Abstract: A defibrillator electrode assembly with a slot-like storage case is described which protects the pads prior to use and retains them in either an electrically connected or electrically disconnected configuration. When the electrode assembly is slidably inserted into the case, an optional pinch clip within the case presses electrodes on opposite sides of a thick release liner into electrical contact with each other.

Abstract: A defibrillator system is disclosed including an operational state input, a user-operated information request input, and a user guidance output. The defibrillator system can be implemented as an AED, a manual defibrillator, or as a defibrillator trainer. The defibrillator system further utilizes the state and request inputs to determine a context-sensitive rescue information which is provided to the output.

Abstract: A patient monitoring instrument protects the ports of a patient gas analyzer when not in use. A spring-loaded door covers the inlet and outlet ports of the gas analyzer when not connected to a gas collection tube. The door can be opened against the force of its spring with a gas tube connector, which is guided into its fitting by the contour of the door. When the connector is locked in place the connector holds the door open, exposing the outlet port of the analyzer.

Abstract: An ultrasound transducer (10) comprises an application specific integrated circuit (ASIC) (14), an array of acoustic elements (20), and a pitch independent interposer (12). The ASIC (14) includes a plurality of contact pads (16) on a surface of the ASIC that are separated from adjacent ones thereof by a first pitch. The acoustic elements (22) of the array (20) are separated from adjacent ones thereof by a second pitch. In addition, the pitch independent interposer (12) features a plurality of conductive elements (26) separated from adjacent ones thereof by a third pitch different from both the first pitch and the second pitch.

Abstract: Methods are provided for production of pre-collapsed capacitive micro-machined ultrasonic transducers (cMUTs). Methods disclosed generally include the steps of obtaining a nearly completed traditional cMUT structure prior to etching and sealing the membrane, defining holes through the membrane of the cMUT structure for each electrode ring fixed relative to the top face of the membrane, applying a bias voltage across the membrane and substrate of the cMUT structure so as to collapse the areas of the membrane proximate to the holes to or toward the substrate, fixing and sealing the collapsed areas of the membrane to the substrate by applying an encasing layer, and discontinuing or reducing the bias voltage. CMUT assemblies are provided, including packaged assemblies, integrated assemblies with an integrated circuit/chip (e.g., a beam-steering chip) and a cMUT/lens assembly. Advantageous cMUT-based applications utilizing the disclosed pre-collapsed cMUTs are also provided, e.g.

Abstract: An automatic external defibrillator produces audible prompts for a user by providing the audible information with default audio characteristics in response to a first ambient noise condition and providing the audible information having different audio characteristics than the default audio characteristics in response to a second ambient noise condition. An automatic external defibrillator provides voice prompts by selecting one of a plurality of different levels of sound quality at which to playback the voice prompts and playing back the voice prompts at the selected level of sound quality.

Abstract: An ultrasonic diagnostic imaging system produces an image with an extended focal range and reduced speckle by transmitting a plurality of beams spaced along an array for multiline reception. The receive multilines of a plurality of transmit beams are spatially aligned with phase adjustment between the respective receive multilines to effect signal alignment, detected and combined. The combined multilines produce the effect of an extended transmit focus so that an image produced using the combined multilines exhibits an extended focal range. Speckle is reduced by nonlinearly combining received multilines produced by different transmit apertures.

Abstract: An ECG monitoring device comprises an integral handheld device including a ECG electronic module and an electrode patch having a plurality of electrodes which contact a subject by conductive hydrogel. A release liner covers and protects the hydrogel prior to use and is removed to expose the hydrogel. A second release liner is removed to expose a pressure sensitive adhesive by means of which the device is attached to a subject. The first and second release liners may be parts of a single release liner layer. After use the electrode patch is disposable and the ECG electronic module is detached from the patch for reuse.

Abstract: The present disclosure is directed to a combined photoacoustic (PA) and ultrasound imaging system capable of generating PA and ultrasound images simultaneously. These images can be combined and displayed in real-time. The PA images are acquired by firing a illumination system into a sample being imaged and beamforming the received photoacoustic signals. Ultrasound images are formed by transmitting ultrasound energy into the object and beamforming the reflected signals. The present disclosure describes a timing controller to allow the illumination system and ultrasound transmissions to be timed relative to one another. This allows both modalities to operate at close to their maximum frame rates while preventing signal interference.

Abstract: An ECG monitoring system for ambulatory patients includes a small multi-electrode patch that adhesively attaches to the chest of a patient. A reusable battery-powered ECG monitor clips onto the patch and receives patient electrical signals from the electrodes of the patch. A processor continuously processes received ECG signals and analyzes the received ECG signals for pre-defined arrhythmia. If an arrhythmia is detected, a wireless transceiver in the ECG monitor transmits the event information and an ECG strip to a monitoring center. At the commencement of a monitoring procedure a message is sent to the monitoring center and configuration information for arrhythmia detection is down-loaded and installed in the monitor. The configuration file is determined by a screen of selectable standard and custom arrhythmias and alarm limits at the monitoring center.

Abstract: An ultrasound system and method are described for assessing cardiac performance which is particularly useful for diagnosing heart remodeling. A 3D data set of a surface of the heart is acquired and the principal curvatures determined at one or more points of the surface. A curvature metric is produced which is the difference of the two principal curvatures at each point. Metrics produced from the heart surface acquired at systole have been found to correlate strongly with ejection fraction.

