Abstract: Method and apparatus for determining alternans data of an ECG signal. The method can include determining at least one value representing at least one morphology feature of each beat of the ECG signal and generating a set of data points based on a total quantity of values and a total quantity of beats. The method can also include separating the data points into a first group of points and a second group of points and generating a feature map by plotting the first group of points and the second group of points in order to assess an alternans pattern of variation. The feature map can be analyzed by statistical tests to determine the significance difference between groups and clusters.

Abstract: A method of monitoring a subject, such as a patient, using rules is provided. The method includes receiving data from the subject, and applying the data to a rule-based algorithm. The method also preferably includes generating a response based on the application of the rule-based algorithm. Some examples of responses include generating an alarm, generating a suggested reason for an identification of an abnormal condition, and generating a suggested response to an abnormal condition that has been identified. Preferably, more than one set of variables is applied to a particular rule-based algorithm. A monitor using the method may be configured to have multiple rule-based algorithms selected and applied simultaneously. Each rule-based algorithm can generate a unique response, or a combination can be used to generate a smaller number of responses. Also, a monitor using this method may be configured to allow rule-based algorithms to be exchanged and/or altered.

Abstract: A monitoring system and method for monitoring signals from an implantable medical device are disclosed. The monitoring system and method include a monitor configured to detect a radio frequency artifact from the signals of the implantable medical device and circuitry for processing the radio frequency artifact from the signals of the implantable medical device.

Abstract: A system and method for wireless communication. The system can include a transmitter that transmits a data signal having a time period without data transmission. The system can also include a receiver including a first antenna, a second antenna, a switch that activates one of the first antenna and the second antenna, and a processor that estimates a first signal-to-noise ratio for the first antenna and a second signal-to-noise ratio for the second antenna during the time period without data transmission. The processor can control the switch to select one of the first antenna and the second antenna based on a comparison between the first signal-to-noise ratio and the second signal-to-noise ratio.

Abstract: A communication system including a first device transmitting a modulated signal and a second device receiving the modulated signal. The second device can include a first demodulator and a second demodulator. The first demodulator can receive the modulated signal, produce a first demodulated output, and implement a first demodulation technique. The second demodulator can receive the modulated signal, produce a second demodulated output, and implement a second demodulation technique. The second demodulation technique can differ from the first demodulation technique. The second device can also include an error detection module that can perform bit error detection based on the first demodulated output and the second demodulated output.

Abstract: A method of generating an image of a coronary artery tree for a patient. The method can include acquiring data from the patient for coronary artery segments and generating a coronary artery tree image including the coronary artery segments. The method can also include accessing coronary artery tree patterns, comparing the coronary artery tree image to the coronary artery tree patterns, and automatically selecting one of the coronary artery tree patterns as a representative coronary artery tree image for the patient. The method can further include measuring lesions and automatically adding the lesion measurements to the coronary artery tree image for the patient.

Abstract: Method and apparatus for displaying an alarm condition on a patient monitor. A graphical user interface can include an alarm communication device that indicates a state of a physiological parameter. The alarm communication device can include a stable region, an intermediate region, and a critical region. At least one of the intermediate region and the critical region can represent the alarm condition. The graphical user interface can also include a tolerance control that adjusts at least one of a boundary and a width of at least one of the stable region, the intermediate region, and the critical region in order to adjust the alarm condition.

Abstract: A technique is provided for obfuscating or masking indicia viewable in a reconstructed image. Image data is acquired and stored and then accessed and the reconstructed image is analyzed to determine whether any indicia are viewable in the image that are in need of masking. Such indicia may include, for example, patient-identifying data. Other information may be left unmasked, such as orientation information, descriptive information, dates, and so forth. The technique permits automated recognition of indicia and altering of image data files so as to render certain sensitive information undecipherable in the processed reconstructed images.

Abstract: A method and technique for the continuous, non-invasive measurement of blood pressure. The blood pressure measurement technique of the present invention utilizes ultrasound measurements to determine the diameter of the blood vessel in which the blood pressure is being measured as well as the flow rate of blood at both an input point and an output point along the blood vessel. The system utilizes a transmission line model to relate various blood vessel measurements with electrical components. The transmission line model, in combination with data management techniques including state variable representations and Kalman filtering, is used to develop a blood pressure measurement in real time.

Abstract: A navigational tool is provided for selection of images of interest in large series of images. Difference indices are calculated between adjacent images in the series, and the indices are used to generate a navigational tool which can be presented as a graphical representation of differences between the images. A viewer may select specific locations or sets of images for viewing by manipulation of a virtual tool based upon the representation of the difference indices. The technique thus provides a highly efficient and intuitive tool for location of images in a series where particular features of interest or changes may occur, permitting rapid access and viewing of these images.

