Abstract: A circuit compliance compensated volume control system in a patient respiratory ventilation system and method, including: a circuit compliance estimator, to provide a relationship between a circuit volume and a differential pressure between a circuit pressure and a positive end-expiratory pressure (PEEP) of the respiratory circuit, a circuit volume estimator, operative to provide an estimated circuit volume based on the relationship between the circuit volume and the differential pressure, a patient volume observer, operative to provide an estimated patient volume by subtracting the estimated circuit volume from a measured machine delivered net volume, and a volume delivery controller, operative to update the machine delivered net volume based on the estimated patient volume and a set tidal volume.

Abstract: The present invention is directed to a system and method for providing care to a patient, comprising a patient care device having a number of configuration databases stored in a memory in the device. Each configuration database preferably includes protocols, operating limits, rule sets and/or operating features that collectively define an operating environment, or personality, of the device. Selection of a specific configuration database preferably is based at least in part upon patient-specific information obtained from any location in a distributed hospital network. Examples of such patient-specific information include patient age or size, patient medical characteristics, a location of the patient or a location of the care device. In a preferred embodiment, programming a patient care device to deliver a drug to a patient entails activating a configuration database and scanning a machine-readable drug label identifying a particular protocol stored in the activated database.

Abstract: A headgear for securing a patient airway interface device to a patient's head, and in particular an infant patient. The headgear includes a central body, first and second forehead straps, and first and second lower straps. The forehead straps extend from opposite side of the central body. The lower straps also extend from opposite sides of the central body, and are inferiorly spaced from a corresponding forehead strap. Upon application to a patient's head, the central body and the forehead straps establish a line of attachment extending from the patient's forehead to a nape of the patient's neck (i.e., adjacent the occipital bone). The lower straps are then available for connecting an airway interface piece to the headgear.

Abstract: A latching mechanism is particularly suited for use in latching a slide mechanism, such as used to slidably mount a drawer. The latching mechanism includes a latch assembly comprising a latch lever mounted for movement between a first, second and third positions, a latch tab for selective engagement with a second end of the latch lever, and a piezo electric controller. The controller has a plunger configured to selectively control the movement of the latch lever between the first and second positions, the plunger movable between an extended position corresponding to a first, locked position of the latch lever and a retracted position corresponding to the second, unlocked position of the latch lever, the controller when unpowered preventing the plunger from moving from the extended to the retracted position and the controller when powered permitting the plunger to move from the extended to the retracted position.

Abstract: In a patient controlled analgesia (PCA) system, physiological data is processed and alarms are provided by the controller of the physiological module sensing the data according to a first rule. The physiological data is also processed by a second, separate controller according to a second rule independent from the first controller. According to the second rule, the physiological data may be filtered, processed with physiological data and non-physiological data obtained from another source, such as a remote server, and the PCA delivery device controlled to prevent delivery of medication accordingly. The provided system of multiple processors and rules enables normal alarming by physiological sensor modules while the pausing or prevention of the PCA delivery is controlled by a separate controller. Through this means, not only are false pauses and alarms for PCA delivery reduced, but the normal alarms of the monitors are permitted to function normally.

Abstract: A fluid delivery system includes a disposable portion and a non-disposable portion configured to communicate with each other wirelessly. The disposable portion includes electrical elements such as one or more sensors configured to be in sensing proximity of fluid, a processor, a memory and a transceiver. The transceiver is configured to receive radio frequency energy from a transmitter located on the non-disposable portion and power the electrical elements on the disposable portion. The non-disposable portion wirelessly controls the disposable portion during a fluid delivery session by programming operational parameters and monitoring fluid delivery measurements over the wireless communication link.