Abstract: A training apparatus (500) for use with an external defibrillator is provided, the external defibrillator being responsive to a first electrode and a second electrode, including: a transparent layer having a first electrode attachment region defining an opening sized to receive the first electrode; a signal conductor disposed proximate the first electrode attachment region, the signal conductor having a transfer path, the transfer path operable to provide communication between the first electrode and the second electrode, when the first electrode and the second electrode are disposed on the training apparatus; and a two-dimensional representation of an anterior portion of a defibribation subject, identificable through the transparent layer, having the first electrode attachment region arranged thereon in a manner that defines a preferred plancement area of the first electrode on the defibrillation subject.

Abstract: An ultrasonic diagnostic imaging system is described which records expert review of a 3D image data set, including image plane and view manipulation, annotation, and measurements, for the purpose of generating automated review protocols for 3D ultrasound image acquisitions. The ability to provide a standardized 3D review protocol has benefits such as guiding reviewers of all experience levels through the required steps to extract key images and measurements from 3D image data, enabling automation to improve 3D review workflow and reduce review time, monitoring growth or therapy, and standardizing review presentations for easy comparison with prior examination results.

Abstract: An ultrasonic imaging system has an ultrasonic probe which improves poor harmonic performance of existing transmit circuits through the use of a linear high-voltage transmit amplifier on each sub-channel to amplify low-voltage arbitrary shape transmit waveforms generated by the ultrasonic system. The linear high-voltage amplifier of the ultrasonic probe amplifies low-voltage arbitrary shape transmit waveforms beamformed by a micro-beamformer of the ultrasonic system.

Abstract: An acoustic assembly that includes an integrated circuit package having an electrically conductive via configured to pass from an active portion of the integrated circuit package through a bottom portion of the integrated circuit package. The bottom portion is a bottom side of a substrate of the integrated circuit package. An acoustic element is positioned on the bottom side of the substrate and the via is arranged to electrically couple the active portion of the integrated circuit package to the acoustic element. In one embodiment, the acoustic element is an acoustic stack and the integrated circuit package is an ASIC. The assembly microbeamformed transducer.

Abstract: A diagnostic ECG system analyzes lead traces for evidence of ST elevation in the lead signals. The pattern of ST elevation in leads having predetermined vantage points to the electrical activity of the heart and, in some instances, the presence of ST depression in certain other leads, identifies a specific coronary artery or branch as the culprit coronary artery for an acute ischemic event. The identity of the culprit coronary artery or branch is presented to the interventional cardiologist so that the correct coronary artery is accessed and the obstruction cleared. The technique can be used with standard 12-lead ECG systems as well as with ECG systems using fewer or more leads.

Abstract: A system and method are provided for determining at least one torsion angle of a left ventricle. The method includes the steps of collecting three-dimensional ultrasound data of the left ventricle (36) to obtain at least one first two-dimensional view and at least one second two-dimensional view thereof, wherein the first two-dimensional view is obtained at about the beginning of a cardiac phase and the second two-dimensional view is obtained at about the end of the cardiac phase, placing at least two tracking points (40, 42) on the at least one first two-dimensional view to draw a first torsion line (44), tracking the at least two tracking points to extrapolate the position thereof on the at least one second two-dimensional view and to draw a second torsion line (46), and calculating the at least one torsion angle by measuring an angle (A) formed by the intersection of the first and second torsion lines (44, 46).

Abstract: An ultrasonic diagnostic imaging system is described which utilizes one or more transducer arrays affixed to the head of a patient to diagnose and treat stroke victims. The transducer headset produces a two or three dimensional image of the vasculature inside the cranium, preferably assisted by a microbubble contrast agent. A vascular flow map is produced by the system which may be diagnosed for signs of a blood clot. If a blood clot is detected, a therapeutic beam is transmitted while the contrast agent is present to break up the blood clot by the disruption of microbubbles. The headset may also be used in a monitoring application to detect the recurrence of blood clots in a stroke victim.

Abstract: A method for operating an automatic external defibrillator (AED) prompts an operator about proper operation of the automatic external defibrillator and placement of the electrodes to ensure rapid and proper operation. Depending upon a state of a pad storage compartment, upon activation the AED issues an initial prompt, pauses after the initial prompt and then issues a second prompt. The AED also determines whether the pads have been removed from a liner and if so, issues a pad application prompt. The AED next determines whether both pads have been placed and if so, analyzes an impedance signal and if the impedance signal is erratic, issues a pad correction prompt. The AED also issues the pad correction prompt if the pads are removed from the liner but never go on the patient.

Abstract: A capacitive ultrasound transducer includes a first electrode, a second electrode, and a third electrode, the third electrode including a central region disposed in collapsibly spaced relation with the first electrode, and a peripheral region disposed outward of the central region and disposed in collapsibly spaced relation with the second electrode. The transducer further includes a layer of a high dielectric constant material disposed between the third electrode and the first electrode, and between the third electrode and the second electrode. The transducer may be operable in a collapsed mode wherein the peripheral region of the third electrode oscillates relative to the second electrode, and the central region of the third electrode is fully collapsed with respect to the first electrode such that the dielectric layer is sandwiched therebetween. Piezoelectric actuation, such as d31 and d33 mode piezoelectric actuation, may further be included.