Abstract: A method and apparatus for transferring two frequencies of electromagnetic energy to and from a portion of a living body for the purpose of blood oxygen saturation measurements. The two frequencies of electromagnetic energy are transferred to the portion of the living body through a single optical fiber cable (which could be a bundle) to a coupler and then through a short section of optical cable to an optical element adjacent to the portion of the living body. After the two frequencies of electromagnetic energy are transmitted through the portion of the living body they are received by another optical element and transported away from the portion of the living body to a coupler through a short section of optical cable where they may be converted to electrical signals. Alternatively, the two frequencies of electromagnetic energy are carried away from the coupler.

Abstract: A method for direct myocardial revascularization by providing a catheter with a catheter body having proximal and distal ends and at least one lumen extending therethrough, a control handle at the proximal end of the catheter body, and a tip section having proximal and distal ends. The tip section is fixedly attached to the distal end of the catheter body. The catheter also comprises an electromagnetic sensor in the distal portion tip section for producing electrical signals indicative of the location of the electromagnetic sensor. The catheter further comprises at least one electrode carried by the tip section for mapping electrical activity of the heart tissue and at least one electrode lead wire electrically connected to the electrode. An optic fiber is provided within the catheter with its distal end being substantially flush with the distal end of the tip section. Manipulation of the control handle results in deflection of the tip section.

Abstract: An apparatus and method for occluding a lumen, such as a vessel, in a mammal using alternating current and monitoring reflected power from the occlusion site to determine vessel constriction and/or electrocoagulation. The apparatus is provided with an alternating current (AC) power generator, a first electrode electrically coupled to the generator, a dispersive electrode electrically coupled to the generator and forming in-part with the generator and the first electrode a drive circuit and a reflected power monitoring circuit coupled to the drive circuit for monitoring power reflected back toward the generator from the first electrode. With this construction, occlusion and/or thermocoagulation can be accurately detected so that the power delivered to the first electrode when positioned in the mammal can be terminated. In this manner, the risk of overheating tissue in the vicinity of the constricted vessel is minimized or eliminated.

Abstract: The concentration of a substance or group of substances in a body fluid is monitored by means of an interface held in contact with a living human or animal body and a detector is positioned downstream from the interface. A profusion fluid is passed from the interface to and along the detector at a flow rate of less than 60 .mu.l/hour. A constant flow is maintained at the low flow rate with very little or no supply of energy, allowing for a compact construction and reduced measurement delay.

Abstract: A hand-held laser light generator device includes a wand, a semiconductor diode laser for generating a beam of laser light, an optical arrangement, a housing having an interior chamber, a battery in the housing interior chamber, an electrical cord connecting the laser in the wand with the battery in the housing, an electronic timing circuit, a start switch and a selector knob. The wand, capable of being retained in a user's hand, is an elongated hollow tube and defines an interior cavity. The laser is mounted in the wand interior cavity and therewith is freely movable so as to enable the user to direct the beam of laser light onto a desired location. The optical arrangement mounted in the wand interior cavity receives and transforms the generated beam of laser light into a line of laser light. The electrical timing circuit is disposed in the housing interior chamber and mounted to the housing.

Abstract: An electrosurgical coagulation electrode to accomplish direct cyclocoagulation for treating glaucoma. To this end, the electrode is a flat, thin, slightly-flexible electrically-conductive member coated with an electrically-insulating coating over all but a small exposed area at one surface of the electrode tip. With this novel shape, it becomes possible to effect coagulation where desired in a relatively simple manner.

Abstract: Enhancement of the alignment between the eye and a laser beam of a laser eye surgery system using a visual fixation system, the fixation system often having an adjustable optical train. The optical train of the fixation system allows an eye having a significant refractive error to be accurately focused at a fixation target. To accommodate the refractive error, the adjustable optical train will often project an image of the target so that the projected image is in focus in front of or behind the plane of the patient's eye.

Abstract: An optical fiber device includes a polymeric optical fiber having a proximal end for coupling to a source of light, and a diffusing region. The polymeric optical fiber includes a core and a cladding around the core. The diffusing region includes a length of the polymeric optical fiber in which the cladding is partially removed to expose the core and in which the exposed core and the remaining cladding have a roughened surface for outwardly diffusing light carried through the polymeric optical fiber. The diffusing region is preferably formed by abrasion, for example by directing a particle jet at the optical fiber while rotating and translating the optical fiber with respect to the particle jet. The particle jet may include microscopic glass beads which roughen the optical fiber core. The density of scattering sites may be varied along the length of the diffusing region to produce a desired light output pattern.

Abstract: A method and apparatus are disclosed for measuring and performing real-time FFT analysis of bioelectrical signals such as (EEG and EMG) for the control of systems. Passive and active interaction with various electronic media such as video games, movies, music, virtual reality, and computer animations is also discussed. A method and apparatus for detecting the presence of a subject in a controlled area and for controlling real or virtual spaces is also disclosed.

Abstract: A device for management of diabetes using a programmable microprocessor based unit having a display, keyboard, and memory. The keyboard is for inputting information concerning carbohydrates ingested by a user. The microprocessor is programmed to determine an amount of insulin to be used by a user based upon the carbohydrates ingested and the display is for displaying the amount of insulin to be used.

