonconductive layer supports the emitter, the photodetector, and the ECATT layer within the sensor. At least a portion of the optical assembly is from a used bandage-type medical sensor, and at least a portion of the laminate assembly is new.

Abstract: A technique is provided for processing a physiological signal to compensate for artifacts. The technique includes identifying artifacts within the physiological signal. The technique also includes performing one or more multi-resolution decompositions, such as wavelet transformations, on the physiological signal and compensating for the identified artifacts in some or all of the respective decomposition components. The modified decomposition components may be reconstructed to generate an artifact-compensated signal which may be provided to a monitor or other device which is otherwise not configured to compensate for signal artifacts.