Abstract: A control system for a high frequency oscillating ventilator (HFOV) includes and oscillator controller and a mean airway pressure (MAP) controller. The HFOV includes a reciprocating piston which is adapted to generate positive and negative pressure waves for delivery to a patient airway. The oscillator controller comprises a pair of closed loop control circuits including an oscillator pressure loop and a centering loop which are collectively adapted to regulate frequency and amplitude of piston reciprocations and centering of the piston. The MAP controller comprises a closed loop control circuit that is adapted for regulating MAP at the patient utilizing feedback in the form of patient circuit pressure. Likewise, the oscillator controller utilizes patient circuit pressure as well as piston displacement feedback in order to regulate movement of the piston.

Abstract: A method of sensing dispensation of a product from a storage device having an antenna is provided. The method comprises providing a product with a wireless tag within a service area of the antenna, establishing wireless communication between the wireless tag and the antenna, monitoring the wireless communication, and determining, responsive to the monitoring, when the wireless communication has ceased to establish when the product has been dispensed from the storage device. A dispensation-sensing system is also provided. The system comprises a securable storage area, an antenna operable to receive and transmit signals within the securable storage area, and a processor.

Abstract: A system and method of managing therapy provided to patients in an institution. The system monitors all aspects of the medication delivery to a patient, as well as other information related to the patient, such as values of vital signs, laboratory results and patient factors such as history, diagnosis, allergies and the like. The system includes one or more databases of information, including institutionally developed rules, guidelines and protocol representing the best medical practices of the institution. The system provides alerts and/or recommendations based on the application of the rules to the information being monitored, and alerts care givers accordingly, providing for dynamic adjustment of the patient's therapy. The system also monitors the status of the alerts, and if no action is taken in a selected period of time, may escalate the priority of the alert and/or halt the delivery of medication to the patient until the alert is resolved.

Abstract: A respiratory therapy device including a housing and an interrupter valve assembly. The housing includes a patient inlet, an exhaust outlet, a chamber, and a supply inlet. The interrupter valve assembly is associated with the housing and includes a control port fluidly connecting the patient inlet and the first chamber, and a valve body adapted to selectively obstruct fluid flow through the control port. In a passive mode, positive fluid flow to the supply inlet does not occur, and the interrupter valve assembly interacts with exhaled air create an oscillatory PEP effect. In an active mode, fluid flow to the supply inlet occurs and the interrupter valve assembly operates to create a CHFO effect. The respiratory device can serve as a passive oscillatory PEP device, and when connected to a positive pressure source, as an active device.

Abstract: A respiratory interface device includes a respiratory mask that interfaces with a face of a patient. The respiratory mask comprises a body portion that forms an enclosure around a nose of a patient and at least one set of headgear strap flanges. The body portion is substantially entirely manufactured from an elastomeric material. A bellows-like structure is integrally molded in the body portion to create a sealing interface between an inner bottom portion of the mask and the patient's nose.

Abstract: A laparoscopic surgical device is provided, including a ratchet mechanism. The ratchet mechanism includes a single button or lever that may be used to release or defeat a ratchet engagement.

Abstract: Various embodiments of a breath-activated nebulizer with flow-based fluidic control and related methods of using such a nebulizer are disclosed. The nebulizer may include a body comprising a reservoir for holding medication, a nozzle for emitting a jet of pressurized gas, and a fluid conduit in communication with the reservoir for delivery of the medication proximate the jet to produce an aerosol of medication. The nebulizer may also include a nebulizer outlet in communication with the body for delivery of the aerosol to a patient, an entrainment passage for providing entrainment flow from atmosphere during inhalation by the patient, and a control conduit in fluid communication with the fluid conduit for delivery of a control gas to the fluid conduit to prevent the delivery of the medication proximate the jet. In some exemplary embodiments, the control conduit may comprise a gas passage proximate the entrainment passage to allow the control gas to flow across the entrainment passage.