Abstract: A pulse oximeter includes a light-emitting device for repeating red light emission, infrared light emission, and no light emission with respect to an object to be measured every data sampling cycle in a measurement of a saturated oxygen in arterial blood, a light-receiving device for outputting a light-receiving signal obtained by receiving transmitted light or reflected light from the object to be measured; a noise level detecting device for detecting from the light-receiving signal a noise signal level at the time of no light emission in the light-receiving device, and a light-receiving signal generating device for obtaining a light-receiving signal of a level corresponding only to the red light emission and the infrared light emission by subtracting the noise signal level from each of light-receiving signal levels of the red light emission and the infrared light emission.

Abstract: An irradiation device, especially for the cosmetic, diagnostic and therapeutic application of light, having an incoherent light source and a reflector that surrounds the light source and has a slit-like opening defining the direction of the radiation. Arranged in the beam path of the light source is a spectral dispersion element. In the output beam path of the spectral dispersion element, a fiber-optic cross-sectional transformer is disposed in such a way that its circular end is located opposite the spectral dispersion element. The fiber-optic cross-sectional transformer and the spectral dispersion element are movable relative to each other.

Abstract: A device for prostate treatment is inserted into a prostatic portion of an urethra and connected to an energy source. Energy is delivered to the prostate from the device. The amount of energy emitted to prostatic tissue adjacent to a bladder is greater than that emitted to prostatic tissue distant from the bladder.

Abstract: A method obtains physiologic parameter information of an animal or human, such as respiratory tidal volume, from a blood pressure signal from an implanted blood pressure sensor in the animal or human. Specifically, the blood pressure signal is externally signal processed to develop an amplitude versus time waveform. A sequence of selected blood pressure features derived from individual cardiac cycles of the amplitude versus time waveform over a selected time interval are extracted from the developed amplitude versus time waveform. A mathematical model is fitted to the extracted sequence of selected blood pressure features to yield a fitted mathematical model. Blood pressure information indicative of a magnitude of the change in blood pressure that occurs over a respiratory cycle is computed from the fitted mathematical model. The physiologic parameter respiratory tidal volume, is then computed as a function of a correction factor and the blood pressure information.

Abstract: Dysphagia, or difficulty in swallowing, can cause choking, aspiration of food or liquid into the lungs, incomplete administration of medication, and discomfort to the victims. A method is provided for evaluating the severity of Dysphagia. The method comprises providing at least two sets of orally ingestible materials, each set of orally ingestible material comprising at least two compositions of like materials differing significantly in one property selected from the group consisting of viscosity, adhesiveness, cohesiveness and yield force. A patient ingests a first one of the at least two compositions from a first set of the at least two sets, examining the patients for a dysphagic response to the ingestion of the first one of the at least two compositions, and noting any dysphagic responses.

Abstract: A system for maintaining a substantially fixed distance between a localized surface of the heart and the distal end of a surgical device for use in endoscopic surgical procedures. The system comprises a stabilizer for minimizing localized motion of the heart in attached communication with a sensor for sensing localized motion of the heart in a region proximal the stabilizer and a controller in electrical communication with the sensor for processing data indicative of the localized motion of the heart in a region proximal the stabilizer. The processor is in electrical communication with a controller for a robotic arm that holds an instrument for use in an endoscopic surgical procedure, said instrument having a proximal and distal end, and said robotic arm in electrical communication with the controller.

Abstract: In a medical network management system (NMS) (20), health plan beneficiaries access a team of health care professionals over the telephone to help them assess their health needs and select appropriate care. The NMS (20) is implemented with an article of manufacture for use with a data processing system (13). A storage medium (15) has stored therein a medical provider information stored program (22) and a medical provider database (24). The medical provider database describes clinical services or procedures available from each provider by clinical codes or procedure codes. The data processing system (13) is configured by the medical provider information stored program (22) when executed by the data processing system (13) to use the clinical codes or procedure codes to identify a medical provider from the medical provider database for providing a specific medical service to a patient.

Abstract: A teleconferencing system uses video conferencing between a nurse station and a patient station to deliver medical care. The patient station is programmed to contain customized instructions concerning medications, procedures, or visitations that were placed there by the nurse. The customized audio, video and text information transforms the patient station into a highly personalized information source which can be reviewed by the patient when the unit is off line. Medical procedures and medications are also programmed into the patient station by the nurse to remind the patient of all scheduled events, including visitations. A record of medical compliance is stored in the patient station, which record is uploaded to the nurse station and compared to the original event schedule. In such manner, the patient station is an intelligent personal medical assistant, programmed by the nurse to provide customized reminders and information necessary for the efficient management of the patient's illness.

Abstract: An intrauterine pulse oximetry apparatus and method are provided to measure fetal blood oxygen saturation at sites in a preferred region on the fetus. The sensor of the apparatus is attached to a stiff cable which can be inserted into the uterus past the presenting part and transcervical region of the fetus. The cable may have visual and tactile markings by which the user, without seeing or feeling the sensor, can guide it to an appropriate site on the fetus and for use in determining the depth of the sensor in the vagina.

Abstract: A plurality of light sources that emit light having a long wavelength are energized for an extended period of time to increase the likelihood of two photon absorption by cells that have preferentially absorbed a photoreactive agent such as psoralen. The cells are preferably microscopic metastatic cancer cells that are diffusely distributed throughout a treatment site, for example, within an organ. The plurality of light sources are arranged in a spaced-apart array, mounted on a support plate that includes a plurality of conductive traces. A plurality of such arrays are preferably mounted to a flexible sheet that can conform to an outer surface of an organ being treated. Because the light emitted by the light sources is in the infrared or near infrared waveband, it penetrates deeply into the tissue at the treatment site.