Abstract: A preferred embodiment of the present invention provides a method and system for application service provider based redundant archive services for medical archives and/or imaging systems. In a preferred embodiment, the system comprises a data source providing medical data, a status monitor for controlling the transfer of the medical data from the data source to a remote data store, and a remote data store receiving the medical data and storing the medical data. Additionally, the remote data store may restore the medical data to the data source. Also, the remote data store preferably may transfer the medical data to a second data source. Preferably, the remote data store is an application service provider.

Abstract: Film-based images can be scanned in a conventional manner, then digitally designated and “cut” from the digital file resulting from the scan. These selected images can then be collated and registered as individual images, or slices in certain contexts, allowing them to be assembled in various presentations, such as in stack mode with digitally-acquired images. The resulting collated files can then be stored by the user as a new series of images. The technique thus greatly facilitates the access and comparison of the images regardless of the originating medium.

Abstract: A method and system for determining when to make a reversion to smaller cuff pressure steps during an oscillometric blood pressure measurement is disclosed. The method and system comprise comparing conformance of oscillometric envelope blood pressure data with previous blood pressure data, including measuring a shift between the oscillometric envelope blood pressure data and an oscillometric envelope derived from the previous blood pressure data. In addition, the method and system include making a reversion decision based on whether the shift exceeds an allowable threshold. Once a reversion decision is made a subsequent decision may be made as to the need for increasing the cuff pressure level.

Abstract: A method for securing patient identity comprising accessing an electronic medical records database including patient data for a plurality of patients. Each patient in the electronic medical records database is assigned a unique patient identifier. Patient data for a first patient, including a first patient identifier, is retrieved from the electronic medical records database. The first patient is de-identified from the patient data. De-identifying includes the creation of a first encoded patient identifier responsive to the first patient identifier. The de-identifying results in de-identified first patient data and includes the replacement of the first patient identifier with the first encoded patient identifier. The de-identified first patient data is transmitted to a data warehouse system. The method further comprises identifying a second patient in response to receiving report data that includes a second encoded patient identifier from the data warehouse system.

Abstract: Method and apparatus for detecting cardiac repolarization abnormality using at least one electrocardiogram signal. The at least one electrocardiogram signal can be obtained from any number of continuous or non-continuous windows. The method can include deriving a total quantity of representative beats of the at least one electrocardiogram signal. At least one morphology shape descriptor can be used to determine a total quantity of values representing the total quantity of representative beats. Data corresponding to at least some of the total quantity of values can be used to assess cardiac repolarization abnormality.

Abstract: A method for monitoring a subject can include acquiring data from the subject, and dynamically adjusting an alarm limit based on the data. The method can also comprise determining a first value that is typical for the subject for the characteristic being monitored, determining a second value for the characteristic being monitored, and generating a comparison based on the two values. The method could also comprise setting a threshold for a characteristic being monitored, and decreasing the alarm limit if the data crosses the threshold. The method could also include setting an extremity limit. The following methods can be applied to the monitoring of a healthcare patient, or other subjects of interest. Also, the values used in the monitoring of the subject can be configured to be transferable from one monitor to another.

Abstract: A method and apparatus of correcting a data signal sampled at a first rate to a data signal displayed on a video monitor at a second rate is claimed. A data signal is received at a first rate. The data signal is separated into data windows. The minimum and maximum values and positions of data points in data windows are identified relative to a reference, and displayed on a video monitor.

Abstract: A method and system for linking position location information between two-dimensional (2D) and three-dimensional (3D) software applications for viewing diagnostic medical images. The position location information is integrated between 2D and 3D viewing paradigms. This integration provides bidirectional communication between the 2D and 3D viewing paradigm systems. The 3D cursor allows for immediate synchronized navigation through different image sets such as 3D magnetic resonance (MR) images and 2D computed tomography (CT) images while they are being simultaneously viewed on the two different viewing applications.

Abstract: A method of assessing patient flow through a hospital is disclosed. Through the collection of data regarding hospital statistics, a model can be built. Also, an hourly cost can be assigned to each care unit of the hospital for each patient. The model can be used to simulate the flow of patients through the hospital. Additionally, the model can be used to estimate a cost savings that would result from a purchase of patient monitoring equipment, or other resource changes.

Abstract: The present technique selectively handles image data, which is decomposed into a plurality of resolution levels. In one embodiment, an image resolution suitable for display in a desired viewport is selected via an iterative process including determining whether scaling of one of the different image resolutions of the plurality of different image resolutions by a predetermined scaling threshold would result in a scaled image resolution that is less than or equal to the resolution of the desired viewport. A portion of the plurality of data sets may be selectively requested for recomposition of the image at the image resolution. Additional systems, methods, and devices for handling image data are also disclosed.