Abstract: Various embodiments of a breath-activated nebulizer with fluidic control and related methods of using such a nebulizer are disclosed. The nebulizer may include a body comprising a reservoir for holding medication, a nozzle for emitting a jet of pressurized gas, and a fluid conduit in communication with the reservoir for delivery of the medication proximate the jet to produce an aerosol of medication. The nebulizer may also include a nebulizer outlet in communication with an interior of the body for delivery of the aerosol to a patient, a control conduit in fluid communication with the fluid conduit for delivery of a control gas to the fluid conduit to prevent the delivery of the medication proximate the jet, and a fluidic amplifier configured to control the delivery of the control gas to the control conduit.

Abstract: A cortical stimulator system is provided. The system may include; a stimulation device having a switch configured to selectively control various electrodes; and a user interface device operatively connected to the stimulation device for controlling the electronic switch and stimulation device, the cortical stimulator system configured to provide a report of provided stimulation. A method of operating a cortical stimulator may be provided. The method may include: connecting a set of probes to the cortical stimulator, selecting parameters regarding a signal to be sent to the set of probes, sending a signal to the set of probes; observing the response of a subject having the set of probes contacting the subjects brain when the signal is sent to the probes, entering the observed response into the cortical stimulator, associating the response to a specific set of probes, and generating a report describing the response and associated probes.

Abstract: A system and method for confirming that a medication administration device has been programmed with the correct medication administration parameters. A medical database carrier is used compare medication delivery parameters entered into a medication administration device to institutionally established guidelines or more widely accepted protocols to ensure that the medication is delivered in accordance to those guidelines. The medical database carrier may also be configured to communicate information regarding medication delivery and other patient information between a control system in communication with the care-giving facility's other information systems and a patient specific asset such as an infusion pump. The medical database carrier may be a smartcard, a PDA such as a Palm™ Pilot, laptop computer, pager, mobile phone, or other device capable of storing, processing and communicating information.

Abstract: The present invention is a catheter having a tube and including mechanisms that provide precision control over insertion and retraction of the catheter tube. The catheter is particularly adapted for introduction into the pulmonary system. The catheter includes an insertion depth control mechanism that acts as a stop and provides a tactile indication to the person inserting the catheter tube that a predetermined position has been reached. The catheter also includes an anti-bunching mechanism to prevent bunching of a protective sleeve disposed around the catheter tube, thereby reducing interference from the sleeve during insertion of the catheter tube.

Abstract: Applicators and a method for reducing the concentration of unwanted chemicals, such as para-chloroaniline (PCA) from an antiseptic solution. More specifically, the applicator includes antiseptic solution in amount sufficient to be applied to a desired surface and to have an antimicrobial effect on the desired surface and a porous element. The porous element selectively removes undesired by-products from the antiseptic solution when the antiseptic solution contacts the at least one porous element.

Abstract: A latching mechanism is particularly suited for use in latching a slide mechanism, such as used to slidably mount a drawer. The latching mechanism includes a latch assembly comprising a latch lever mounted for movement between a first, second and third positions, a latch tab for selective engagement with a second end of the latch lever, and a piezo electric controller. The controller has a plunger configured to selectively control the movement of the latch lever between the first and second positions, the plunger movable between an extended position corresponding to a first, locked position of the latch lever and a retracted position corresponding to the second, unlocked position of the latch lever, the controller when unpowered preventing the plunger from moving from the extended to the retracted position and the controller when powered permitting the plunger to move from the extended to the retracted position.

Abstract: An infant nasal interface mask for use with a nasal continuous positive airway pressure (nCPAP) system including a mask body and a base. The mask body forms a cavity and is defined by a leading portion, an intermediate shell portion, and a trailing portion. The leading portion terminates in a leading edge forming an aperture open to the cavity and having a generally triangular shape for placement over a patient's nose. The trailing portion includes a bellows segment characterized by an increased flexibility as compared to a flexibility of the intermediate shell portion. The base extends from the trailing portion opposite the leading portion and forms at least one longitudinal passage extending through a thickness of the base and fluidly connected to the cavity. The intermediate shell portion is laterally pivotable relative to the base via the bellows segment.