Abstract: An artifact rejector for repetitive physiologic-event-signal data generated from electronically-controlled physiologic-event-measuring equipment includes a physiologic-event-signal averager in communication with such physiologic-event-measuring equipment. The artifact rejector is constructed to generate and store repetitive averaged physiologic-event-signal data based upon a substantially stable time relationship between corresponding physiologic-event-signal data and heart-beat-related-signal data. The repetitive averaged physiologic-event-signal data includes less noise than the repetitive physiologic-event-signal data. The artifact rejector generates and continuously updates an averaged-data template by storing such repetitive averaged physiologic-event-signal data for a preselected number of measured physiologic events.

Abstract: A method for measuring a patient's blood pressure involves using a patient-applied cuff operably connected to an electronically controlled blood pressure monitor that includes a pump. The method includes controlling pressure in the cuff by inflating the cuff to a suprasystolic pressure, and step-wise deflating of the cuff to acquire blood-pressure data from the patient. The improvement includes using pulse-width modulation data to enhance control of cuff pressure.

Abstract: Noninvasive-blood-pressure (NIBP) monitoring apparatus is disclosed which is usable to perform either oscillometric or auscultatory NIBP. The apparatus includes relatively adjustable, noninflatable, pressure-information-providing (PIP) structure usable to apply NIBP-useful pressure to such limb adjacent such vessel. Also included is pressure-changer structure associated with the PIP structure, and operable to adjust the same to a beginning NIBP-useful pressure, and to subsequent NIBP-useful pressures, with such adjustment effecting the availability of pressure information that can be sensed by such sensor structure. The apparatus is preferably constructed for oscillometric NIBP monitoring and includes a reaction band removably fittable on and circumscribingly about the limb of such living subject. The preferred construction is for portable, self-contained, ambulatory usage.

Abstract: A high-quality, low-bit-rate method of compressing physiological-waveform data obtained from a signal sent from a diagnostic medical device is disclosed. Associated with the signal are time and voltage characteristics. The method includes the steps of (1) examining such signal during a periodic event in which such data occurs, and which data includes a first region dominated by high-frequency information and a second region dominated by low-frequency information, and (2) removing the first region from the event based upon preselected criteria, which criteria are independent of indicia related to the first region. Also included is the step of compressing the data by processing the removed first region according to a first preselected plan which emphasizes low-bit-rate compression, and by processing the data of the entire event according to a second preselected plan which emphasizes high-quality compression.

Abstract: An ambulatory patient monitoring system (100) is provided for measuring and storing predetermined diagnostic parameters of a patient. The monitoring system includes a personal type computer (120) which may be selectively coupled to the portable portion (102) of system (100). Portable portion (102) may include one or more monitoring modules, such as ECG monitoring unit (110) and blood pressure monitoring unit (210). When ECG monitoring unit (110) and blood pressure monitoring unit (210) are disposed in side-by-side relationship and with respective optical interfaces (50, 254) in optical alignment, the two units operate in concert. ECG monitoring unit (110) supplies an R-wave gating signal to blood pressure monitoring unit (210) for establishing a window in which the receipt of a Korotkoff sound is expected. Additionally, the ECG unit (110) may trigger the blood pressure unit (210) to take a reading responsive to unit (110) identifying a predetermined abnormality in the ECG signal.

Abstract: Full-duplex, concurrent voice and non-voice communication over the public switched telephone network (PSTN) is maintained by a communication interface apparatus. A voice only connection is established between two sites initially. Concurrent voice/non-voice connection then is established by pressing an engage button on the communication interface apparatus at each site. Voice communication is temporarily lost, while the connection changes from a phone-to-phone voice-only link to an interface-to-interface voice/non-voice data link. The communication interface apparatus includes a digital signal processor for converting and compressing digital voice data into a voice data packet, a modem for maintaining communication over the PSTN and a micro-controller for managing the establishment and maintenance of concurrent voice and non-voice data communication.

Abstract: Noninvasive-blood-pressure (NIBP) monitoring apparatus is disclosed which is usable to perform either oscillometric or auscultatory NIBP. The apparatus includes relatively adjustable, noninflatable, pressure-information-providing (PIP) structure usable to apply NIBP-useful pressure to such limb adjacent such vessel. Also included is pressure-changer structure associated with the PIP structure, and operable to adjust the same to a beginning NIBP-useful pressure, and to subsequent NIBP-useful pressures, with such adjustment effecting the availability of pressure information that can be sensed by such sensor structure. The apparatus is preferably constructed for oscillometric NIBP monitoring and includes a reaction band removably fittable on and circumscribingly about the limb of such living subject. The preferred construction is for portable, self-contained, ambulatory usage.

Abstract: An improved method of validating pulse-like, heartbeat-induced physiologic events, such as blood-pressure pulses, is described in relation to vital signs monitoring apparatus that is also capable of monitoring R-waves obtained from an ECG sensor. The method includes the steps of monitoring the occurrence of an R-wave followed by an event of interest, and validating such event based upon analyzing, along with other preselected criteria, a time relationship extant between the R-wave and the event. The validating step includes the steps of noting the time period between selected points of the two occurrences, labeling the time period based on preselected timing criteria, and using the label with other criteria to validate the event. Events whose immediate validation is questionable are placed in a "wait and see" category for future review.

Abstract: Apparatus for promoting waste-free primary flow in a patient monitoring device is disclosed and includes a waste trap with a body defining a waste chamber with the body including an entry port for communication with a primary channel of the device, and an exit port for communication with a secondary channel of the device. The exit port has a first cross-sectional area. The exit port is defined by a porous, gas-permeable, waste-blocking member that extends into the chamber to promote waste-free primary flow in any orientation of the trap. The member has a total-pore area exceeding the first cross-sectional area. Operatively connected between the ports is means for monitoring the differential pressure therebetween and for sending signals representative of such pressure to associated control circuitry of the device for determining the volume of waste in said body based on signals received from the monitoring means.

Abstract: For use in performing non-invasive blood-pressure measurement (NIBP), an artifact rejection method for predicting expected data values from acquired data, and for adjusting previously acquired data based on the relationship of actually measured data values to their corresponding predicted values. The method is practiced in a system comprising an inflatable, occluding cuff, a pump and a valve coupled to the cuff, and monitoring apparatus coupled to the cuff adapted to measure cuff pressure and recurring blood-pressure pulsations occurring in the cuff that are caused by each heart contraction occurring in a measurement cycle. Cuff pressure is raised to a level above the patient's systolic pressure, and progressively reduced in a stepwise fashion to an ending cuff pressure. A fixed number of pulsations are measured and processed at a first and second cuff-pressure step, and a generally lesser number of pulsations are measured and processed at a third and subsequent cuff-pressure steps.

Abstract: A microprocessor-controlled, oscillometric method for determining a patient's systolic, diastolic, and mean arterial pressure, practiced in a system comprising an inflatable, occluding cuff, a pump and a valve coupled to the cuff, and monitoring apparatus coupled to the cuff adapted to measure cuff pressure and recurring blood-pressure pulsations occurring in the cuff that are caused by each heart contraction occurring in a measurement cycle. Cuff pressure is raised to a level above the patinet's systolic pressure, and progressively reduced in a stepwise fashion to an ending cuff pressure. A fixed number of pulsations are measured and processed at a first and second cuff-pressure step, and a generally lesser number of oscillations are measured and processed at a third and subsequent cuff-pressure steps. The method includes a first artifact rejection technique used to check for false data relative to the formation of each blood-pressure pulsation.